Make a Safe & Well referral
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Safe & Well referral

Do you have fire safety concerns about anyone you know or work with? Make a referral to us, and we will work with you to make sure that person is safe in their own home.

Before making a referral

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Make a home safety visit referral
About the occupier
Agency details
If you are referring on behalf of someone else do you have their consent
Question 1: In your opinion are there signs of carelessness with smoking materials including burn marks around the home and on bedding?
Question 2: Does the person you’re referring present a fire risk when cooking?
Question 3: Does the person you are referring have a physical impairment or cognitive impairment which would prevent or hinder them from escaping a fire in an emergency?
Question 4: Do they have a sensory impairment (sight/hearing/touch or taste) which may put them at more risk of having a fire?
Question 5: Does the person you are referring use substances (alcohol and/or drugs) which may affect their escape in the event of a fire?
Question 6: Are you aware if the person you are referring uses oxygen within the home?
Question 7: In your opinion does the person you’re referring collect and store items around the home which may be considered hoarding?
Question 8: Does the person you are referring live alone?
Question 9: In your opinion do they have inadequate means for raising the alarm in the case of fire (ie no smoke detection)?
Hampshire Fire and Rescue Service supports the objectives of the Data Protection Act 1998 and is registered as a data controller. Information which you provide will be governed by the requirements of the Data Protection Act 1998 and may be processed by the Service in the performance of its statutory duties or for purposes required by law.