Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Worker Qualifications

  • All workers wearing ID badges?

  • All workers have received hospital orientation (spot check results)?

  • Construction workers dressed appropriately?

  • Workers have proper training for forklifts?

  • Workers have proper training for fall protection?

  • Workers have proper training for hydraulic equipment (lifts, buckets, etc)?

Barriers

  • Walls have been constructed to control environment?

  • Temporary petitions are made of materials that will not contribute to a fire?

  • Signs posting restricting access?

  • Doors properly closed and sealed?

  • Walk-off mats before and after door?

  • Lockable doors in place?

Air Handling

  • All windows closed behind barrier

  • Negative pressure at barrier entrance checked and verified if required?

  • Exhaust fan is filtered?

  • Documentation of filtering service if required?

  • AC ducts (supply and return) sealed?

Area Management

  • Debris removed in covered containers daily?

  • Trash in appropriate containers?

  • Routine cleaning performed on job site?

  • Routine cleaning performed in adjacent areas to the job site patient care areas so no evidence is apparent?

  • Lighting is adequate for the work area?

Traffic control

  • There are means to secure the area when unoccupied or when security is required by Safety Officer?

  • Hard Hat signs are posted (if required)?

  • Hearing protection signs are posted if required?

  • Eye protection signs are posted if required?

  • Job site restricted to construction workers and necessary staff only?

  • Patient traffic is separated by time or space from construction traffic flow activity?

  • No patient waiting because of construction traffic flow?

  • Construction workers are traveling to & from work site via designated route?

Electrical Safety

  • All electrical panels have protective covers installed?

  • Warning signs are installed on all live equipment?

  • The hospital's LO/TO procedures have been properly implemented?

Fire Safety

  • Fire extinguishers are in the immediate area of flames, sparks or heat producing tasks?

  • Fire extinguishers are properly distributed and labeled in the project area?

  • Egress maps are posted?

  • Exit signs are in appropriate labeled and illuminated?

  • Exits are free and clear of obstacles?

  • Sprinkler system has been enabled?

  • Fire alarm enabled? Fire department notified? Switchboard notified?

  • Detectors taken out of service are enabled at end of day?

  • If out for more than 8 hours; Insurance company notified?

  • Fire watch is instituted if necessary (suppression or detection out of service more than 4 hours)?

Personal Protective Equipment

  • Hard hats are in use by all personnel if required?

  • Eye protection is available and used if required?

  • Hearing protection is available and used if required?

  • Trip hazards are minimized?

  • Harness and life lines are worn in appropriate situations?

Equipment/Tool Safety

  • Ladders are safe and being used appropriately?

  • Tools and electrical cords are intact, have not been modified and are functioning correctly?

  • All torches have back flow preventers?

Elevated Surfaces/Fall Protection

  • Tow boards are in place where appropriate?

  • Guardrails are installed in required areas?

  • Warning Line Systems?

Lifts Aerial, Scissor, Swing, Climber

  • Operators have training documented?

  • Operators/partner tied off?

  • Daily checklist present and complete?

Hazardous Materials

  • Material Data Safety Sheet (MSDS) are on site for all chemicals on-construction site?

  • A complete chemical inventory has been submitted to the Facilities Department prior to being brought on-site?

  • Hazardous materials on-site have been approved prior to being brought on-site?

  • No hazardous (flammable) materials are being stored in the project area?

  • No hazardous material are being used on-site that may produce fumes or smoke prior to being brought on-site?

Utility Interruptions

  • Appropriate permits/permission have been obtained prior to any utility shutdowns?

  • Open ceiling permits have been issued if needed?

  • Penetration permits have been issued if needed?

Smoking

  • No evidence or signs of smoking are visible

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.