Information

  • Environmental Tour

  • Site

  • Building / Dept. / Unit

  • Conducted on

  • Prepared by:

  • Personnel:

Grounds and Building Exterior Safety.

  • Parking areas are in good repair and free of hazardous cracks, tripping hazards and obstructions, ect.

  • Walkways are in good repair; and fall hazards are marked and protected.

  • Traffic and directional signs/markings are appropriate, adequate, unobstructed and in good repair.

  • Exterior lighting is present, illuminated, and adequate for the area.

  • A No Firearms Allowed poster is displayed and legible. (AC living areas)

  • Fenced recreation areas are enclosed and free of debris and sharp objects.

  • Outdoor furnishings are in good repair.

  • Front entrance is neat and free of trash.

Electrical Safety - Interior

  • Electrical cords are protected from damage and do not present a trip hazzard.

  • Extension cords are not used as permanent wiring.

  • Area is free of unauthorized plug adapters.

  • No power strips were found on the floor.

  • Outlets are free of cracks or loose face plates.

  • Areas free of other hazardous electrical conditions such as exposed wiring.

  • Electrical panel are free of obstruction.

  • Electrical panel doors are closed and locked.

  • Breakers/switches are properly labeled.

  • Generators are inspected regularly and are in good repair.

  • Bio-Med equipment has documentation of current inspection, testing/preventive maintenance.

  • Bio-Med equipment inventory is current within six months.

  • Individual owned electrical equipment is free from damage or frayed cords

Fire Safety.

  • All fire/smoke partition doors are properly marked and free of paint.

  • All fire/smoke partition doors operate properly.

  • No penetrations found in fire walls

  • Exit access doors are accessible at all times.

  • K-type fire extinguisher is located within 30 feet of any grease producing equipment.

  • Kitchen Hood Extinguishing system's annual inspection and semi-annual hood cleaning is up to date

  • Fire extinguishers are in designated cabinets/locations within 75 feet in any directions.

  • Fire extinguishers are stored with 3 feet of clearance in any directions.

  • Monthly inspections of portable fire extinguishers are documented on the inspection tag, are inspections are current.

  • Annual inspection of portable fire extinguishers is documented on the inspection tag, and inspection is current.

  • Gauge on all portable fire extinguishers indicates proper charge.

  • Portable fire extinguishers are in good condition (connections tight, no deterioration on hose, pin in place, seal intact, etc.).

  • Emergency lights are operational.

  • Exit access corridors are free of obstructions.

  • Flammable/combustible liquids are properly stored.

  • Exit doors open in the direction of exit egress.

  • Exit signs are appropriately placed, illuminated, and indicate the proper direction

  • Exit signs, sprinkler heads, and pull stations are free from obstructions (e.g. plants, decorations, etc.)

  • There is 18 inches of clearance between storage and sprinkler heads.

  • Fire alarm pull stations have 3 ft. of clearance in all directions.

  • Rooms and offices are free of excessive fire loading

  • Rooms and offices are free of loosely attached combustible materials that do not exceed 20% of each wall area or are located within four feet of room exit.

  • All buildings are free of portable heating devices.

  • Areas where oxygen is used/stored are clearly marked.

  • Compressed gas cylinders are properly secured with protective caps in place when not in use.

  • Full and empty oxygen cylinders in storage are segregated and labeled.

  • Where compressed gas storage exceeds 300 cu. ft., there is a designated, protected storage room.

  • Less than 12 E-tanks (300 cu. Ft., oxygen) are stored in the smoke compartment.

General Safety.

  • Stickers are present on telephones showing the telephone #'s of police, fire, ambulance, internal page, Ga. Poison Control, and Safety Data Sheets (SDS) information.

  • Bomb threat instructions are on or near telephones.

  • There are no conditions that would put the individual at risk for trips or falls.

  • Wet floor signs are used appropriately when the floor is wet.

  • The nurse call system is operational and there is an alternative signaling mechanism such as a bell in the event of failure

  • All treatment areas are free of suicide risks.

  • Employee lockers are free of hazardous materials and excessive quantities of combustible materials.

  • Storage rooms are clean and safe.

  • No objects are stored within 18 inches of the ceiling.

  • No holes or penetrations in ceilings, walls, or floors.

  • No doors are propped open.

  • Faucets and pipes are in good repair (e.g., no drips).

  • Washers/dryers are clean and in good repair.

  • Clean linen is kept covered and separate from soiled linen.

  • Hand washing signs are above sinks?

  • Eye wash stations/bottles up to date?

Hazardous Chemicals/Materials

  • An inventory of chemicals is available.

  • There is a separate storage area for chemicals.

  • Chemicals are stored properly on the shelves. Incompatible chemicals are not stored together.

  • All chemicals, including secondary containers, are properly labeled and labels are legible. Secondary containers are labeled in accordance with applicable regulations

  • The chemical storage area is free of debris and clutter, which would hamper cleaning of spills or quick exit in an emergency.

  • The "right to know" poster is posted on the official bulletin board.

  • Appropriate and adequate personal protective equipment (PPE) is accessible to all employees.

  • Bloodborne pathogen precaution procedures are in place.

  • Sharps containers are no more than 2/3 full or as indicated on the container.

  • All red bag biomedical wastes are properly handled and stored.

Security.

  • There is controlled access to security sensitive areas and confidential information such as medical records.

  • Medication carts are locked when unattended.

  • Medication rooms are locked when unattended.

  • Doors required to be locked can be locked or unlocked easily

  • Security fences are in good repair.

Employee ID Badges and Employee Knowledge

  • Staff wears a legible and visible ID badge on the chest of the outer garment.

  • Staff has keys for locked fire alarm pull station. Staff has keys for all locked exits.<br>

  • Staff knows the procedures in the event of a tornado watch or warning.

  • Staff can describe the process for Code Red (RACE) and how to use a fire extinguisher (PASS).

  • Staff can describe their role in the Emergency Operations Plan.

  • Emergency Operations Plan is current.

  • Staff knows the location of their emergency manual "rainbow book"?

  • Staff can describe how to properly dispose of bio-medical waste.

  • Staff knows how to report abuse of individuals served in DBHDD hospitals. Staff knows how to report an accident/injury. Staff knows how to or to whom to report a safety hazard.<br>

Environmental Evaluation – Cleanliness of Individual’s Room

  • Doors are in good repair.

  • Baseboards/corners are free of wax and/or soil buildup.

  • Floors are free of dirt/spills. Floors are free of urine/feces. Floors are free of rust, stains and scuff marks.<br>

  • Walls are free of washable stains and spills.

  • Light fixtures are clean.

  • Ceiling lights are illuminated when light switch is turned on.

  • Vent grilles are clean.

  • Interior windows, window sills, and screens are clean.

  • Rooms are free of evidence of insects/rodents.

  • Ceiling is in good repair and free from evidence of dirt, mold, dust, and stains.

  • A non-skid material/mat is present in showers and bathtubs where appropriate.

  • A corner mirror or bubble window is present and in good repair in all seclusion/time out rooms.

  • Furnishings in all seclusion/time-out rooms are bolted to the floor.

  • Seclusion rooms are free of other visible hazards (sharp edges, suicide risks, etc.).

Maintenance and Cleanliness of Restroom and Shower

  • Restrooms and Showers are free of odors.

  • Walls are in good repair.

  • Entrance doors are in good repair. Room is numbered and appropriately used.<br>

  • Restrooms and showers are accessible to individuals

  • Area is ventilated sufficiently.

  • Toilets are in good repair. Toilet partitions/doors/grab bars are in good repair.<br>

  • Soap dispensers are in good repair. Mirrors are in good repair.<br>

Hallways, Lobby Areas, and Day Areas

  • Floors are free of dirt and spells. Floors are free of urine/feces. Floors are free of rust, stains and scuff marks.<br>

  • Vent grilles are clean. Light fixtures are clean.<br>

  • Light fixtures are clean.

  • Drinking fountains are clean.

  • Antibacterial gel dispensers are in good repair.

  • Water fountains are in good repair.

  • Walls are in good repair.

  • Doors are in good repair.

Environmental Evaluation - Cleanliness of Food Service / Dining Room

  • PPE is available

  • Scoop for ice is stored covered or in scoop holder, no visible sign of rust in machine.

  • Ice machine cleaning is up to date

  • There is evidence of food rotation

  • Food is within the expiration/recommended use date.

  • Food was found dated and labeled.

  • Tables are clean

  • Garbage is kept to a minimum

  • Refrigerators are labeled to identify staff, individual, or medication use.

  • Temperature logs for refrigerators are readily available and current.

  • Refrigerator temp is documented to be below 40 degrees?

  • Refrigerator and microwave are clean

  • Counter tops are clean and free of clutter

  • Sink is kept clean

  • Floors are kept clean and free of debris

  • Kitchen areas/Dining room is free of any signs of pest or insects

Environmental Evaluation - Staff Areas

  • Counter tops, cabinets, book shelves and mail cubbies are neat and clean

  • Staff refrigerator and microwave are clean

  • Fingernails are short (1/4 in.); no artificial nails are present

  • Only hospital approved lotions, soaps, and sanitizers are in use

Comments

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