Home Life Safety Survey

The Wilmette Fire Department developed a short home life safety checklist for residents to use.  Please complete the survey in your home and send us the results – we’re interested to know!

    Smoke Alarms

    There is at least one smoke alarm on every floor in common areas.

    YesNo

    There is at least one smoke alarm in each bedroom.

    YesNo

    Smoke alarm batteries are changed at least every six (6) months.

    YesNo

    Smoke alarms are less than 10 years old.

    YesNo

    Smoke alarms are interconnected so when one sounds, they all sound (best protection).

    YesNo

     

    Carbon Monoxide Alarms

    Carbon monoxide alarms are located on each level of the home.

    YesNo

    Carbon monoxide alarms are less than 7 years old.

    YesNo

    Carbon monoxide alarms are fully functional.

    YesNo

     

    Electrical and Appliance Safety

    Electrical cords do not run underneath rugs.

    YesNo

    Electrical cords are not frayed or cracked.

    YesNo

    Circuit-protected, multi-prong adapters are used for additional outlets.

    YesNo

    Large and small appliances are plugged directly into wall outlets.

    YesNo

    All receptacle and switch faceplates are installed and in good condition.

    YesNo

    Kitchen and bathrooms have GFCI outlets anywhere within 6 feet of water outlets and are working properly.

    YesNo

    Clothes dryer lint filter and venting system are clean.

    YesNo

     

    Cooking / Kitchen Safety

    Cooking area is free from items that can catch fire.

    YesNo

    Kitchen stove hood is clean and vented outside.

    YesNo

    Pots are never left unattended on the stove.

    YesNo

    Small appliances are unplugged while not in use.

    YesNo

    Adults are always present when the stovetop is in use.

    YesNo

     

    Family Room / Fireplace Safety

    All fireplaces have a proper screen and hearth.

    YesNo

    All combustibles are at least 3 feet from space heaters and fireplaces.

    YesNo

     

    Home Escape Plan

    All bedrooms have two ways out - window and a door.

    YesNo

    There is a designated meeting place near the front of the home for all family members.

    YesNo

    All family members have reviewed and practiced the escape plan.

    YesNo

     

    Full Name:

    Email:

    Address:

    Wilmette
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