Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • First Aid Kit Complete?

  • Are you using a Blood glucometer on the clients? If you are how is it being cleaned and calibrated?

  • Add media

  • Emergency Equipment Up to date?

  • Add media

  • Fire Drills up to date?

  • Add media

  • Bathroom temps. Being taken and up to date?

  • Add media

  • Medical supplies stocked?

  • Add media

  • Keys and scan cards on site?

  • Add media

  • Personal belongings stored properly?

  • Add media

  • Is the emergency cell phone charged?

  • Add media

  • AED is up to date and monthly checks completed?

  • Add media

  • All storage rooms clean and organized?

  • Add media

  • Extra client locker Keys?

  • Add media

  • Nurse call light tested monthly.

  • Add media

  • Laundry room temps.being taken and up to date.

  • Add media

  • Dryer lint trap is clean?

  • Add media

  • Process in place to clean dirty laundry basket and carts?

  • Add media

  • Is the thermometer hanging up?

  • Washers are clean and laundry supplies full?

  • Add media

  • Hot water tanks checked?

  • Add media

  • Towels and linens are inventoried?

  • Add media

  • Medication refrigerator temps. Daily?

  • Add media

  • Medication refrigerator calibrated monthly?

  • Add media

  • Medical Equipment calibrated?

  • Add media

  • Fire doors close and latch,no obstructions?

  • Add media

  • No- non comprehensive chemicals in the building?

  • Add media

  • Fire sprinkler heads are clean?

  • Add media

  • Escutcheons secure to ceiling no more than 1/4" gap?

  • Add media

  • Fire extinguishers unobstructed?

  • Add media

  • Fire pulls unobstructed?

  • Add media

  • All exit doors unobstructed?

  • Add media

  • Linda Wyatt

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.