Areas Toured/Complaints:

Areas Toured?


Has complaints been resolved?

Discharge Information:

Number of beds left from previous shift?

Daily response time?

Daily turnover time?

Current census?

Number of beds passed over to next shift?

Contact isolation curtain change?

Any Discharge Issues?

Has The discharge issues been resolved?

Additional work passed on to next shift?

Trash Chute & Carts (Cleared & Cleaned)?

Queeny Tower

West Pavilion


East Pavilion

Any trash issues?

Has the trash issues been resolved?

Time compactor picked up?
Public Restroom Terminal Cleaning:
South Main Level:
South Street Level:

North CAM 1st Floor:

North CAM 3rd Floor:
North Garage:
Staffing: Call offs/Late ins & issues:

BJH Staff: Call off /Late ins

MWS Staff: Call offs/Late ins

Staffing issues?

Has staffing issues been resolved or need further investigation?

Projects / Other Info / Bed Depot:

Projects Completed:

Bed Depot Status:

Other Info:

PM Rooms:

Staffing / Visitor Injuries:

Customer Touch base:

Touch base with in the (OR)?

(OR) Comments:

Touch base with in the (ED)?

(ED) Comments:

EMG 3 Check:

(EMG 3) Comments:

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.