Audit

Physical Environment

Are ceiling tiles free of damage?

Is the area free of slip, trip, or fall hazards?

Are extension cords being used?

Are electrical panels (in public access) closed and locked?

Are electrical outlets free of damaged?

Are appliances clean?

Is the area free of exposed electrical wires?

Are visitor waiting areas free of damage (chairs, tables, etc)?

Are electrical appliances and/or cords located away from water sources?

Comments:

Fire Safety & Egress

Are fire extinguishers unobstructed?

Are pull stations unobstructed?

Is the area free from portable heaters?

Do fire doors operate correctly?

Are sprinklers heads free from damage?

Are exit signs illuminated?

Are hallways clear of clutter? Allowable carts include: crash, chemo, isolation

Do exit doors open in the path of egress?

Are evacuation routes accurate?

Are stairs free from hazards? (railings secured, moisture free)

Are exits free from obstructions?

Are storage areas compliant with the 18" rule? (except against walls- can go to ceiling but not within 4" of sprinkler head)

Are storage areas accessible and orderly?

Are supplies stored off the floor to facilitate cleaning?

Comments:

Patient Safety

Does medical equipment have an accurate TriMedx sticker?

Are oxygen cylinders stored in a clean, dry location, separate from other flammable or combustible chemicals/materials?

Are oxygen cylinders transported in a manner to prevent them from falling?

Are medical gas shut off valves properly labeled? (label on pipe or behind pipe on wall, not on outside cover or wall)

Are medical gas valves accessible?

Are sharps containers less than full capacity?

Are hazardous containers appropriately labeled?

Are hazardous rooms, employee only rooms, etc, labeled so patients or visitors do not enter?

Are dirty and clean linens stored properly?

Comments:

Team Member Questions

Do staff members know how to access MSDS

Do staff members know evacuation routes?

Do staff members know how to report occupational injuries?

Do staff members know how to report adverse events?

Do staff members know reporting procedures for broken or malfunctioning equipment?

Do staff members know their role during a Code Red?

Do staff members know their role during a Code Black?

Do staff members know their role during a Code Green and Code Silver?

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.