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  • No patient personal information in public. No opened EMR is left unattended

  • All patients wear clear ID band with 2 identifiers

  • All lines are traced and tubings are dated, valid and labeled (Line Reconciliation)

  • Adult and pediatric patients identified at moderate risk and above are to wear a red patient identification band with 'Risk for Fall" written, 'Falls" alert attached to their file, and a sign placed by their bed, cot, and/or room door

  • Side rails are up and bed in the lowest level


  • Regular and infectious waste are disposed properly. Garbage bin is not overfilled

  • Sharp containers are not more than 3/4 full

  • Mounted sharp containers are at/or below eye level

  • Approved WHO poster for hand hygiene is visible in all sink, soap and alcohol hand rub dispensers

  • Patient' s door has correct transmission-based precaution signage as required

  • Monitoring of negative pressure room is done on a daily basis if occupied by a patient / weekly for not occupied rooms

  • Used CSSD items are kept in correct place

  • Treatment trolleys are clean and tidy

  • Used linens and hamper bags are stored in soiled utility room. Infected linens are inside the red hamper bag

  • Staff perform proper hand hygiene before and after visiting patients


  • Patient rooms are clean and tidy

  • Patient bathrooms have nonslip surface and there is access from outside if locked inside

  • No obstacles in the way of emergency exit and fire extinguisher

  • Fire exits are clearly marked with illuminated exit sign

  • Daily equipment checklist: Availability, Functionality and Cleanliness - is done every shift<br>

  • A minimum/maximum level for linen requirement per unit is established and should be adhered to

  • Fresh/clean linen is to be stored separately from dirty/used linen

  • Clean linen store is to be secured and preferably locked

  • Problems with amounts, availability or quality of linens are to be documented on a Linen Problem Log and followedup

  • Daily linen monitoring sheet is updated and completed

  • Staff lounge is clean and tidy. Top of lockers are clear from dusts and clutter

  • Food inside the refrigerator is labelled


  • Minimum, maximum and critical levels of all supplies/stock are available

  • List of required supplies/stock by description, item code, and amount available

  • Supplies/stock stored in an organized and accessible manner that permits easy identification

  • Each supply/stock item is to be labeled with its name, code, and required minimum and maximum level

  • Sterile items are stored separately from nonsterile items

  • No unnecessary boxes and wrappings stored in the stock room/no boxes on the floor

  • All items/shelves are at least 50 cm away from the ceiling

  • Heat/smoke detector and sprinkler present

  • Individual items are arranged into separate labeled containers or shelf space

  • Heavy items are placed at waist height

  • Fluids are stored in lower shelves – temperature and humidity is regularly monitored and recorded in the temperature monitoring log sheet

  • Supplies/stocks are rotated so that the most recently received items and near expiry items shall be utilized

  • Items that have an expiry date of fewer than 3 months are returned to the warehouse


  • MSDS folder is available in the area

  • MSDS list is updated annually (inventory list) and MSDS sheets are updated in the folder

  • Proper labeling of items according to hazard rating classification (Diamond sticker)

  • Contact number of Safety Officer is available for any suspected or witnessed release of a hazardous material to the environment

  • Spill kit is available and not expired


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.