The number of elderly people in Thailand has been increasing continuously. Using the toilets is a daily necessity for them. The aim of this study is to assess the elderly's toilets on health risks and safety. There were 278 respondents in this study which was carried out as an exploratory and descriptive study by investigating 278 bathrooms in Pa Phayom Sub-District, Phatthalung Province, Southern Thailand. The result revealed the risk hazard areas in the house for the elderly were bathrooms (202 respondents or 72.66%). The elderlies have experienced an accident in the bathrooms (42 respondents or 15.11%). Besides, the overall bathroom safety of elderly was acceptable. There were some items whose levels were unacceptable and poor such as insufficient toilet paper to use, no shower seat/chair, no backrest for the elderly who cannot sit on their own, no flush toilet, no handrails on the wall for support, no signal or alarm/call for helpers and narrow door. Hence, the government or health authority needs to educate the elderly or helpers to be more aware of health risks and safety measures of using the bathrooms among the elderly, to promote using the bathrooms which are safe or appropriate for their health and to support some facilities which help them to improve their bathrooms including specific emergency equipment in the toilet. These measures will assist in reducing the negative health effects and increasing safety among the elderly.