Life Safety

Fire & smoke doors unobstructed, self close, synchronize, and latch?

Fire rated label on door and frame is present and legible?

Fire doors free of coverings and decorations (except formal signage)?

Doors closed where appropriate and not propped open?

Electrical panels in corridors are locked?

18" of unobstructed space below sprinkler heads maintained?

EXIT signs working properly?

EXIT sign readily visible?

No items stored in hallway?

Fire extinguisher(s) and pull station(s) unobstructed?

Fire extinguisher tags are current?

Medical gas valves properly labeled with area served?

Notes:

Security

No personal items left unsecured?

Area is well lit?

Door with access card reader is secure and functioning?

Access to secured areas labeled and restricted?

Photo ID's worn properly?

Notes:

Environmental

Eyewash station unobstructed and working properly?

No stained ceiling tiles?

Doors are not propped open?

No slip and fall hazards?

Area is dust free (air vents, floors, lights, pictures, sprinkler heads, etc.)

Floor/ Carpet is clean and free of debris and stains?

Restrooms are clean and stocked?

Unapproved RPT's in use or Extension Cords used as permanent Wiring?

Gas cylinders are stored properly?

Hand rails/ grab bars secure and in good repair?

Purell dispensers over or within 6 inches of an ignition source?

Waste containers are not overflowing?

Cleaning supplies properly stored and labeled?

Notes:

Patient Care

Crash cart accessible and checked according to policy?

Laundry chutes closed and latched?

Medications secure, labeled and in date?

No Patient Food past expiration date?

No intermixed storage of staff and patient nourishment items?

Personal Protective Equipment (PPE) available?

Sharps containers at appropriate fill level and secured?

Supplies within acceptable date range?

Notes:

Exterior

Parking lot and walkways have no uneven surfaces, pot holes or large cracks; free of debris?

Lighted signs and exterior lighting functional?

Notes:

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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.