When is this inspection being conducted?


General Housekeeping

Is the facility clean and well kept?

Are the walls in good condition?

Is the ceiling in good condition?

Are the floors dry and in good condition?

Are the sheets kept clean for infirmary beds?

Are the restrooms clean?

Are vent fans functional?


Electrical Safety

Do electrical panels have 3ft clearance?

No exposed wiring?

Are light switches and outlet faceplates intact and secure?

Extension cords and power strips are in good condition and used correctly?

Do all lights have covers or sleeves?


Fire Safety

Are fire extinguishers present and in good condition?

Are flammables properly stored?

Are pull stations unblocked and accessible?

Are fire extinguishers clearly marked and unblocked?


Evacuation Routes

Are evacuation routes clear and easily accessible?

Are illuminated exit signs functional?

Are evacuation maps posted?


Emergency Items

Is emergency lighting functional?

Is the AED accessible and functional?

Are emergency exits marked and unblocked?

Are first aid kits available and stocked?


Specialized Equipment

Are x-ray machines secured and functional?

Are vaccines stored in a temperature controlled and secured environment?


Medical Disposal and Safety

Are one-time use items disposed of after use?

Are all medical instruments kept sterile?

Are sharp items disposed of in a designated sharps container?

Are staff trained on blood-borne pathogens and bio-contaminant disposal procedures?


Center Safety Officer:
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.