Clinical Safety Inspection

Safety procedures (decontamination, equipment instructions, etc.) printed and stored in an accessible area of the office

Training certificates and records retained (electronically or paper)

Building-specific Emergency Action Plan present and accessible

Safety Data Sheets (SDS) for each chemical present

Required OSHA postings are in place: "Job Safety and Health: It's the Law"

All employees report exposure incidents, exposures are documented, and office evaluates employee safety after each incident

Documented clinical safety training completed (includes decontamination procedures, infection control, sharps handling, etc.)

Documented equipment safety training completed (includes autoclaves, centrifuges, radiation producing equipment)

Biological Shipping training has been completed in the last 2 years (if applicable ) / Respiratory Protection training and fit testing completed (if applicable ) Annual Bloodborne Pathogens training has been completed

All personnel have been offered Hepatitis B vaccination

NSU Exposure Protocol Packets posted and personnel knowledgeable of their location

Engineering and work practice controls are used to reduce the risk of exposure (e.g. safer sharps devices)

Volume of flammable solvents on countertop less than 10 gallons/ Flammable storage cabinets have less than 30 gallons

Chemicals segregated by classification and stored compatibly Compressed gas cylinders labeled and stored properly

No mercury-containing thermometers or equipment

Chemical (primary and secondary) containers properly labeled DEA controlled substances stored properly

DEA log book present, up-to-date, and available

Exam Rooms have a stocked sink for hand washing and/or a station for hand sanitizer

Rooms containing biological materials or patients are designed so that they can be easily cleaned and disinfected (i.e. no carpet, sealed floors, etc.)

Furniture is impervious to water and disinfectant use

Housekeeping is appropriate and rooms are maintained in a clean/sanitary condition

Aisles unobstructed to allow easy access/exit

Any trip hazards addressed

Room windows do not open to the outside

Areas with hazardous materials (such as drug sample storage, cabinets with chemicals or sharps containers) are secured in order to not allow unauthorized access

Chemical decontamination procedures are conducted in a well-ventilated area on non- porous surfaces

Space void of electrical hazards

ABC fire extinguisher present, accessible, adequately charged and monitored monthly

Exit signs installed and adequately illuminated

No pest control problems (insects, rodents, etc.) are observed

Eyewash station is readily available and location clearly identified

Room and exam lights functional

Appropriate attire (scrubs, pants, closed toe shoes) worn in all clinical areas

Protective clothing (i.e. lab coat, scrubs) worn to prevent contamination of personal clothing and laundered appropriately

PPE (coats/gowns, gloves, eye protection, respirators) readily available

Nitrile or latex gloves worn and changed often

Protective eyewear is worn when there is the potential to create splashes

Appropriate N95s and respirators (as designated by fit test) on-site and stored properly

Eyewash stations are routinely flushed and inspected; eyewash bottles are not expired and exchanged when needed & documentation reviewed during inspection

Appropriate warning signs and labels are posted on rooms and equipment (biohazard sticker, radioactive sources door sign, etc.)

Radiation producing equipment or materials information sent to EHS

"No Food or Drink" labels displayed on clinical refrigerators, freezers, and microwaves

Monthly validation testing (i.e. spore vials) is conducted on all in-service autoclaves & documentation reviewed during inspection

Equipment (autoclaves, centrifuges, etc.) routinely inspected and certified

Cold storage equipment in good condition and appropriately monitored

Decontamination solution present and within expiration date

Work surfaces are decontaminated after completion of work or after any spill

Needles are never bent, broken, recapped or reused before disposal in a sharps container

Sharps containers disposed of before 3⁄4 full

Sharps containers secured before disposal

Access to clinical areas are limited to authorized staff

No plants or animals are allowed, with the exception of service animals

Eating, drinking, smoking and applying cosmetics are prohibited in clinical areas

PPE removed before leaving the room and placed into medical waste containers

Employees trained on what should/should not be disposed in medical waste containers

Chemical waste segregated from general trash and properly disposed

DEA controlled substances disposed of properly

Medical waste containers properly sealed and stored for pick-up

Medical waste properly disposed.

Appropriate biohazard waste containers present and properly labeled in each clinical room