Template

Monthly Falls Assessments

by Audit File, from the Community

10+

Use this monthly falls assessment template to systematically record and review falls each month. Capture where and when incidents occurred, the number of events, injury types, and whether safeguarding actions were required. Identify patterns by location and time of day, support root-cause analysis, and prioritize corrective actions to reduce future risk. Ideal for hospitals, aged care and residential facilities, this checklist helps teams monitor trends, document evidence for audits, and improve patient safety and quality of care. Customize to match your procedures and local requirements.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Mecklenburg Resident Falls RCA
This Resident Falls Root Cause Analysis template helps care teams investigate fall incidents in long-term care or health services settings. Document when and where the fall occurred, witness status, injuries and ER transfers, neuro checks, and precipitating events. Apply the Five Whys method to identify root causes, update care plans and fall risk scores, and assess whether interventions would have prevented the event. Use this tool to support quality assurance and patient safety improvements.
by Brian Greig, from the Community
Downloads: 10+
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Falls, Slips and Trips Audit Checklist
This falls, slips and trips audit checklist helps teams identify hazards and reduce injuries across indoor and outdoor areas. It covers clear walkways, flooring condition, entrance mats, spill response, signage, lighting, cleaning schedules, cords, step maintenance, appropriate footwear for staff and residents, drainage and controls in wet areas, and external path conditions. It also guides monthly falls reviews, including total incidents, severity, trend comparison to prior month, and a spot check to confirm incident descriptions, updated falls risk assessments, frequent faller identification, referrals to the falls team, and safeguarding when criteria are met.
by Michelle Love-Patel, from the Community
Downloads: 0
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Slips, Trips and Falls Audit
This slips, trips and falls audit checklist helps care and residential facilities reduce injury risk by checking common hazards and controls across internal and outdoor areas. Verify clear walkways, floor and mat condition, spill response and wet-floor signage, adequate lighting, cleaning schedules, cable management, step integrity, appropriate staff and resident footwear, and drainage in wet areas. Inspect outdoor paths for potholes, cracks, raised edges and moss, and confirm lighting. Review monthly falls data, note any serious injuries, and spot-check resident incident notes to ensure clear descriptions, updated falls risk assessments, referrals to the Falls Team for frequent fallers, and safeguards raised when thresholds are met.
by Claire Wright, from the Community
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Template
Mecklenburg Resident Falls Root Cause Analysis
This Resident Falls Root Cause Analysis (RCA) template supports healthcare and aged-care teams in investigating a resident fall from end to end. Capture when and where the fall occurred, whether it was witnessed, and complete initial neuro checks per policy. Document injuries, ER transfers, and upload records. Use the Five Whys to uncover contributing factors, identify up to three root causes, and list targeted interventions. Update care plans and fall risk scores, then validate whether removing each root cause would have prevented the event. Includes references to CMS Five Whys guidance.
by Shellie Moore, from the Community
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Monthly Falls Assessments

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