Children of all age groups are at high risk for accidents and injuries. The truth is that majority of the injuries happening to children below the age of five happen at home and they are to a maximum level preventable. Physiological characteristics and age appropriate curiosity make them suffer injury. One of the oldest theories which address the behavioral change is Health Belief Model (HBM). In this article the authors are explaining the way they managed to develop an instrument for injury assessment in children with a view to prepare a home safety supervisory program for caregivers. The authors considered HBM as a frame work for this work. This article will act as a guide for future researchers in the preparation of intervention programs keeping theoretical framework as model.