Building Exterior - Drives, Parking, Overall Campus

Site lighting functioning properly?

Lighting turns on/off at appropriate times?

Parking lots are clear of debris / obstructions / tripping hazards?

Any standing water / ice in parking lots?

Appropriate signage to direct visitors / employees?

Signage visible at all times of day?

Campus fields are free of debris?

Are parking lots sufficiently salted / cleared during inclement weather?


Building Interior

Building Interior

Are entrances well lit?

Entrance doors function appropriately?

Air curtains functioning at building entrances?

Is there sufficient signage at entrances?

Are public restrooms easily indentifiable?

Any hot / cold spots in hospital?

Are public areas sufficiently lit / any bad lights?

Flooring is not chipped / torn / damaged?

Flooring is not wet / slick?

Any damages / scrapes / marks on walls?

Any visibly discolored ceiling tiles?

Interior doors function properly?

Is there sufficient interior signage directing public?

All elevators function properly?

Did elevators annunciate correctly?

Are fire alarms and extinguishers sufficiently signed and accessible?

Are fire exit plans sufficiently posted?

Where any audible alarms heard during stay / rounding- if so was there a response of the staff?



Staff Narrative

What was working well today?

Are there specific areas that need attention and why?

Are there any areas that should be recognized and what makes them notable?

Did you receive any negative feedback from patients, visitors, employees, or physicians? If so, how do you plan to address resolve the issue?

Is there anything we can do better?

Quarterly Focus

Was a specific task being performed (i.e. cleaning, floors buffed, facility maintenance, equipment repair, transport, food delivered / picked up, elevators, etc.)?

Did you identify anything that could affect the patient experience (lighting, signage, equipment making noise or rattling, loud talking, doors closing, etc)?

Do you have any recommendations to improve the issues you identified?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.