01 FallSafe Audit Online Forms Current User: Not Logged In
Completion Errors
Monthly FallSafe Audit
Ward:
Completed by:
PATIENT DOB:
PATIENT HOSPITAL NO:
Notes: Check Patient handling, falls and bed rail assessment for
Q 1
Has a Bedrail Assessment been completed?
Yes
No
N/A
'N/A' -  for Patients admitted within six hours of the audit.
Q 2
Asked about history of falls?
Yes
No
N/A
'N/A' - for Patients to whom asking the question would be inappropriate eg a Pat. who is unconscious or dying or if the Pat. is unable to answer eg unconscious or severe dementia and there is no carer to ask (neither on admission nor visiting later).
Q 3
Asked about fear of falling?
Yes
No
N/A
'N/A' - for Pat.s to whom asking the question would be inappropriate  eg a Pat. who is unconscious or dying or if the Pat. is unable to answer  eg unconscious or severe dementia and there is no carer to ask (neither on admission nor visiting later).
Q 4
Did Patient have a mobility assessment within 24 hours of admission
Yes
No
N/A
'N/A' - Exclusion criteria only. There are no strict criteria about who assesses for mobility. If a mobility aid has been issued, a form of assessment has been done
Q 5
If a walking aid was required, was it provided within 24 hrs of admission?
Yes
No
N/A
'N/A' -  Exclusion criteria or if no walking aid was required.
Q 6
Has the Visual Assessment been completed?
Yes
No
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