Items from previous inspections have been addressed ?
Work/Storage Areas - safe and accessible (proper shelving used/secure, no above head hazards, heavier items on the bottom) ?
Work/Storage Areas - Clean and Clear (no excessive clutter) ?
Eye wash/shower station are tested weekly and documented?
Staff, volunteers, vendors appropriately identified ?
Valuable items secured ?
Hazardous Chemicals - properly labeled/stored ?
Infectious Waste Containers (rigid, labeled, covered) ?
Infectious Waste Storage (Soiled Utility Rooms) - Doors to storage area closed/monitored or secured ?
Waste Disposal - Appropriate disposal of waste in proper container ?
Lead Aprons - Uniquely identified ?
Emergency numbers posted (33333 on the phones) ?
Fire Doors - Not propped open (door wedges), Unit entrance doors - positively latch ?
Fire Exits - Clear, Correctly marked (Exit Signs), unlocked from inside, clear of debris/equipment ?
Sprinklers - 18" clearance ?
Fire Alarm/Pull Station - 3 ft. clearance ?
Oxygen/Gas Cylinders - Stored upright, secured on the top and bottom 3rd to prevent falling, in a stand/ cart, no more than 12 "E" cylinders per smoke compartment ?
Electrical Cords / strip outlets Not overloaded/daisy chained, In good repair, Extension cords not used ?
Fire Extinguishers Clearly marked, 3 ft. clearance, On wall or in cabinet, Pressure gauges read full ?
- Major appliances (high wattage) plugged directly into a wall outlet, Clear from combustibles
- All appliances (especially those with a metal exterior) must have a three-prong plug (ground wire) to prevent fire and electrocution
- No hot-plates, fryers, hot air or easybake ovens, toasters, or toaster ovens allowed
- Microwaves are clean and free from loose debris inside and all vents are clear
- No open element space heaters
- Hot shots are clearly marked as 'hot, boiling water'
Ceiling tiles set in place properly and no gaps in the ceiling to allow smoke to enter ?
Work/Storage Areas - Clean, Free from hazards/clutter ?
Floors/Walkways/Walls/Ceilings - In good condition, Clean, Dry, No penetrations, Adequate lighting, Construction-no signs of dust/debris ?
All items in storage are at least 4" off the floor
Refrigerators - Clean, Employee and Patient Food separated, Patient food labeled/dated, Temperature Logs current (for patient refrigerators only)?
Staff eating or drinking in designated areas only ?
Hand gel/soap dispensers functioning and contain current product ?
Under sink storage clear (nothing allowed under sinks)?
Cubicle curtains are free of visible soil ?
Dirty linen storage - room secured?
Linen covered in (inside or outside of the clean utility room)?
Medication refrigerators log maintained (review follow up if temperatures were out of range)?
High Level Disinfection - Daily and QC logs complete?
Test Strips in a closed bottle and inside a cabinet?
Fixtures in good condition (no damage to outlets, outlet cover and light switches (char marks, cracks, discoloration ?)
Mechanical / Electrical / Communication rooms – clear of combustible material storage ?
Lights/Fixtures - covered/protected (diffusers not cracked or missing) ?
Med Gas Panel - 3 ft. clearance, Shut off zone identified ?
Electrical Panels - closed/covered, secured ?
Return / Supply air ducts in the ceiling clean (not covered with dust) ?
Appropriate areas (isolation rooms, toilets, soiled utility rooms, etc.) have negative pressure.
Reporting Accidents/Incidents ?
Back up/alternate communication systems ?
Code Pink ?
Code Gray ?
Hazardous Chemicals in the Area ?
Accessing SDSs ?
Code Violet ?
Code Red - RACE, PASS, Extinguisher/Fire Alarm Pull Station locations, Primary/Secondary Exits, Evacuation - horizontal/vertical ?
Oxygen Shut Off ?
Code Triage (Staff's role in a disaster - stand by and respond when/where needed) ?
Clinical Interventions for Equipment Failures ?
Utility Failure Procedures ?
How do you know if equipment is clean?
How and when to use the proper PPE?