Risk Assessment – Accessible Version NameDate of Birth Day Month Year Phone NumberWhat type of property do you live in? Flat House Shared housing Mobile home Care home Will anyone else be present in the property during the visit? Yes No Who else will be in the property?Are you able to answer the front door or do you have a key safe? Can answer door Have a Key Safe Key Safe NumberAre there any weapons in the property? Yes No What weapons are in your property?Does anyone in the property take drugs or drink to excess? Yes No If yes please enter detailsDo you or anyone in the household smoke? Yes No Is there any history of involvement in criminal behaviour, either in the past or present day? (This includes things like legal issues, arrests, or any activities that could involve breaking the law). Yes No If yes, please give detailsDo you have any pets? Yes – Can be put away during visit Yes – Can NOT be put away during visit No What pet(s) do you have?Is there parking available near the property? Yes No Additional comments about parking OptionalIs there anything else we should know before visiting? Optional
