| 1. Does a grown-up always
stay in the kitchen when food is cooking on the stove? |
Yes
|
No
|
| 2. Are pot handles turned
inward so they can't be bumped? |
Yes
|
No
|
| 3. Are curtains and other
things that can burn well away from the stove? |
Yes
|
No
|
| 4. Is there a
"kid-free" zone of 3-feet around the stove when
grown-ups are cooking? |
Yes
|
No
|
| 5. Are portable space heaters
always turned off when adults leave the room or go to
sleep? |
Yes
|
No
|
| 6. If space heaters are used
in your home, are they 3-feet away from anything else
that can burn, including people, pets and
furniture/curtains? |
Yes
|
No
|
| 7. Does your fireplace have a
sturdy screen to catch sparks? |
Yes
|
No
|
| 8. Has your chimney been
inspected and cleaned during the past year? |
Yes
|
No
|
| 9. Has your furnace been
serviced by a professional in the past year? |
Yes
|
No
|
| 10. Are propane tanks and
other fuels stored outside your home? |
Yes
|
No
|
| 11. Are extension cords used
safely? (not under carpets or across doorways) |
Yes
|
No
|
| 12. Are electrical cords in
good condition, without cracks or frayed areas? (A
grown-up should unplug lamps and appliances before
inspecting the cords.) |
Yes
|
No
|
| 13. Are kitchen appliances
such as the coffee maker, toaster oven, and
microwave plugged into separate receptacle
outlets? |
Yes
|
No
|
| 14. Does your home have
working smoke alarms on every floor and outside all
sleeping areas? |
Yes
|
No
|
| 15. Are the batteries working
in all your smoke alarms? (A grown-up should help by
pushing the test button to find out.) |
Yes
|
No
|
| 16. Are all the exits in your
home clear of furniture, toys, and clutter? |
Yes
|
No
|
| 17. Does your family have a
home fire escape plan that includes two exits, usually a
door and a window, from each room? |
Yes
|
No
|
| 18. My family and I practiced
an exit drill |
Yes
|
No
|
| 19. We practiced at least
once at night in the dark |
Yes
|
No
|
| 20. We exited the house in
less than 30 seconds |
Yes
|
No
|
| 21. We have a designated
meeting place and we all know never to re-enter the house |
Yes
|
No
|
| 22. One person is designated
to call for help |
Yes
|
No
|
| 23. We all know the emergency
number is 911 |
Yes
|
No
|