Home Safety Self-Assessment Tool (HSSAT)

Falls are the leading cause of injury, disability, nursing home placement and death in adults over the age of 65 years. In the United States, one in every three older adults falls each year.

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In order to prevent falls at home, the Occupational Therapy Geriatric Group at the University at Buffalo created the Home Safety Self-Assessment Tool as a part of combined effort with the Community Health Foundation of Western and Central New York to disseminate information regarding how to prevent falls in Erie County, New York.

Studies for Evidence-Based Practice

Development, psychometrics and use of Home Safety Self-Assessment Tool (HSSAT). Tomita M, Saharan S, Rajendran S, Schweitzer J. Nochajski S. (2014). American Journal of Occupational Therapy, 68 (6): 711-718.

HSSAT Version 5.0 Complete Booklet for Download

HSSAT Version 5.0 Sections for Download

The HSSAT consists of four major sections:

1. Home Safety Self-Assessment Checklist

  • Online Assessment

2. Fall Prevention Resources

3. Erie County, New York Home Modification Service Providers

The following list includes service providers in Erie County who perform home modifications such as installing grab bars and railings, or widening the doorway of a bathroom. These service providers responded to our request to develop this list. They are insured and have experience in home modification and remodeling, and are willing to perform a small job at your home.

4. Erie County, New York Home Modification Service Providers

Developed by OT Geriatric Group, Department of Rehabilitation Science


HSSAT was made possible through the funding by the Health Foundation of Western and Central New York. The psychometrics (reliability, validity and responsiveness to change) was established and the results can be found in the American Journal of Occupational Therapy November/December 2014. The HSSAT has been used in nearly 80% of the states in the U.S. and has been translated into several languages. Version 5.0 was launched in January 2017, adding a garage as one of areas which may cause a fall in the future.

Our Participants

“I wanted to take a moment and thank you for not only putting this incredible tool together, but for making it available free of charge. I will be doing everything I can to get this information into the hands of seniors and their families. Thank you to you and the entire team for their time, energy and commitment to seniors!”

D. Vouga, CSA, Chesterfield, MO