Title Page
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Conducted on
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Prepared by
Daily Touring:
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Area Toured?
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Eyewash Station Check-List up to date & not blocked?
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Is the EVS hopper room clean and organized?
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Evidence of floor being maintained in Trauma, EM 1, EM 2, EM 3, EM 4/OBs?
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Is the morning routine being performed in Ancillary Areas?
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# of HRO inspections Completed? & Location?
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Recommend Projects to be scheduled?
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Any issues or concerns?
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Additional comments and pertinent information?
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Leads Signature:
Trauma Touchbase
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Contact:
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Any housekeeping issues or concerns?
EM 1 Touchbase
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Contact:
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Any housekeeping issues or concerns?
EM 2 Touchbase
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Contact:
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Any housekeeping issues or concerns?
EM 3 Touchbase
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Contact:
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Any housekeeping issues or concerns?
Observation Touchbase
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Contact:
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Any housekeeping issues or concerns?
Waiting RoomTouchbase
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Contact:
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Any housekeeping issues or concerns?