Information
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Environmental Tour
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Site
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Building / Dept. / Unit
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Conducted on
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Prepared by:
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Personnel:
Grounds and Building Exterior Safety.
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Parking areas are in good repair and free of hazardous cracks, tripping hazards and obstructions, ect.
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Walkways are in good repair; and fall hazards are marked and protected.
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Traffic and directional signs/markings are appropriate, adequate, unobstructed and in good repair.
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Exterior lighting is present, illuminated, and adequate for the area.
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A No Firearms Allowed poster is displayed and legible. (AC living areas)
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Fenced recreation areas are enclosed and free of debris and sharp objects.
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Outdoor furnishings are in good repair.
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Front entrance is neat and free of trash.
Electrical Safety - Interior
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Electrical cords are protected from damage and do not present a trip hazzard.
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Extension cords are not used as permanent wiring.
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Area is free of unauthorized plug adapters.
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No power strips were found on the floor.
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Outlets are free of cracks or loose face plates.
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Areas free of other hazardous electrical conditions such as exposed wiring.
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Electrical panel are free of obstruction.
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Electrical panel doors are closed and locked.
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Breakers/switches are properly labeled.
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Generators are inspected regularly and are in good repair.
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Bio-Med equipment has documentation of current inspection, testing/preventive maintenance.
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Bio-Med equipment inventory is current within six months.
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Individual owned electrical equipment is free from damage or frayed cords
Fire Safety.
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All fire/smoke partition doors are properly marked and free of paint.
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All fire/smoke partition doors operate properly.
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No penetrations found in fire walls
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Exit access doors are accessible at all times.
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K-type fire extinguisher is located within 30 feet of any grease producing equipment.
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Kitchen Hood Extinguishing system's annual inspection and semi-annual hood cleaning is up to date
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Fire extinguishers are in designated cabinets/locations within 75 feet in any directions.
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Fire extinguishers are stored with 3 feet of clearance in any directions.
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Monthly inspections of portable fire extinguishers are documented on the inspection tag, are inspections are current.
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Annual inspection of portable fire extinguishers is documented on the inspection tag, and inspection is current.
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Gauge on all portable fire extinguishers indicates proper charge.
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Portable fire extinguishers are in good condition (connections tight, no deterioration on hose, pin in place, seal intact, etc.).
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Emergency lights are operational.
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Exit access corridors are free of obstructions.
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Flammable/combustible liquids are properly stored.
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Exit doors open in the direction of exit egress.
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Exit signs are appropriately placed, illuminated, and indicate the proper direction
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Exit signs, sprinkler heads, and pull stations are free from obstructions (e.g. plants, decorations, etc.)
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There is 18 inches of clearance between storage and sprinkler heads.
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Fire alarm pull stations have 3 ft. of clearance in all directions.
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Rooms and offices are free of excessive fire loading
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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.
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All buildings are free of portable heating devices.
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Areas where oxygen is used/stored are clearly marked.
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Compressed gas cylinders are properly secured with protective caps in place when not in use.
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Full and empty oxygen cylinders in storage are segregated and labeled.
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Where compressed gas storage exceeds 300 cu. ft., there is a designated, protected storage room.
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Less than 12 E-tanks (300 cu. Ft., oxygen) are stored in the smoke compartment.
General Safety.
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Stickers are present on telephones showing the telephone #'s of police, fire, ambulance, internal page, Ga. Poison Control, and Safety Data Sheets (SDS) information.
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Bomb threat instructions are on or near telephones.
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There are no conditions that would put the individual at risk for trips or falls.
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Wet floor signs are used appropriately when the floor is wet.
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The nurse call system is operational and there is an alternative signaling mechanism such as a bell in the event of failure
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All treatment areas are free of suicide risks.
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Employee lockers are free of hazardous materials and excessive quantities of combustible materials.
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Storage rooms are clean and safe.
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No objects are stored within 18 inches of the ceiling.
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No holes or penetrations in ceilings, walls, or floors.
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No doors are propped open.
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Faucets and pipes are in good repair (e.g., no drips).
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Washers/dryers are clean and in good repair.
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Clean linen is kept covered and separate from soiled linen.
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Hand washing signs are above sinks?
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Eye wash stations/bottles up to date?
Hazardous Chemicals/Materials
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An inventory of chemicals is available.
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There is a separate storage area for chemicals.
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Chemicals are stored properly on the shelves. Incompatible chemicals are not stored together.
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All chemicals, including secondary containers, are properly labeled and labels are legible. Secondary containers are labeled in accordance with applicable regulations
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The chemical storage area is free of debris and clutter, which would hamper cleaning of spills or quick exit in an emergency.
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The "right to know" poster is posted on the official bulletin board.
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Appropriate and adequate personal protective equipment (PPE) is accessible to all employees.
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Bloodborne pathogen precaution procedures are in place.
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Sharps containers are no more than 2/3 full or as indicated on the container.
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All red bag biomedical wastes are properly handled and stored.
Security.
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There is controlled access to security sensitive areas and confidential information such as medical records.
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Medication carts are locked when unattended.
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Medication rooms are locked when unattended.
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Doors required to be locked can be locked or unlocked easily
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Security fences are in good repair.
Employee ID Badges and Employee Knowledge
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Staff wears a legible and visible ID badge on the chest of the outer garment.
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Staff has keys for locked fire alarm pull station. Staff has keys for all locked exits.<br>
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Staff knows the procedures in the event of a tornado watch or warning.
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Staff can describe the process for Code Red (RACE) and how to use a fire extinguisher (PASS).
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Staff can describe their role in the Emergency Operations Plan.
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Emergency Operations Plan is current.
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Staff knows the location of their emergency manual "rainbow book"?
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Staff can describe how to properly dispose of bio-medical waste.
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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
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Doors are in good repair.
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Baseboards/corners are free of wax and/or soil buildup.
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Floors are free of dirt/spills. Floors are free of urine/feces. Floors are free of rust, stains and scuff marks.<br>
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Walls are free of washable stains and spills.
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Light fixtures are clean.
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Ceiling lights are illuminated when light switch is turned on.
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Vent grilles are clean.
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Interior windows, window sills, and screens are clean.
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Rooms are free of evidence of insects/rodents.
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Ceiling is in good repair and free from evidence of dirt, mold, dust, and stains.
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A non-skid material/mat is present in showers and bathtubs where appropriate.
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A corner mirror or bubble window is present and in good repair in all seclusion/time out rooms.
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Furnishings in all seclusion/time-out rooms are bolted to the floor.
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Seclusion rooms are free of other visible hazards (sharp edges, suicide risks, etc.).
Maintenance and Cleanliness of Restroom and Shower
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Restrooms and Showers are free of odors.
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Walls are in good repair.
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Entrance doors are in good repair. Room is numbered and appropriately used.<br>
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Restrooms and showers are accessible to individuals
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Area is ventilated sufficiently.
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Toilets are in good repair. Toilet partitions/doors/grab bars are in good repair.<br>
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Soap dispensers are in good repair. Mirrors are in good repair.<br>
Hallways, Lobby Areas, and Day Areas
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Floors are free of dirt and spells. Floors are free of urine/feces. Floors are free of rust, stains and scuff marks.<br>
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Vent grilles are clean. Light fixtures are clean.<br>
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Light fixtures are clean.
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Drinking fountains are clean.
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Antibacterial gel dispensers are in good repair.
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Water fountains are in good repair.
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Walls are in good repair.
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Doors are in good repair.
Environmental Evaluation - Cleanliness of Food Service / Dining Room
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PPE is available
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Scoop for ice is stored covered or in scoop holder, no visible sign of rust in machine.
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Ice machine cleaning is up to date
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There is evidence of food rotation
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Food is within the expiration/recommended use date.
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Food was found dated and labeled.
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Tables are clean
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Garbage is kept to a minimum
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Refrigerators are labeled to identify staff, individual, or medication use.
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Temperature logs for refrigerators are readily available and current.
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Refrigerator temp is documented to be below 40 degrees?
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Refrigerator and microwave are clean
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Counter tops are clean and free of clutter
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Sink is kept clean
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Floors are kept clean and free of debris
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Kitchen areas/Dining room is free of any signs of pest or insects
Environmental Evaluation - Staff Areas
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Counter tops, cabinets, book shelves and mail cubbies are neat and clean
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Staff refrigerator and microwave are clean
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Fingernails are short (1/4 in.); no artificial nails are present
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Only hospital approved lotions, soaps, and sanitizers are in use
