Title Page

  • Conducted on

  • Prepared by

Daily Touring:

  • Areas Toured?

  • Eyewash Station Check-List up to date & not blocked?

  • Is the EVS hopper room clean and organized?

  • Evidence of floor being maintained in Patient Rooms & Restroom?

  • Is the morning routine being performed in Patient Rooms?

  • # of HRO inspections Completed? & Location?

  • Recommend Projects to be scheduled?

  • Any issues or concerns in your area?

  • Additional comments and pertinent information?

  • Leads Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.