Abstract
Falls are a leading cause of injury and accidental death among older adults, but little is known about the built environment and falls risk. We present a virtual audit tool, Fall-SAFE, designed to assess the street environment from a falls-risk perspective, along with interrater reliability assessment of the tool. We then use the tool to describe the diverse street environment characteristics of locations of moderate to severe falls among older adults in Aotearoa New Zealand. Fall-SAFE can aid better understanding of the environments in which falls occur and support interventions to reduce pedestrian falls.