In relation to falls in older people, the focus on the environment is often restricted to the individual’s immediate home surroundings [1]. However, the environment can be conceptualized on three levels: the individual’s immediate home surroundings, which is the home and adjoining grounds, the wider community or local neighbourhood, and the country, including the social, cultural, and political context of the society in which the person lives, including accessibility, potential hazards relating to public facilities, government policy on environmental design, housing standards, public transport, neighbourhood conditions, and social networks [2]. Within each of these levels, the environment comprises social and physical elements [3]. In this chapter, the environment in relation to falls is defined as ‘the context within which the occupational performance of the person takes place. It influences behaviour and in turn is influenced by the behaviour of the person’ [4, p17]. This inclusive definition is used because there have been promising study findings suggesting that fall prevention interventions are effective in the wider community [5–8]. Further, there is debate about whether research should separately address falls in the home environment and those in the wider community, because hazards and risk factor profiles of people who fall in these environments differ [9–11].