What Is a Home Safety Assessment?

A Home Safety Assessment is a comprehensive Occupational Therapy assessment that evaluates how your home environment, daily activities and functional abilities interact to influence your safety and independence.

Rather than looking only at the physical layout of your home, an Occupational Therapist considers how you move around your environment, complete everyday tasks and interact with different areas of your home.

The goal is to identify environmental barriers, potential hazards and opportunities to improve participation through practical recommendations.
A Home Safety Assessment may explore:
  • Safety within and around the home.
  • Mobility throughout different rooms.
  • Access to essential areas.
  • Falls risks.
  • Daily routines.
  • Functional independence.
  • Accessibility.
  • Use of Assistive Technology.
  • Home Modifications.
  • Environmental barriers.
  • Carer safety where appropriate.
Recommendations are always individualised and based on your goals, functional abilities and living environment.
The Goals of a Home Safety Assessment

Every Home Safety Assessment is different because every person's needs, home environment and goals are unique.
Depending on your circumstances, the assessment may aim to:
  • Improve safety throughout the home.
  • Reduce the risk of falls and injuries.
  • Support independent living.
  • Improve accessibility.
  • Increase confidence completing everyday activities.
  • Identify appropriate Assistive Technology.
  • Recommend Home Modifications where required.
  • Support ageing in place.
  • Improve carer safety during transfers or personal care.
  • Support NDIS planning and funding applications where appropriate.
Rather than encouraging people to change everything about their home, Occupational Therapists focus on practical solutions that support everyday participation while maintaining comfort and independence.
Home Safety Is About More Than Preventing Falls

Falls prevention is an important part of many Home Safety Assessments, but it is only one aspect of creating a safer home environment.
Occupational Therapists also consider factors such as:
  • Accessibility.
  • Fatigue management.
  • Ease of movement.
  • Cognitive changes.
  • Vision changes.
  • Memory and executive functioning.
  • Safe use of equipment.
  • Daily routines.
  • Community access.
  • Emergency preparedness.
For example, someone may not be at high risk of falling but may still experience significant difficulty accessing their bathroom, preparing meals safely or moving around their home while using mobility equipment.

​By looking at the whole person rather than a single risk factor, Occupational Therapists can develop recommendations that support long-term independence and quality of life.
Home Safety Assessments and the NDIS Functional Domains

A Home Safety Assessment often considers several of the six NDIS Functional Domains because changes within the home environment can affect many aspects of everyday participation.

Depending on your individual circumstances, an Occupational Therapist may assess how your home environment influences:
  • Mobility - moving safely throughout your home, transferring between surfaces and accessing different areas.
  • Self-Care - showering, dressing, toileting, meal preparation and other daily activities.
  • Self-Management - organising routines, safely managing the home and completing everyday responsibilities.

​Some assessments may also consider Communication, Learning and Social Interaction where these areas influence how you safely participate within your home.

If you're unfamiliar with the Functional Domains, you may like to read our guide to Understanding the NDIS Functional Domains, which explains how Occupational Therapists assess everyday functioning across different areas of life.
Who Can Benefit From a Home Safety Assessment?

Home Safety Assessments are suitable for people of all ages whose disability, health condition or injury affects their ability to safely participate in everyday activities at home.

While many people associate Home Safety Assessments with older adults, Occupational Therapists also complete assessments for children, adolescents and adults living with disability or recovering from illness or injury.

The assessment is always tailored to the individual's goals, functional abilities and living environment.
Older Adults Wanting to Age in Place

Many older adults wish to remain living safely and independently in their own homes for as long as possible.

As people age, changes in balance, strength, vision, mobility and endurance may increase the risk of falls and make everyday activities more challenging.

A Home Safety Assessment may help identify practical strategies that support:
  • Safe mobility throughout the home.
  • Falls prevention.
  • Bathroom safety.
  • Safe kitchen access.
  • Improved accessibility.
  • Energy conservation.
  • Greater independence with everyday activities.
Small environmental changes can often make a significant difference to safety and confidence while supporting people to remain in their own homes.
NDIS Participants

Home Safety Assessments are commonly completed for NDIS participants whose disability affects their ability to safely access or use their home.

Depending on the individual's needs, recommendations may relate to:
  • Assistive Technology.
  • Home Modifications.
  • Environmental accessibility.
  • Falls prevention.
  • Daily living supports.
  • Functional Capacity Assessments.
  • Supported Independent Living (SIL).
  • Specialist Disability Accommodation (SDA).
Occupational Therapists assess how the home environment affects functional participation and develop evidence-based recommendations that align with the participant's goals and everyday needs.
People Returning Home After Hospital

Returning home after surgery, illness or a hospital admission can present new challenges.

A Home Safety Assessment may assist people recovering from:
  • Hip or knee replacement surgery.
  • Stroke.
  • Orthopaedic injuries.
  • Spinal injuries.
  • Extended hospital stays.
  • Serious illness.
  • Rehabilitation following injury.
The assessment helps identify practical strategies that may improve safety during recovery and reduce the risk of complications when transitioning back into the community.
People Who Have Experienced Falls or Near Falls

One fall can significantly affect a person's confidence.
Some people begin avoiding activities they previously enjoyed because they worry about falling again.

​A Home Safety Assessment may help identify:
  • Environmental hazards.
  • Unsafe routines.
  • Mobility challenges.
  • Bathroom risks.
  • Lighting concerns.
  • Transfer difficulties.
  • Appropriate equipment that may improve safety.
Early intervention may reduce future falls while helping people maintain confidence and independence within their home.
People Living With Neurological Conditions

Many neurological conditions affect mobility, coordination, balance, fatigue, cognition or sensation.
A Home Safety Assessment may benefit people living with conditions such as:
  • Parkinson's disease.
  • Multiple Sclerosis (MS).
  • Motor Neurone Disease (MND).
  • Huntington's disease.
  • Cerebral Palsy.
  • Acquired Brain Injury (ABI).
  • Stroke.
  • Traumatic Brain Injury (TBI).
  • Spinal Cord Injury.
Occupational Therapists consider both current functional abilities and, where appropriate, how progressive changes may influence future support needs.
People Living With Dementia or Cognitive Changes

Changes in memory, judgement, attention or problem-solving may increase safety risks within the home.
An Occupational Therapist may assess areas such as:
  • Medication management.
  • Kitchen safety.
  • Wandering risks.
  • Emergency awareness.
  • Daily routines.
  • Wayfinding within the home.
  • Environmental cues that promote independence.
Recommendations aim to support both the individual and those involved in their care while promoting safety and participation.
People Using Mobility Equipment

People who use mobility equipment may experience challenges accessing different areas of their home.
This may include individuals using:
  • Wheelchairs.
  • Walking frames.
  • Four-wheeled walkers.
  • Crutches.
  • Walking sticks.
  • Mobility scooters.
  • Transfer equipment.
A Home Safety Assessment considers how the environment supports safe movement and whether modifications or Assistive Technology may improve accessibility.
People Living With Arthritis or Chronic Pain

Persistent pain, joint stiffness and reduced endurance can make everyday household tasks more difficult.
Occupational Therapists may recommend strategies that reduce physical demands while improving comfort and safety during activities such as:
  • Showering.
  • Dressing.
  • Meal preparation.
  • Laundry.
  • Household cleaning.
  • Accessing different areas of the home.
The goal is to support independence while reducing unnecessary strain on the body.
People With Vision Impairment

Reduced vision can significantly affect safety within the home.
A Home Safety Assessment may identify opportunities to improve:
  • Lighting.
  • Contrast between surfaces.
  • Navigation pathways.
  • Hazard awareness.
  • Stair safety.
  • Bathroom safety.
  • Kitchen organisation.
Simple environmental adjustments can often improve confidence and reduce the likelihood of accidents.
Children and Adolescents With Disability

Some children and adolescents may benefit from a Home Safety Assessment when disability affects their participation or safety at home.
This may include children living with:
  • Autism.
  • Cerebral Palsy.
  • Developmental delay.
  • Intellectual Disability.
  • Genetic conditions.
  • Neurological conditions.
  • Physical disabilities.
Recommendations may include environmental modifications, Assistive Technology, sensory considerations and strategies that support participation in everyday family routines.
Carers and Families Seeking Safer Home Environments

Home Safety Assessments don't only benefit the individual receiving support.
They can also improve safety for:
  • Parents.
  • Partners.
  • Family members.
  • Informal carers.
  • Support workers.
Recommendations may reduce manual handling risks, improve transfer techniques and create safer environments for everyone involved in providing care.
Every Home Safety Assessment Is Individualised

No two homes, families or participants are the same.
Some people require only a few simple recommendations, while others benefit from comprehensive assessments involving Assistive
Technology, Home Modifications or multidisciplinary input.

Our Occupational Therapists take the time to understand your goals, daily routines and home environment before developing practical recommendations that support greater safety, independence and participation.
What Does an Occupational Therapist Assess During a Home Safety Assessment?

A Home Safety Assessment is much more than checking whether a home has grab rails or identifying obvious trip hazards.

Occupational Therapists assess how you interact with your home environment during everyday activities and identify barriers that may affect your safety, independence and participation.

Rather than looking at each room in isolation, we consider how your physical abilities, cognition, sensory processing, mobility, equipment and daily routines work together within your home.

The assessment is always tailored to your individual circumstances, goals and living environment.
Entry and Access to the Home

The assessment often begins before entering the home.
Occupational Therapists may consider:
  • Access from the street or driveway.
  • Steps leading to the entrance.
  • Ramps.
  • Handrails.
  • Surface condition.
  • Lighting around entrances.
  • Door widths.
  • Threshold heights.
  • Ease of opening doors.
  • Security and visibility.
Safe access to and from the home is important for everyday independence, emergency situations and community participation.
Hallways and Internal Access

Once inside the home, your Occupational Therapist may assess how easily you move between rooms.
This may include looking at:
  • Hallway width.
  • Flooring surfaces.
  • Trip hazards.
  • Clutter.
  • Lighting.
  • Furniture placement.
  • Accessibility for mobility equipment.
  • Turning space for wheelchairs or walkers.
Even small environmental barriers can affect mobility and increase the risk of falls.
Living Areas

Living rooms are often where people spend a significant amount of time each day.
During the assessment, your Occupational Therapist may observe:
  • Sitting and standing from chairs.
  • Transfer safety.
  • Furniture height.
  • Walking around furniture.
  • Access to frequently used items.
  • Lighting.
  • Electrical cords.
  • Rug placement.
  • Space for mobility equipment.
Recommendations aim to improve both safety and ease of participation during everyday activities.
Kitchen Safety

The kitchen is one of the busiest and most demanding areas of the home.
A Home Safety Assessment may consider:
  • Bench heights.
  • Cupboard accessibility.
  • Safe use of appliances.
  • Reaching overhead.
  • Carrying hot items.
  • Standing tolerance.
  • Seating options.
  • Lighting.
  • Storage of frequently used items.
  • Safe meal preparation.
Your Occupational Therapist may also observe how you prepare meals and whether fatigue, mobility, cognition or balance affect your safety while cooking.
Bathroom Safety

Bathrooms are one of the highest-risk areas for slips and falls.
Occupational Therapists carefully assess:
  • Shower access.
  • Step-over showers.
  • Walk-in showers.
  • Bath access.
  • Toilet height.
  • Grab rail requirements.
  • Flooring surfaces.
  • Slip resistance.
  • Space for transfers.
  • Shower seating.
  • Hand-held shower options.
Recommendations may include simple environmental changes, Assistive Technology or Home Modifications depending on your needs.
Bedroom Safety

Your bedroom should support both safety and independence.
During the assessment, your Occupational Therapist may consider:
  • Bed height.
  • Bed transfers.
  • Access around the bed.
  • Night-time lighting.
  • Storage accessibility.
  • Space for mobility equipment.
  • Access to clothing.
  • Emergency access if required.
The goal is to support safe movement throughout both daytime and night-time routines.
Laundry and Utility Areas

Although often overlooked, laundries can present several safety challenges.
The assessment may include:
  • Access to washing machines.
  • Bending and reaching.
  • Carrying laundry.
  • Flooring.
  • Storage.
  • Standing tolerance.
  • Safe movement around appliances.
Small changes can often make household tasks easier and reduce physical strain.
Outdoor Areas

Outdoor environments are equally important.
Occupational Therapists may assess:
  • Garden paths.
  • Uneven paving.
  • Ramps.
  • Steps.
  • Handrails.
  • Outdoor lighting.
  • Driveways.
  • Mailbox access.
  • Clotheslines.
  • Outdoor seating.
  • Access to sheds or garages.
These areas play an important role in community access, recreation and maintaining independence.
Stairs

Where stairs are present, your Occupational Therapist may assess:
  • Ability to safely negotiate stairs.
  • Balance.
  • Endurance.
  • Handrail use.
  • Step height.
  • Lighting.
  • Carrying items while using stairs.
  • Need for additional supports.
Recommendations aim to reduce falls risk while supporting safe movement throughout the home.
Functional Observation During Everyday Activities

A Home Safety Assessment is not only about the physical environment.
Occupational Therapists also observe how everyday activities are completed within that environment.
Depending on the purpose of the assessment, this may include observing:
  • Walking throughout the home.
  • Sitting and standing.
  • Bed transfers.
  • Toilet transfers.
  • Shower transfers.
  • Using mobility equipment.
  • Reaching into cupboards.
  • Carrying household items.
  • Preparing meals.
  • Opening doors.
  • Using stairs.
  • Completing household tasks.
These observations help identify how the home either supports or limits everyday participation.
Environmental Factors

Sometimes the greatest barrier is not a person's disability but the environment itself.
Occupational Therapists consider whether factors such as:
  • Poor lighting.
  • Narrow doorways.
  • Slippery flooring.
  • Cluttered walkways.
  • Poor furniture placement.
  • Inaccessible storage.
  • Uneven surfaces.
  • Lack of handrails.
  • Limited turning space.
may reduce safety or independence.
Addressing these environmental barriers can often improve participation without requiring major changes.
Functional Safety Rather Than Perfect Homes

A Home Safety Assessment is not about identifying every possible hazard or expecting a perfectly organised home.
Instead, Occupational Therapists focus on how the environment affects your ability to safely complete the activities that are important to you.

Recommendations are practical, individualised and designed to support greater independence while respecting your personal preferences, lifestyle and goals.
Home Safety Assessments Consider the Whole Person

Every recommendation is based on the interaction between:
  • Your functional abilities.
  • Your home environment.
  • Your daily routines.
  • Your goals.
  • Your supports.
  • Your equipment.
  • Your health and medical needs.
By considering all of these factors together, Occupational Therapists can develop recommendations that improve safety, accessibility and participation while supporting you to continue living as independently as possible.
Common Safety Risks Identified During a Home Safety Assessment

Every home is different, and so are the people who live in them.
During a Home Safety Assessment, Occupational Therapists identify environmental and functional factors that may increase the risk of injury, reduce independence or make everyday activities more difficult.

Many of these risks are not immediately obvious and may only become apparent when observing how a person completes everyday tasks within their own home.

The aim is not to criticise how someone lives, but to identify practical opportunities to improve safety, accessibility and participation.
Trip Hazards

Trips are one of the most common causes of falls within the home.
An Occupational Therapist may identify hazards such as:
  • Loose rugs or mats.
  • Electrical cords across walkways.
  • Cluttered hallways.
  • Uneven flooring.
  • Raised thresholds.
  • Slippery floor surfaces.
  • Items left on stairs.
  • Poorly positioned furniture.
Simple environmental changes may significantly reduce the risk of trips and falls.
Poor Lighting

Inadequate lighting can make it difficult to safely move around the home, particularly during the evening or at night.
The assessment may identify areas where improved lighting could enhance safety, including:
  • Entryways.
  • Hallways.
  • Staircases.
  • Bathrooms.
  • Bedrooms.
  • Outdoor pathways.
  • Garages.
Recommendations may include brighter lighting, sensor lights or improved task lighting depending on individual needs.
Bathroom Safety Risks

Bathrooms are one of the highest-risk areas for falls due to wet, slippery surfaces and frequent transfers.
Common concerns may include:
  • Stepping over shower recesses.
  • Slippery tiles.
  • Low toilets.
  • Limited space for transfers.
  • Lack of grab rails.
  • Difficulty standing while showering.
  • Unsafe access to baths.
Occupational Therapists recommend strategies that improve safety while maintaining dignity and independence.
Unsafe Transfers

Moving between different surfaces requires strength, balance and coordination.
An Occupational Therapist may observe transfers such as:
  • Bed to standing.
  • Sitting to standing.
  • Toilet transfers.
  • Shower transfers.
  • Transfers into chairs.
  • Vehicle transfers where appropriate.
If transfers are difficult or unsafe, recommendations may include equipment, environmental changes or alternative techniques.
Difficulties Accessing Frequently Used Items

Many people regularly reach above shoulder height or bend to floor level to access everyday items.
This may increase the risk of falls or injury, particularly for people with:
  • Reduced balance.
  • Shoulder limitations.
  • Arthritis.
  • Chronic pain.
  • Reduced mobility.
Simple storage changes can often make everyday activities safer and easier.
Fatigue During Daily Activities

Sometimes the issue isn't whether a task can be completed—it is whether it can be completed safely without excessive fatigue.
For example, an individual may:
  • Need to sit while preparing meals.
  • Become exhausted after showering.
  • Require rest breaks while doing laundry.
  • Avoid household tasks because they are physically demanding.
Occupational Therapists identify practical strategies that reduce physical effort while supporting continued independence.
Mobility Equipment Doesn't Fit the Home

Many homes were not originally designed for wheelchairs, walking frames or other mobility equipment.
Common challenges include:
  • Narrow doorways.
  • Tight corners.
  • Limited turning space.
  • Small bathrooms.
  • Crowded furniture layouts.
  • High thresholds.
A Home Safety Assessment helps determine whether changes to the environment may improve accessibility.
Stairs and Level Changes

Even a single step can become a significant barrier for someone with reduced mobility or balance.
Occupational Therapists assess:
  • Internal stairs.
  • External steps.
  • Split-level flooring.
  • Thresholds.
  • Garden paths.
  • Ramps.
Recommendations may include handrails, contrast markings, ramps or alternative access solutions depending on individual needs.
Cognitive and Memory-Related Safety Concerns

Home safety is not only about physical mobility.
Some people experience increased safety risks due to changes in memory, attention or judgement.
Examples may include:
  • Forgetting appliances are switched on.
  • Leaving taps running.
  • Difficulty following cooking tasks.
  • Forgetting medications.
  • Becoming disoriented within the home.
  • Difficulty responding during emergencies.
Occupational Therapists consider how cognitive changes affect everyday safety and recommend practical strategies to reduce risk.
Emergency Access and Exit

Occupational Therapists also consider whether the home allows safe evacuation during an emergency.
This may include assessing:
  • Access to exits.
  • Door operation.
  • Pathways around furniture.
  • External lighting.
  • Mobility equipment access.
  • Emergency planning.
These considerations become particularly important for individuals with reduced mobility or complex support needs.
What Recommendations Might an Occupational Therapist Make?

Every recommendation is tailored to the individual and based on clinical assessment findings.
Depending on your needs, recommendations may include:
​
Environmental Changes
  • Removing trip hazards.
  • Improving lighting.
  • Rearranging furniture.
  • Improving storage accessibility.
  • Creating clearer walkways.

Assistive Technology
Your Occupational Therapist may recommend equipment such as:
  • Shower chairs.
  • Over-toilet aids.
  • Grab rails.
  • Bed rails where clinically appropriate.
  • Transfer aids.
  • Walking aids.
  • Pressure care equipment.
  • Adaptive kitchen equipment.
  • Daily living aids.

Home Modifications
Where environmental barriers cannot be addressed with simple changes, recommendations may include:
  • Ramps.
  • Bathroom modifications.
  • Widened doorways.
  • Handrails.
  • Accessible showers.
  • Kitchen modifications.
  • Stair modifications.
Where appropriate, recommendations may support applications for NDIS Home Modifications funding.

Changes to Daily Routines
Sometimes changing how a task is completed is just as important as changing the environment.
Recommendations may include:
  • Energy conservation strategies.
  • Alternative task sequencing.
  • Safer transfer techniques.
  • Sitting rather than standing during activities.
  • Scheduling demanding activities at times of greater energy.

Education for Families and Support Workers
Occupational Therapists may also provide education regarding:
  • Safe manual handling.
  • Transfer techniques.
  • Falls prevention strategies.
  • Equipment use.
  • Environmental safety.
  • Supporting independence without reducing autonomy.
Recommendations Are Individualised

There is no standard list of recommendations following a Home Safety Assessment.
Two people living in identical homes may receive very different recommendations depending on their:
  • Functional abilities.
  • Goals.
  • Health conditions.
  • Daily routines.
  • Support network.
  • Equipment.
  • Lifestyle.
  • Future needs.
Our Occupational Therapists develop practical, evidence-based recommendations that reflect your individual circumstances and support greater safety, independence and participation within your own home.
What Happens After a Home Safety Assessment?

A Home Safety Assessment doesn't end when the Occupational Therapist leaves your home.

The assessment findings are carefully reviewed, and recommendations are developed to help improve safety, accessibility and independence based on your individual needs, goals and living environment.

Every person's circumstances are different, so the recommendations and next steps following a Home Safety Assessment will vary depending on the assessment findings.
Reviewing the Assessment Findings

Following the assessment, your Occupational Therapist considers all of the information gathered during the appointment.
This may include:
  • Functional observations.
  • Home environment.
  • Daily routines.
  • Current supports.
  • Mobility.
  • Falls risks.
  • Equipment currently being used.
  • Medical history where relevant.
  • Personal goals.
  • Environmental barriers.
Rather than focusing on one isolated issue, Occupational Therapists use clinical reasoning to understand how these factors interact during everyday life.
Developing Individualised Recommendations

Every recommendation is based on your individual circumstances.
Depending on your needs, recommendations may relate to:
  • Improving safety.
  • Increasing independence.
  • Reducing falls risks.
  • Supporting carers.
  • Improving accessibility.
  • Conserving energy.
  • Simplifying everyday routines.
  • Reducing physical strain.
  • Increasing confidence within the home.
Recommendations are designed to be practical, realistic and meaningful rather than suggesting unnecessary changes.
Occupational Therapy Report

Where required, your Occupational Therapist may prepare a written report outlining the assessment findings.
Depending on the purpose of the assessment, the report may include:
  • Assessment summary.
  • Functional observations.
  • Home environment observations.
  • Identified safety concerns.
  • Clinical reasoning.
  • Recommended equipment.
  • Home Modification recommendations where appropriate.
  • Falls prevention strategies.
  • Environmental recommendations.
  • Recommendations for future Occupational Therapy intervention.
Reports may also support funding applications or referrals where appropriate.
Assistive Technology Recommendations

If equipment is likely to improve safety or independence, your Occupational Therapist may recommend appropriate Assistive Technology.
Depending on your needs, this could include:
  • Shower chairs.
  • Over-toilet aids.
  • Walking aids.
  • Pressure care equipment.
  • Transfer equipment.
  • Bed aids.
  • Daily living aids.
  • Adaptive kitchen equipment.
  • Seating solutions.
Recommendations are based on clinical assessment and your individual goals rather than a standard equipment list.
For more complex equipment, a dedicated Assistive Technology Assessment may also be recommended.
Home Modification Recommendations

Sometimes equipment alone is not enough to overcome environmental barriers.
Where appropriate, your Occupational Therapist may recommend Home Modifications such as:
  • Grab rails.
  • Ramps.
  • Accessible showers.
  • Bathroom modifications.
  • Handrails.
  • Widened doorways.
  • Improved lighting.
  • Kitchen modifications.
  • External access improvements.
Recommendations are based on improving long-term accessibility while supporting your independence within your home.
Some Home Modifications may require additional assessment, quotes or funding approval depending on the funding pathway.
Referrals to Other Services

A Home Safety Assessment may also identify areas where additional support from other health professionals could be beneficial.
Depending on your needs, your Occupational Therapist may recommend referrals to services such as:
  • Physiotherapy.
  • Speech Pathology.
  • Positive Behaviour Support.
  • Psychology.
  • Exercise Physiology.
  • Community Nursing.
  • Support Coordination.
  • Specialist medical services.
Working collaboratively with other professionals helps ensure recommendations support your overall health and wellbeing.
NDIS Participants

For NDIS participants, Home Safety Assessments may contribute evidence supporting recommendations for:
  • Assistive Technology.
  • Home Modifications.
  • Functional Capacity Assessments.
  • Supported Independent Living (SIL).
  • Specialist Disability Accommodation (SDA).
  • Capacity Building supports.
Occupational Therapists provide recommendations based on clinical assessment and functional need.
Any funding decisions are made independently by the National Disability Insurance Agency (NDIA).
Implementing the Recommendations

Not every recommendation needs to be completed immediately.
Some recommendations are simple and inexpensive, such as:
  • Removing trip hazards.
  • Rearranging furniture.
  • Improving lighting.
  • Moving frequently used items.
  • Adjusting daily routines.
Others may involve:
  • Purchasing equipment.
  • Home Modifications.
  • Additional Occupational Therapy.
  • NDIS funding processes.
  • Collaboration with builders or equipment suppliers.
Your Occupational Therapist can discuss which recommendations are the highest priority based on your goals and current circumstances.
Follow-Up Reviews

A person's needs can change over time.
Follow-up Occupational Therapy appointments may be helpful if:
  • Your health changes.
  • Your mobility changes.
  • You move house.
  • Your equipment changes.
  • Your goals change.
  • Your supports change.
  • Your NDIS plan is reviewed.
  • Home Modifications have been completed.
Review assessments help ensure your home continues to support your safety, independence and participation.
Supporting Long-Term Independence

The purpose of a Home Safety Assessment is not simply to identify hazards.

It is to develop practical strategies that help you continue living safely and independently within your own home.
Sometimes this involves simple environmental changes.

Sometimes it involves equipment, Home Modifications or additional therapy.
Often, a combination of small improvements can make a significant difference to everyday participation, confidence and quality of life.

Our Occupational Therapists work collaboratively with you, your family and your support network to develop recommendations that reflect your individual goals, preferences and lifestyle.
Home Safety Assessments and Falls Prevention

Falls are one of the leading causes of injury, reduced independence and hospital admissions, particularly for older adults and people living with disability.
However, falls rarely occur because of one single factor.
They often result from a combination of:
  • Changes in mobility.
  • Reduced balance.
  • Muscle weakness.
  • Fatigue.
  • Vision changes.
  • Medication side effects.
  • Environmental hazards.
  • Unsafe footwear.
  • Reduced confidence when moving.
A Home Safety Assessment helps identify these contributing factors and develops practical recommendations to improve safety within the home.
​
For some people, a dedicated Falls Risk Assessment may also be recommended to further explore balance, mobility and falls prevention strategies.
Home Safety Assessments and the NDIS

For many NDIS participants, the home environment has a significant impact on everyday independence and participation.
A Home Safety Assessment may help identify barriers that affect activities such as:
  • Personal care.
  • Meal preparation.
  • Household tasks.
  • Community access.
  • Mobility throughout the home.
  • Using Assistive Technology.
  • Accessing bathrooms and kitchens safely.
Depending on your circumstances, the assessment may contribute evidence supporting recommendations for: Recommendations are based on your individual functional needs and goals.
Funding decisions remain the responsibility of the National Disability Insurance Agency (NDIA).
Home Safety Assessments for Older Adults

Many older adults wish to remain living independently within their own homes for as long as possible.
A Home Safety Assessment supports this goal by identifying practical ways to improve safety while maintaining independence.

Occupational Therapists commonly assist older adults experiencing:
  • Reduced mobility.
  • Arthritis.
  • Balance difficulties.
  • Falls or near falls.
  • Parkinson's disease.
  • Stroke.
  • Dementia.
  • Frailty.
  • Vision changes.
  • Reduced endurance.
Recommendations may include simple environmental changes, Assistive Technology or Home Modifications that support safer everyday living.
Supporting Independence Across Every Stage of Life

Although Home Safety Assessments are often associated with older adults, they can benefit people across the lifespan.
Our Occupational Therapists complete Home Safety Assessments for:
  • Children with disability.
  • Adolescents preparing for greater independence.
  • Adults living with disability.
  • Older adults wishing to age in place.
  • People recovering from illness or injury.
  • NDIS participants.
  • Individuals living with progressive neurological conditions.
Every assessment is tailored to the person's goals, lifestyle and home environment.
Why Choose Belong Health?

At Belong Health, we believe a Home Safety Assessment should be about more than identifying hazards.
It should provide practical, evidence-based recommendations that help people live safely, confidently and independently within their own homes.

Our Occupational Therapists take a person-centred approach, considering not only your home environment but also your goals, daily routines, supports and long-term needs.

We provide Home Safety Assessments for children, adolescents, adults and older adults across Perth, Mandurah, Rockingham, the Peel Region and wider Western Australia.
Depending on your needs, assessments may be completed:
  • In your home.
  • Within the community.
  • In one of our clinics where appropriate.
  • Via telehealth where clinically suitable.

​We work collaboratively with participants, families, carers, Support Coordinators and other health professionals to develop recommendations that support meaningful participation in everyday life.
Mobile Occupational Therapy Across Perth

Our Occupational Therapists provide home visits across Perth, allowing us to assess and support you in your everyday environment.
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Telehealth services are also available where appropriate.
Contact Belong Health

If you or someone you support would like to learn more about a Home Safety Assessment, our friendly team is here to help.

We can discuss your individual circumstances, explain the assessment process and help determine whether a Home Safety Assessment is the most appropriate option for your needs.

Whether you're an NDIS participant, recovering after hospital, supporting an ageing family member or looking to improve safety within your home, we're here to help.

Call us on 08 9586 3934 or send us an online enquiry to speak with our team.
Related Occupational Therapy Resources

You may also find these guides helpful:
Occupational Therapy Assessment Guides
Occupational Therapy Assessments
Occupational Therapy Services
Frequently Asked Questions - OT Home Safety Assessments
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What is a Home Safety Assessment?
A Home Safety Assessment is an Occupational Therapy assessment that evaluates how your home environment, functional abilities and daily routines interact to influence your safety, accessibility and independence. The assessment identifies potential hazards and provides practical recommendations to support safer everyday living.

Who completes a Home Safety Assessment?
Home Safety Assessments are commonly completed by Occupational Therapists, who assess both the individual and their environment to recommend strategies that improve safety and participation.

Who can benefit from a Home Safety Assessment?
Home Safety Assessments may benefit:
  • Older adults
  • NDIS participants
  • People recovering from illness or injury
  • Individuals returning home after hospital
  • People living with neurological conditions
  • Individuals with reduced mobility
  • Anyone concerned about safety within their home

What happens during a Home Safety Assessment?
Your Occupational Therapist will discuss your goals, observe how you complete everyday activities and assess different areas of your home to identify environmental barriers and safety risks.

How long does a Home Safety Assessment take?
The length of an assessment varies depending on the size of the home, the complexity of your needs and the purpose of the assessment. Your Occupational Therapist will discuss expected timeframes before your appointment.

Can the assessment be completed in my own home?
​Yes. Home Safety Assessments are usually completed within your own home because this provides the most accurate understanding of your everyday environment.

Do I need a referral?
In many situations, a referral is not required. However, some funding bodies, insurers or healthcare providers may request one.

Can Home Safety Assessments be funded through the NDIS?
Yes. Depending on your individual circumstances and NDIS plan, a Home Safety Assessment may be funded where it is considered reasonable and necessary. Funding decisions are made by the NDIA.

Can Home Safety Assessments help prevent falls?
Yes. Occupational Therapists identify environmental and functional factors that may increase falls risk and recommend practical strategies to improve safety.

What is the difference between a Home Safety Assessment and a Falls Risk Assessment?
A Home Safety Assessment evaluates the interaction between the individual and their home environment, while a Falls Risk Assessment focuses specifically on identifying factors that increase the likelihood of falls. Depending on your needs, both assessments may be recommended.

What is the difference between a Home Safety Assessment and a Home Modification Assessment?
A Home Safety Assessment identifies environmental barriers and safety concerns. A Home Modification Assessment specifically evaluates structural changes that may improve accessibility and independence.

What is the difference between a Home Safety Assessment and a Functional Capacity Assessment?
A Functional Capacity Assessment evaluates a person's overall functional abilities across everyday life, while a Home Safety Assessment focuses specifically on safety and accessibility within the home environment.

What does an Occupational Therapist look for during a Home Safety Assessment?
Your Occupational Therapist assesses factors such as:
  • Mobility
  • Transfers
  • Bathroom safety
  • Kitchen safety
  • Falls risks
  • Lighting
  • Accessibility
  • Daily routines
  • Assistive Technology
  • Environmental barriers

Which rooms are assessed?
Depending on your needs, your Occupational Therapist may assess:
  • Entryways
  • Hallways
  • Living areas
  • Kitchen
  • Bathroom
  • Toilet
  • Bedroom
  • Laundry
  • Outdoor areas
  • Garage
  • Stairs

Will the Occupational Therapist observe me completing everyday activities?
Yes. Where appropriate, your Occupational Therapist may observe tasks such as walking, transfers, meal preparation or accessing different areas of your home.

What are common safety risks identified during a Home Safety Assessment?
Common risks include:
  • Loose rugs
  • Poor lighting
  • Cluttered walkways
  • Slippery surfaces
  • Unsafe bathroom access
  • Limited accessibility
  • Inappropriate furniture heights
  • Lack of handrails
  • Uneven pathways

Can an Occupational Therapist recommend grab rails?
Yes. If clinically appropriate, your Occupational Therapist may recommend grab rails to improve safety and independence.

Can an Occupational Therapist recommend shower chairs?
Yes. Shower chairs and other bathroom equipment may be recommended where they improve safety and participation.

Can an Occupational Therapist recommend mobility equipment?
Yes. Depending on your needs, recommendations may include walking aids, wheelchairs or other mobility equipment where appropriate.

Can an Occupational Therapist recommend Home Modifications?
Yes. Occupational Therapists assess whether Home Modifications may improve accessibility, safety and independence.

What are Home Modifications?
Home Modifications are structural changes made to improve accessibility and safety. Examples include ramps, accessible showers, widened doorways and handrails.

Can Home Safety Assessments support NDIS Home Modification funding?
Occupational Therapy reports may provide evidence supporting recommendations for Home Modifications. Funding decisions remain the responsibility of the NDIA.

Can Home Safety Assessments include Assistive Technology recommendations?
Yes. Recommendations may include equipment that improves safety, independence and participation where clinically appropriate.

Can family members attend the assessment?
Yes. Family members often provide valuable information about everyday routines and support needs.

Can my Support Coordinator attend?
Yes. With your consent, your Support Coordinator may attend the assessment if appropriate.

Can support workers contribute information?
Yes. Support workers often provide valuable insight into everyday functioning and home routines.

Will I receive a report?
Where appropriate, your Occupational Therapist may prepare a written report outlining assessment findings and recommendations.

How long does it take to receive the report?
Report timeframes vary depending on the complexity of the assessment. Your Occupational Therapist will discuss expected timeframes with you.

What happens after the assessment?
Following the assessment, your Occupational Therapist reviews the findings, develops recommendations and discusses any appropriate next steps with you.

Can recommendations change over time?
Yes. Recommendations may change as your health, mobility, goals, home environment or support needs change.

Can Home Safety Assessments help older adults remain at home?
Yes. Home Safety Assessments often support older adults who wish to age in place by improving safety and independence.

Can children have Home Safety Assessments?
Yes. Children with disability may benefit from Home Safety Assessments where environmental changes or equipment improve participation and safety.

Can Home Safety Assessments help people after hospital discharge?
Yes. Assessments can identify strategies that support a safe transition from hospital back into the home.

Can Home Safety Assessments help people with Parkinson's disease?
Yes. Occupational Therapists assess how Parkinson's disease affects safety, mobility and participation within the home and recommend appropriate strategies.

Can Home Safety Assessments help people following a stroke?
Yes. Home Safety Assessments often identify equipment, environmental changes and strategies that support recovery and independence following a stroke.

Can Home Safety Assessments help people living with dementia?
Yes. Occupational Therapists assess how changes in cognition affect safety within the home and recommend practical strategies to support participation.

Can Home Safety Assessments help people with Multiple Sclerosis?
Yes. Occupational Therapists consider fatigue, mobility, accessibility and daily routines when assessing people living with Multiple Sclerosis.

Can Home Safety Assessments reduce carer strain?
Yes. Recommendations may improve manual handling, transfers, equipment use and environmental safety for family members and carers.

Does every Home Safety Assessment recommend equipment?
No. Recommendations are individualised. Some people benefit from simple environmental changes without requiring additional equipment.

Are Home Safety Assessments only for older adults?
No. Home Safety Assessments are suitable for children, adolescents, adults and older adults whose disability, illness or injury affects safety or independence within the home.

How do Home Safety Assessments relate to the NDIS Functional Domains?
Home Safety Assessments commonly assess how the home environment influences Mobility, Self-Care and Self-Management, while also considering Communication, Learning and Social Interaction where relevant.

Can a Home Safety Assessment improve independence?
Yes. By identifying environmental barriers and practical solutions, Home Safety Assessments can help people complete everyday activities more safely and independently.

Why choose an Occupational Therapist for a Home Safety Assessment?
Occupational Therapists understand how physical, cognitive, sensory and environmental factors influence everyday participation. Their recommendations focus on practical strategies that improve safety, accessibility and independence.

Can Belong Health provide Home Safety Assessments across Western Australia?
Yes. Belong Health provides Home Safety Assessments for children, adolescents, adults and older adults across Perth, Mandurah, Rockingham, the Peel Region and wider Western Australia.

How do I book a Home Safety Assessment with Belong Health?
You can contact Belong Health by calling (08) 9586 3934 or submitting an online enquiry. Our team can discuss your circumstances, answer your questions and help determine whether a Home Safety Assessment is the right assessment for your needs.
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​Referrals to Belong Health
We are Medicare and Private Health fund registered for Occupational Therapy and Speech Pathology.

EPC/Team care arrangements/Chronic disease (CDM) or GP management plans and self-referrals are all acceptable.

WA NDIS Registered Provider  
Medicare
You can get a referral from your/your child’s GP for OT on a Chronic Disease Management (CDM) plan this gives you 5 sessions for OT per calendar year with a $53 rebate available on each session or a Helping Children with Autism/PDD/ or an eligible disability package (20 sessions between allied health professionals, as set up by a Paediatrician/Psychiatrist) which gives your child under 16 years a $75 rebate per session for the 20 sessions, you can use up to 10 sessions per Health Professional (up to 10 for OT) and you will need a separate referral letter from your child’s Paediatrician for each Allied Health Professional you are seeking services from. 
Private Health
Your Private Health fund may cover up to 75% of the cost of OT sessions if this is included in your cover, be sure to call them or check your policy for details.

No referral or self referral
You do not require a referral for accessing OT
NDIS Registered Provider
We are an NDIS Registered Provider
Whether you or your child have NDIS funding that is NDIS Managed, Third Party Plan Managed or you are Self-Managing your funds, you are able to use your funding to cover the full cost of therapy services plus travel costs. You will need provide us with your/your child’s NDIS number and plan details ahead of your first session. Once you have booked a session or contacted us, our team will be in touch to discuss our service agreement and provide you with our services price list. 
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