Bed Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Client & Equipment Details

• Client Name

• Client Address

• Enter bed type and barcode

• Please photograph the installation as you found it. Please ensure that you photograph all ends of the bed and the mattress.

  Media

Equipment Installation

• IS THE BED ASSEMBLED IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS. IF NOT PLEASE TAKE A PHOTO

  Yes

  No

  N/A

• ARE THE ELECTRICAL CABLES SECURELY FASTENED AND FREE FROM TENSION

  Yes

  No

  N/A

• IS THE BED CLEAR OF OBSTRUCTIONS WHEN OPERATED

  Yes

  No

  N/A

• DO ALL FUNCTIONS OF THE BED WORK CORRECTLY

  Yes

  No

  N/A

• Yes

  No

  N/A

Siderails

• ARE THE SIDERAILS THE CORRECT SIDE RAILS FOR THE BED AND HAVE A DO NOT ADJUST STICKER

  Yes

  No

  N/A

• ARE THEY FITTED SECURELY AND IN ACCORDANCE WITH THE MANUFACTURERS INSTRUCTIONS

  Yes

  No

  N/A

• DO THE SIDERAILS MOVE FREELY AND LOCK SECURELY IN POSITION

  Yes

  No

  N/A

• WHEN FITTED IS THE GAP BETWEEN THE HEADBOARD AND THE END OF THE SIDERAILS LESS THAN 60MM (CHECK THIS WITH YOUR MEASURING TOOL)

  Yes

  No

  N/A

• WHEN FITTED IS THE GAP BETWEEN THE FOOTBOARD AND THE END OF THE SIDERAILS GREATER THAN 318MM (CHECK THIS WITH YOUR MEASURING TOOL)

  Yes

  No

  N/A

• WHEN FITTED IS THE GAP BETWEEN THE BOTTOM OF THE SIDERAIL AND THE TOP OF THE MATTRESS PLATFORM LESS THAN 120MM

  Yes

  No

  N/A

MATTRESS

• WHAT TYPE OF MATTRESS IS FITTED. if pressure mattress enter type below and photograph.

  SOFTFORM

  PRESSURE MATTRESS

• IS THE MATTRESS A VISION PRODUCTS MATTRESS

  Yes

  No

  N/A

• IF THE MATTRESS IS A VISION PRODUCTS MATTRESS. WHICH TYPE?

  BLUE SOFTFORM

  OTHER VP MATTRESS

• IF MATTRESS IS NOT BLUE SOFTFORM PLEASE SWAP AND PHOTOGRAPH

  SWAPPED MATTRESS

  BLUE SOFTFORM

• IS THE MATTRESS THE CORRECT SIZE FOR THE BED

  Yes

  No

  N/A

• IS THE MATTRESS INSTALLED AS PER THE MANUFACTURERS GUIDANCE AND SECURE BETWEEN THE MATTRESS RETAINER

  Yes

  No

  N/A

• WHEN INSTALLED IS THE GAP BETWEEN THE HEADBOARD AND THE TOP OF THE MATTRESS LESS THAN 60MM

  Yes

  No

  N/A

• WHEN INSTALLED IS THE GAP BETWEEN THE FOOTBOARD AND THE BOTTOM OF THE MATTRESS LESS THAN 60MM

  Yes

  No

  N/A

• WHEN INSTALLED IS THE GAP BETWEEN THE SIDE OF THE MATTRESS AND THE INSIDE OF THE SIDERAILS LESS THAN 60MM (MEASURE BY PUSHING THE MATTRESS AWAY FROM THE SIDE RAIL BEING MEASURED UNTIL THE MATTRESS RETENTION SYSTEM OR THE OPPOSING SIDERAIL STOPS THE MATTRESS)

  Yes

  No

  N/A

• IS THE DISTANCE BETWEEN THE TOP OF THE MATTRESS AND THE TOP OF THE SIDERAILS GREATER THAN 220MM

  Yes

  No

  N/A