Facility Inspection Checklist 2023

Title Page

Company Name:
Conducted on
Prepared by
Location

Risk Assessment

ADMINISTRATION and PROGRAMS

Recordkeeping (OSHA 300 log, Summary)
OSHA 300 log should be up-to-date within the past 7 days, Summary posted Feb 1 - April 30
Hazard Communication Program
A written hazard communication program is needed to address the site specific hazards associated with chemicals used at the facility. The program must include a list of hazardous chemicals, who is responsible for and where Safety Data Sheets (SDS) are maintained, labeling requirements and requirements for employee training
Hazardous Waste Management
Each employer must have: A written, readilyaccessible safety and health program that identifies, evaluates and controls safety and health hazards and provides for emergency response
Lockout/Tagout Program
The standards establish requirements that employers must follow when employees are exposed to hazardous energy while servicing and maintaining equipment and machinery. Some of the most critical requirements from these standards are: Develop, implement, and enforce an energy control program. Use lockout devices for equipment that can be locked out. Tagout devices may be used in lieu of lockout devices only if the tagout program provides employee protection equivalent to that provided through a lockout program. Ensure that new or overhauled equipment is capable of being locked out. Develop, implement, and enforce an effective tagout program if machines or equipment are not capable of being locked out. Develop, document, implement, and enforce energy control procedures. [See the note to 29 CFR 1910.147(c)(4)(i) for an exception to the documentation requirements.] Use only lockout/tagout devices authorized for the particular equipment or machinery and ensure that they are durable, standardized, and substantial. Ensure that lockout/tagout devices identify the individual users. Establish a policy that permits only the employee who applied a lockout/tagout device to remove it. [See 29 CFR 1910.147(e)(3) for exceptions
Infection Control Program
Several OSHA standards and directives are directly applicable to protecting workers against transmission of infectious agents. These include OSHA's Bloodborne Pathogens standard (29 CFR 1910.1030) which provides protection of workers from exposures to blood and body fluids that may contain bloodborne infectious agents; OSHA's Personal Protective Equipment standard (29 CFR 1910.132) and Respiratory Protection standard (29 CFR 1910.134) which provide protection for workers when exposed to contact, droplet and airborne transmissible infectious agents; and OSHA's TB compliance directive which protects workers against exposure to TB through enforcement of existing applicable OSHA standards and the General Duty Clause of the OSH Act
Bloodborne Pathogens Program
Each employer having an employee(s) with occupational exposure as defined by 1910.1030 (b) shall establish a written Exposure Control Plan designed to eliminate or minimize employee exposure
Needlestick Prevention Program
Employers are required to consider and use safer medical devices, wherever possible. These devices include those that are needleless or have builtin protection to guard workers against contact with the contaminated sharp. In addition, employers must ask nonmanagerial patient care workers who could be exposed to contaminated sharps injuries for their input in identifying, evaluating and selecting effective work practice and engineering controls, including safer medical devices. The employer must document consideration and implementation of these devices, and the solicitation of worker input in the Exposure Control Plan
Resident Handling Policy
The Safe Patient Lifting Policy exists to ensure a safe working environment for resident handlers. The policy is to be reviewed & signed by all staff that perform or may perform resident handling. The safety committee will review this policy annually with changes made accordingly
Workplace Violence policy
Establish a workplace violence prevention program or incorporate the information into an existing accident prevention program, employee handbook, or manual of standard operating procedures. It is critical to ensure that all employees know the policy and understand that all claims of workplace violence will be investigated and remedied promptly. In addition, employers can offer additional protections such as provide safety education for employees
Workplace Violence (combative residents) Policy
Potential injury to resident and staff must be minimized. Caregiver education and training can enhance knowledge in identification of certain behaviors which may preclude an actual combative episode. By understanding extrinsic and intrinsic factors and triggers which may contribute to the resident’s escalation in behaviors, caregivers can implement strategies that will address the resident’s predisposition to certain triggers, which in turn can potentially minimize the risk of injury to resident and staff
PPE Policy
PPE is designed to protect you from health and safety hazards that cannot practically be removed form your workplace. Engineering, work practice, and administrative controls must first be considered so that PPE is the last option
Evacuation Plan
Ensure that you have an evacutation plan in place and all employees are trained. Evacuation policies, procedures, and escape route assignments are put into place so that employees understand who is authorized to order an evacuation, under what conditions an evacuation would be necessary, how to evacuate, and what routes to take. Exit diagrams are typically used to identify the escape routes to be followed by employees from each specific facility location

GENERAL

Sufficient lighting
All work areas should be well lit allowing staff to see any hazards in the area
Building in good repair
The area should be evaluated for repair or replacement due to its deteriorating state
Unused materials stored properly
Staff should be diligent about keeping the floors clean and free of debris/clutter. The floor was cluttered with various items blocking the walkway and created a trip hazard to anyone trying to access this area
Equipment, materials, or supplies removed when not used
Equipment/supplies used in public areas must be removed when not in use. These items can creates a trip hazard or crush hazard depending on the item (ladder, cart, chemicals, etc.)
Routine training on inspections/maintenance of equipment scheduled
Maintenance staff should be training initially and have a review annually on the equipment used by their department and should include power tools, lawn mowers, etc
Storage of materials properly arranged
There were multiple areas where staff should make sure that boxes are stored/stacked in a safe manner. I noted boxes that were very heavy stored on shelving that was above my head in the storage area. Any large or heavy boxes should be stored on shelves between the knees and shoulders, where there is less risk for back injury and it is more safe to place and retrieve them
No storage on ledges, in corners, top of cabinets, radiators, etc.
All boxes should be placed so that they are fully on the shelf and not in area where they could be knocked off easily or be a fire hazard such as near heat or flame sources
Fire extinguishers accessible and serviced
All fire extinguisher should be inspected annually and checked monthly for charge. A clear path must be maintained to access all fire extinguishers
Fire doors, aisles, and exits kept clear
In every building or structure exits shall be so arranged and maintained as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building shall be installed except in mental, penal, or corrective institutions where supervisory personnel is continually on duty and effective provisions are made to remove occupants in case of fire or other emergency
All walkways and patio areas in good repair
It is recommended that repairs be made to the cracked areas in the concrete to eliminate the trip hazard caused by the unlevel surfaces
Extension cords used in such a manner not to create a hazard
Extension cords should not be used on a permanent or longterm basis. If the is an ongoing need for electricity an outlet should be added to that area
Hazardous areas locked I.e. mechanical room
Areas that contain any hazardous substance, tools or equipment, moving mechanical parts, access to energy, etc. should be protected by a locked door
Slip, trip, fall hazards
Staff should be diligent about keeping the floors clean and free of debris/clutter. ADD DETAIL
Storage at least 18 Inches below sprinkler heads
The 18inch applies only to areas that have sprinklers installed. Picture a horizontal plane parallel to the ceiling that is 18 inches below the sprinkler heads. Nothing should be in that area between the bottom of the sprinkler heads and the imaginary horizontal plane parallel to the ceiling that is 18 inches below. This is done to allow an even and unobstructed spray pattern from the sprinklers when triggered to extinguish the fire. Perimeter wall shelving and storage are allowed to extend from floor to ceiling level
Emergency lighting available and tested
The requirements under OSHA 1910.37 & NFPA 101 show that the lights shall be tested for 30 seconds monthly and 90 minutes annually
Fire sensors and alarms tested periodically
The employer shall assure that all supervised employee alarm systems are tested at least annually for reliability and adequacy
Sprinkler system tested and maintained periodically
The NFPA recommends that building owners have experienced fire protection experts inspect all sprinkler systems at least four times per year to ensure that the system will deploy in the event of a fire emergency. Monthly and weekly inspections can be conducted by trained people employed by the owner or occupant
Flooring in good condition
floor should be evaluated for repair or replacement due to its deteriorating state. The areas of loose and missing tiles create changes in the foot to floor friction, which creates an inconsistent walking surface and an increase in the risk for slips and trips
No openings unguarded
Floor drains were noted that did not have the entire opening covered. OSHA Standard 1926.500(b) defines a hole as a gap or void 2 inches (5.1 cm) or more in its least dimension, in a floor, roof, or other walking/working surface. OSHA Standard 1926.501(b)(4)(ii) Each employee on a walking/working surface shall be protected from tripping in or stepping into or through holes by covers
Excessive liquid on the floor
Any wet area creates a slip hazard. Employees should inserviced as to how to indicate the presence of liquid on the floor to others using wet floor signs and the importance of cleaning the area as quickly as possible
Carpet/rug edges secured
Floor coverings should be held securely in place and permanently installed covering are recommended due to the trip risk associate with area rugs and other nonpermanent floor coverings. If walkoff mats/rugs are used, they should have beveled edges and a nonslip backing that is in good repair and should lay flat on a smooth surface floor

EXTERIOR

Drives clear and pavement in good condition
It is recommended that repairs be made to the cracked areas in the concrete to eliminate the trip hazard caused by the unlevel surfaces
Walks in good condition and unobstructed
It is recommended that repairs be made to the cracked areas in the concrete to eliminate the trip hazard caused by sunken or raised surfaces.
Directional signs clearly marked
Signage and wayfinding are important in a healthcare facility to direct patients staff and visitors to areas and to prevent access to restricted areas. Signage and wayfinding systems should comply with local authority Guidelines where they are provided and applicable.
Proper lighting in walkways and parking areas
The lighting in the _________ is not adequate/working at this time and needs repaired.
Precautions taken during ice and snow
Prepare for ice and snow by having salt/ice-melter to spread available at all doors, snow removal company confirmed, discussion of where walkways tends to have low spots or dripping causing icy patches and ensure they are monitored and addressed.
Guard rails and gratings in good condition
Area should be repaired to protect from falls.

HAZARD COMMUNICATION

Safety Data Sheets readily available, GHS Format
Employers must ensure that the SDSs are readily accessible to employees for all hazardous chemicals in their workplace. This may be done in many ways. For example, employers may keep the SDSs in a binder or on computers as long as the employees have immediate access to the information without leaving their work area, when needed, and a backup is available for rapid access to the SDS in the case of a power outage or other emergency
Does every employee know how to access safety data sheets?
Hazard Communication training must occur prior to an employee beginning work and anytime chemical information changes or a new chemical is introduced into the work area. All employees must receive training on the company Hazard Communication Program regarding: Where to find the SDS for a chemical and how to use it to find information, What hazards are associated with chemicals used during the course of work, required PPE, companyspecific labeling requirements as well as any other jobspecific hazards
When new materials are brought into the company/department, are they assessed for hazards and PPE
Hazard Communication training must occur prior to an employee beginning work and anytime chemical information changes or a new chemical is introduced into the work area. All employees must receive training on the company Hazard Communication Program regarding: Where to find the SDS for a chemical and how to use it to find information, What hazards are associated with chemicals used during the course of work, Companyspecific labeling requirements, Any other jobspecific hazards
Trained on and hazards, protective measures for new chemicals
Hazard Communication training must occur prior to an employee beginning work and anytime chemical information changes or a new chemical is introduced into the work area. All employees must receive training on the company Hazard Communication Program regarding: Where to find the SDS for a chemical and how to use it to find information, What hazards are associated with chemicals used during the course of work, Company specific labeling requirements, Any other job specific hazards
Containers properly labeled w/name and hazards?
Labels use words and/or symbols to provide information on chemical identity, hazards and safe use of the chemical. Labeling requirements are as follows: All containers of chemicals received must be properly labeled. Do not accept chemicals without proper labeling, Additional labels may be placed on the container, If chemicals are transferred from one container to another, the new container must be labeled, All containers (regardless of what is in them) must be properly labeled for their contents
Employees aware of the hazard warnings?
All labels are required to have pictograms, a signal word, hazard and precautionary statements, the product identifier, and supplier identification
When labels are damaged, are they replaced?
Chemical labels must be replaced if they are damage or unreadable
Properly trained to identify corrosive or caustics chemicals
Employees must be trained on the pictograms and signal words for hazardous chemicals
Bulk/Primary chemical storage containers properly labeled?
Chemical manufacturers and importers will be required to provide a label that includes a harmonized signal word, pictogram, and hazard statement for each hazard class and category. Precautionary statements must also be provided
Reports of chemical sensitivity fully investigated
Refer any incidents of chemical exposure, reports of sensitivity to a medical provider
Procedures in place to address any chemical spill?
To prepare for spills, the employer must have available information about the hazards of the chemicals in your laboratory, written response procedures to address those hazards, and provide the equipment and training necessary to follow those procedures
Eyewash stations located to allow immediate access (10 seconds or 50 feet) where potential exposure to any corrosive/risk to eyes chemical (laundry, kitchen, and maintenance)
Eyewash stations should be located where staff will have immediate access (within 10 seconds or 50 feet) in the event of an exposure. Eyewash stations must be located in areas where there is exposure to any chemical that is labeled as corrosive, risk to eyes
Eyewash station allows for immediate access to an eyewash stations that will provide a constant spray of water to both eyes for a minimum of 15 minutes.
The facility must ensure that staff are inserviced as to the location of each eyewash station and the need to complete a flush of 15 minutes to the eyes in the event of an exposure
Eyewash stations tested weekly
Eyewash stations must be checked weekly to verify that they are working properly

HALLWAYS+COMMON USE AREA+STAIRS

Floor coverings securely fixed to the floor and in good repair
Floor coverings should be held securely in place and permanently installed covering are recommended due to the trip risk associate with area rugs and other non-permanent floor coverings. If walk-off mats/rugs are used, they should have beveled edges and a nonslip backing that is in good repair and should lay flat on a smooth surface floor
Exits clearly identified and marked
All exit/evacuation maps posted in the facility should clearly indicate the layout of the facility, the current location, and two possible exit routes from that location. Maps should be hung so that the orientation of the map corresponds with the layout of the building. All exits should be marked with an illuminated sign and monitored to ensure the signage is working properly and repaired/bulbs replaced as needed
Handrails available and firmly attached to the walls
To comply with ADA regulations, handrails must be 34-38” above the stair nosings or floor surface, giving the vast majority of people easy access to the hospital handrail. An additional 12” of handrail length is required at the top of a set of stairs and the equivalent of one tread depth is required at the bottom
Extension cords used in a safe manner
Extension cords should not be used on a permanent or longterm basis. If the is an ongoing need for electricity an outlet should be added to that area
Exits unobstructed
Exit routes must be unobstructed by materials, equipment, locked doors, or deadend corridors
Unobstructed corners with clear view
Safety mirrors and domes provide a vital secondary level of visual protection at locations where the collision risk is greatest. To accommodate a range of needs, many options are available, including not only a wide variety of mirror and dome sizes, shapes and angles of visibility, but also shatter resistant acrylic and poly-carbonate materials and all-weather coatings for indoor or outdoor use, as well as high visibility safety markings designed to attract attention
Fire doors operate properly
A basic fire door assembly inspection will include: Verification of door label. Fire doors must be labeled by the manufacturer. If a label is missing or not legible, a field label can be posted provided the door assembly passes inspection. No holes or breaks in the door or frame. Glazing is intact and secure. Door, frame, actuators and hardware are in proper working order. Door clearances are within allowable limits. Gasket products such as door sweeps are properly rated for the door assembly, if present. Door closer/hinges are functional, and the door is self-closing. Door is self-latching in the closed position. No field modifications have been performed that void the label or door rating. Gasket and edge seals are functional and proper for the door. Note: A gasket is required for fire doors in corridors and smoke barriers but is not required for every fire door assembly
Fire door label in place and unpainted
Fire doors must be labeled by the manufacturer. If a label is missing or not legible, a field label can be posted provided the door assembly passes inspection
Exits kept free of obstructions and available for immediate use?
An exit access must be at least 28 inches wide at all points. Where there is only one exit access leading to an exit or exit discharge, the width of the exit and exit discharge must be at least equal to the width of the exit access. Objects that project into the exit must not reduce its width
Sufficient exits to permit prompt escape in case of emergency?
Normally, a workplace must have at least two exit routes to permit prompt evacuation of employees and other building occupants during an emergency. More than two exits are required, however, if the number of employees, size of the building, or arrangement of the workplace will not allow employees to evacuate safely. Exit routes must be located as far away as practical from each other in case one is blocked by fire or smoke
Exit doors be opened in the direction of exit travel without the use of a key
Exit route doors must be unlocked from the inside. They must be free of devices or alarms that could restrict use of the exit route if the device or alarm fails
Are doors that swing in both directions provided with viewing panels in each door?
Having a vision panel in the door adds an extra layer of security to the people using the doorway, as they can see what or who is on the other side
Are ladders maintained in good condition?
It is recommended that this step ladder be replaced with a newer ladder with better safety features
Prohibit placing ladders on boxes, barrels, any unstable base?
Use a ladder only on a stable and level surface, unless it has been secured (top or bottom) to prevent displacement
Are employees instructed in proper use of the ladder?
Provide additional training on ladder safety. https://www.osha.gov/sites/default/files/publications/portable_ladder_qc.pdf
Are any metal ladders used in the facility?
Consider replacing metal ladders. Unlike fiberglass and wood (other commonly used materials in ladders), metal can easily conduct electricity. This means the use of metal ladders near power lines poses extreme risk to the worker and even other workers who are simply nearby. It should be noted that wooden ladders made with metal reinforcements can conduct electricity, as well, and therefore, can also lead to electrocution and death
Are ladders visually inspected before each use?
Train employees to ensure that ladders are inspected before initial use in each work shift, and more frequently as necessary, to identify any visible defects that could cause employee injury
Are extension ladders used safely?
An extension or straight ladder used to access an elevated surface must extend at least 3 feet above the point of support (see diagram). Do not stand on the three top rungs of a straight, single or extension ladder. • The proper angle for setting up a ladder is to place its base a quarter of the working length of the ladder from the wall or other vertical surface. • A ladder placed in any location where it can be displaced by other work activities must be secured to prevent displacement or a barricade must be erected to keep traffic away from the ladder
Fixed ladder present
1910.28(b)(9) Fixed ladders (that extend more than 24 feet (7.3 m) above a lower level). 1910.28(b)(9)(i) For fixed ladders that extend more than 24 feet (7.3 m) above a lower level, the employer must ensure: 1910.28(b)(9)(i)(A) Existing fixed ladders. Each fixed ladder installed before November 19, 2018 is equipped with a personal fall arrest system, ladder safety system, cage, or well; 1910.28(b)(9)(i)(B) New fixed ladders. Each fixed ladder installed on and after November 19, 2018, is equipped with a personal fall arrest system or a ladder safety system; 1910.28(b)(9)(i)(C) Replacement. When a fixed ladder, cage, or well, or any portion of a section thereof, is replaced, a personal fall arrest system or ladder safety system is installed in at least that section of the fixed ladder, cage, or well where the replacement is located; and 1910.28(b)(9)(i)(D) Final deadline. On and after November 18, 2036, all fixed ladders are equipped with a personal fall arrest system or a ladder safety system
Secure rails and handrails on stairs
OSHA standard 29 CFR 1910.24(h) provides: Standard railings shall be provided on the open sides of all exposed stairways and stair platforms. Handrails shall be provided on at least one side of closed stairways preferably on the right side descending
Exits clearly marked by illuminated signs
Exits shall be marked by a readily visible sign. Access to exits shall be marked by readily visible signs in all cases where the exit or way to reach it is not immediately visible to the occupants. Every door and/or elevator that leads to an exit or exit route should be marked with an illuminated exit sign. If there are other pathways and doors along an exit access route that do not lead to an exit, those should be marked with signage indicating they are not an exit
Uniform height and tread depth
Riser height shall be from 6 to 7.5 inches (15.24 to 19.05 cm), stair width a minimum of 22 inches (55.88 cm) between vertical barriers, tread depth a minimum of 12±2 inches (30.48±5.08 cm), and tread nosing shall be straight leading edges. Stair landings shall be at least 20 inches (50.8 cm) in depth
Worn or damaged stair treads
Worn or damages treads should be repaired/replaced
Grating type tread on exterior stairs
Consider installing grating type tread on exterior stairs. Serrated surface improve the antislip performance, so it is ideal grating to be used in the wet, slipping areas. Good drainage performance let the stair treads shed water that can create slip hazards on outdoor stairs
Proper lighting
The lighting in the area is not adequate/working at this time and needs repaired.
No storage of materials
Staff should be diligent about keeping the stairwells clean and free of debris/clutter. Any items places on the steps/blocking the walking surface and create a trip hazard to anyone trying to access this area
Stairs well maintained
It is recommended that repairs be made to the stairs to eliminate the trip hazard caused by the un-even surfaces.
Stairs free of obstructions
Staff should be diligent about keeping the stairwells clean and free of debris/clutter. Any items places on the steps/blocking the walking surface and create a trip hazard to anyone trying to access this area

RESIDENT AREAS

Handles stored on patient beds when not in use
Staff should ensure that all bed cranks are pushed in and secured so they are not exposed in walkways or other areas where feet could be caught in them creating a trip risk
Overbed tables stored in manner not hazardous to use
Employees should be mindful of trip hazards in resident rooms. Over bed tables should be positioned away from the working area during care so they don't create a trip hazard
Furniture and over-bed tables secure and tip-resistant
Items that have loose parts should be repaired and any items with casters/wheels should have a locking function to prevent accidental movement. Bedside tables should have a wide base. moved empty and used at the lowest possible height to keep the center of gravity low
Cords are in good repair; not frayed or damaged
Electrical cords should be inspected regularly and repaired immediately or removed from service when wires are exposed or covering is damaged
Cords routed so they do not extend across the floor
Staff should ensure that all cords (electrical, phone, coaxel for TVs, etc.) are secured so they are not exposed in walkways or other areas where feet could be caught in them
Grab bars firmly fixed to the walls
The grab bar was loose and needs repaired
Floor Covering, tile or linoleum, or carpeting in good condition
floor should be evaluated for repair or replacement due to its deteriorating state. The areas of loose and missing tiles create changes in the foot to floor friction, which creates an inconsistent walking surface and an increase in the risk for slips and trips
Heating/ AC unit cords not exposed causing potential trip hazard
Staff should ensure that all power cords are secured so they are not exposed in walkways or other areas where feet could be caught in them. The cords to the heat/air conditioners should be contained/attached to keep them from walking areas
Floor free of liquids
Wet floor signs should be placed at entrances to an area when the floor is wet after use/mopping. Wet areas should be mopped up as soon as possible as they occur
Wheelchairs and walkers safely stored when not in use
Nursing staff should be diligent about keeping the durable equipment storeroom organized and free of debris/clutter. The nursing storage areas where the floor was cluttered, durable medical equipment scattered around/blocking access to other items and a scale was parked in the middle of the floor blocking the ability to get to and move lifts and equipment easily and safely. It is recommended that staff use care to positions carts, equipment, wheelchairs on the same side of the hallway to avoid blocking the hallway and essentially blocking the egress
Exits clearly marked by illuminated signs
All exit signs should be monitored to ensure they are working properly and repaired/bulbs replaced as needed
Evacuation route posted
All exit/evacuation maps posted in the facility should clearly indicate the layout of the facility, the current location, and two possible exit routes from that location. Maps should be hung so that the orientation of the map corresponds with the layout of the building
Biohazard and medical storage room locked
Areas where biohazardous waste is stored should be labeled with the appropriate signage and secured
Sharps containers present and below full
It is recommended that staff be reinserviced on the importance of proper handling of biohazardous materials. I observed sharps container(s) that were overfilled
Electrical panels shut
Circuit panel doors should be kept closed at all times
Pathway from bed to bathroom unobstructed
Staff should be diligent about keeping the floors clean and free of debris/clutter. The floor was cluttered with various items blocking the path from the bed to the bathroom
Bed wheels locked
Beds should be locked when not being moved for patient care/transport
Signs when oxygen present
All rooms where oxygen is in use/stored should have a sign posted at the doorway. Oxygen is also present on the crash cart but it is covered with a vinyl covering. The presence of oxygen on this should be noted in some way
Drawers and doors closed
Employees should be mindful of trip hazards in resident rooms. I noted a drawer in the "pulled out" position causing a trip hazard. This could certainly have been a resident’s actions but staff should monitor for any risks and correct as soon as possible

BATH SHOWER ROOMS

Free of unsanitary conditions; soiled linen, surfaces
In the bathing area I noted soiled items on the floor. All soiled linens/waste should be placed in a bag or barrel with the lid on as an infection control measure.
Improper equipment for containment of soiled linen
Soiled linen should be stored in a bin with a closed, fitted lid until laundered to decrease the potential for the spread of infection
Sharps container available for immediate disposal of razors or other sharps
A used disposable razor was noted laying in the shower room on a table. Staff indicated that they dispose of razors in a sharps container which is another area down the hall. I would recommend that sharps containers be located in these areas so that staff can immediately dispose of razors after use to decrease the risk for exposure. If staff are assisting residents with shaving in their own bathrooms a portable container could be made available
Wheelchair or walker passage free of obstruction
Nursing staff should be diligent about keeping bath/shower rooms organized and free of debris/clutter. The bath/shower areas should be cleared of all clutter such as supplies, durable medical equipment that blocks walking, walker, wheelchair, lift access to all areas and permits safe travel
Slippery/wet floors marked
Wet floor signs should be placed at the doorway of shower rooms when the floor is wet after use. Staff should also use wet floor signs to indicate the area that is wet from all possible directions of travel and place the signs at the outer edge of the area being mopped/that is wet
Grab bars securely attached to walls
The grab bar in the shower/bath room was loose and needs repaired
Elevated toilet seats available
Raised toilet seats/risers/commodes allow patients to rise more independently from the toilet and decreases assistance needed from staff
Free of cloth mats/rugs used in shower/bath area
It is recommended that cloth rugs be removed from bathing areas that are shared by multiple people due to the risk for the spread of infection caused by common use of these areas. These rugs can also slide and bunch up creating a trip risk
Ensure clean towels are not stored in open/exposed
Clean towels should be stored in a closed cabinet if they are stored in the bathroom area due to the risk for the spread of infection caused by common use of these areas

NURSING

Sharps containers accessible,
According to an OSHA interpretation letter regarding disposable razors, “The bloodborne pathogens standard requires that, during use, sharps containers must be "[e]easily accessible to personnel and located as close as is feasible to the immediate area where sharps are used or can be reasonably anticipated to be found (e.g., laundries)" [1910.1030(d)(4)(iii)(A)(2)(i)]. The standard also provides: "Contaminated sharps shall be discarded immediately or as soon as feasible" [1910.1030(d)(4)(iii)(A)(1)]. As with sharps containers used for collecting other types of contaminated sharps, designating a central collection site for the location of containers may not meet these requirements. Depending on the size of the facility and location of areas where shaving is performed, you may find that employees are required to walk considerable distances before disposing of used razors. In these cases, locating the containers closer to the point of generation may be feasible and would, therefore, be required by the provision of the standard cited above. One way to ensure the containers are located as close as is feasible would be to train staff members to take note of the availability of a medication cart, treatment cart that has a sharps container on it, or soiled utility room that has a sharps container prior to shaving a resident, if there is no sharps container located inside the room in which the shaving will take place. Staff members should preplan and determine the closest area for the razors to be disposed of after shaving a resident
Sharps containers below fill line
It is recommended that staff be re-inserviced on the importance of proper handling of biohazardous materials. I observed sharps container(s) that were overfilled.
Use of gait belts required for transfers and enforced
Staff should be rein serviced re: use of gait belts for patients who have been assessed to need support during transfers/ambulation per their care plan/orders
Gait belts used appropriately and observed accessible
Gait belts must be provided and available to all staff
Use of patient lifts required and enforced
Staff should be reinserviced re:use of mechanical transfer devices for patients who have been assessed to need support during transfers/ambulation per their care plan/orders
Adequate number and proper use of patient lifts
Mechanical lifts should be available in all situations where the patient or resident cannot bear weight on at least one leg. The adequate number, variety, and placement of mechanical lifts will need to be determined by the committee undertaking an ergonomic analysis of the workplace. Training needs should also be assessed by the committee. Are new employees receiving proper training and orientation regarding safe transfer techniques, patient or resident assessment, and the proper use of mechanical lifts? Are current staff receiving ongoing inservice training and refresher training?
Patient lifts regularly maintained
Safe, functioning lifts are an integral part of the Limited Lift Policy. In order to maintain proper working equipment that is safe for both the employees and patients periodic inspections should occur in accordance with the operations manual. If there are any questions regarding the safety of the lift please remove the lift from use and contact the manufacturer
Slings inspected and removed from service prn
Slings are an integral part of the Safe Patient Handling Policy. In order to maintain and replace slings for resident lifting equipment employees must inspect the slings after each cleaning. After each inspection document the condition. If there are any signs of fraying, loose threads, and or stains the sling must not be utilized until repaired and/or replaced
Employee training on proper transfer and lifting techniques
Training is necessary to ensure that employees and managers can recognize potential ergonomics issues in the workplace, and understand measures that are available to minimize the risk of injury. Training on safe patient handling/transfers can be integrated into general training on performance requirements and job practices. Effective training covers the challenges found in each employee’s job
Residents identified as requiring gait belt or patient lift
Ensure there is a clear method of communication so staff are informed of transfer assistance/equipment needed and that changes are updated and communicated in real time
Needle stick/puncture prevention policy and procedures
The Occupational Safety and Health Administration (OSHA ) standard for bloodborne pathogens requires that any employee exposed to blood, or other potentially infectious materials (OPIM), follow proper safety precautions when working with needles and other possible contaminated sharps as part of their job duty. Employers are required to consider and use safer medical devices, educate on prompt disposal, educate on the use of sharps containers and handling of those containers. Attached the OSHA Fact Sheet on Protecting Yourself When Handling Contaminated Sharps
Step stools/ladders available in good condition, ant-skid, allow 3-points of contact
The step stools in the facility should be replaced by a stepladder or step stool that has an anti-skid bottom and provide a third point of contact when using
Storage space organized
Staff should make sure that boxes are stored/stacked in a safe manner. I noted boxes that were very heavy stored on shelving that was above my head in the storage area. Any large or heavy boxes should be stored on shelves between the knees and shoulders, where there is less risk for back injury and it is more safe to place and retrieve them. Storage items were also noted to be placed with a portion of the box was hanging over the edge. All boxes should be fully on the shelf. No items should be stored on the floor/in walkways/on pallets blocking access to shelves
Proper use of electrical cords
Extension cords should not be used on a permanent or long-term basis. If the is an ongoing need for electricity an outlet should be added to that area
Electrical cords properly grounded and in good condition
Grounded plugs on electrical equipment should be replaced when the ground prong has been removed or is missing as was noted
Ensure electrical cords/power strips are not chained
Devices that increase the number of outlets (power strips, outlet multipliers, extension cords) should never be linked together as this increases the risk of overloading the circuit, which could result in fire or electrical shock
Entryways and hallways free of obstruction
It is recommended that staff use care to positions carts, equipment, wheelchairs on the same side of the hallway to avoid blocking the hallway and essentially blocking the egress
Good housekeeping throughout unit/floor.
Staff should be diligent in ensuring work and patient areas are free of hazards, contaminants
Gas cylinders properly secured and away from electrical circuits
Gas cylinders should be properly secured at all times to prevent tipping, falling or rolling. They can be secured with straps or chains connected to a wall bracket or other fixed surface, or by use of a cylinder stand. The gas cylinders should be stored in a cool, dry, well ventilated, fire-resistant area that meets all applicable federal, state and local regulations. When a gas cylinder is empty or not being used, ensure that the valve is closed, the regulator removed and the valve protector cap is secured in place
Valve protection cap in place when oxygen cylinder not in use
All tanks of compressed gas should be stored with valve protection in place
Signs posted when oxygen is present
All rooms where oxygen is in use/stored should have a sign posted at the doorway
Fire extinguishers accessible and path unobstructed.
A clear path should be maintained to access all fire extinguishers. The extinguisher in this area had items blocking access
Fire extinguishers regularly serviced
The procedure for monthly checks of fire extinguishers should ensure that each one is checked monthly.
Hazardous chemicals clearly labeled
All chemicals should be in properly labeled containers. Labels should include the name of the chemical and the health and safety risk associated with the chemical
Safety Data Sheets readily available
The SDS must be accessible to all employees at all times either in a physical book or an online system. If you choose to have a physical book, all chemicals should have an up to date SDS that is compliant with the GHS system, and they should be organized in a manner that staff can immediately find the correct sheet in the case of an exposure. For example, all chemicals listed alphabetically with an index of chemicals at the front of the book. (Alphabet tabs can also be used to help expedite finding the correct sheet in the case of an exposure) and every chemical shipment must be checked to ensure a newer SDS has not been provided. If access in online, all staff must have immediate access to a computer that is on and a direct link to the program
Fire doors closed when not in use
Fire doors should never be propped or tied open to prevent the automatic closer from activating. The fire rating label is on the door frame to identify it. The door to the
PPE available for bloodborne pathogen exposure
It is recommended that the nursing dept review/assess their need for PPE and the appropriate supplies be provided and staff inserviced on the need for use when handling body fluids that are potentially infected with blood borne pathogens
PPE or guard on hopper
PPE to prevent splash contamination should be provided for nursing staff when they are using the hopper to rinse out soiled linen or clothing. Goggles and mask or a face shield should be worn as well as heavier gloves that cover the wrists and forearms. A gown or apron that would not allow moisture to seep through to staffs clothing underneath would also be recommended. The other option would be to install a splash shield on the hopper
Ensure there is no Food or Drinks in Nursing/care areas
In an OSHA Letter of Standard Interpretation regarding drink stations: OSHA does not have a general prohibition against the consumption of beverages at hospital nursing stations. However, OSHA's bloodborne pathogens standard prohibits the consumption of food and drink in areas in which work involving exposure or potential exposure to blood or other potentially infectious material takes place, or where the potential for contamination of work surfaces exists [29 CFR 1910.1030(d)(2)(ix)]. Also, under 29 CFR 1910.141(g)(2), employees shall not be allowed to consume food or beverages in any area exposed to a toxic material. While you state that beverages at the nursing station might have a lid or cover, the container may also become contaminated, resulting in unsuspected contamination of the hands

DIETARY

Rubber mats in dishwashing areas to prevent slipping
The kitchen is an area where floors are frequently wet and/or spills (wet and dry) and staff should use care to keep floors dry and I recommend evaluating if mats would be beneficial in areas that are frequently wet
Potholders or mitts available and used around range and steamers
Ensure that potholders/mitts are available for staff to use in moving hot items on the stove, in the oven and steam table
GFCI on plugs 6 ft. or closer to water source and functional
All electrical outlets, or the circuit breaker for those outlets that are located within 6 feet of a water source should be equipped with a ground fault circuit interrupter. (GFCI) and these should be checked on a regular schedule to ensure they are functioning properly by using the test and reset buttons
All electrical plugs with ground
Any equipment that has the ground prong removed/missing should be placed out of service until the plug can be replaced
Utensils stored in a safe manner
Utensil storage should ensure staff are not at risk for cuts, pinch injuries when accessing the utensils
Blades stored with cutting edge covered
All knives should be stored in a safe manner that protect staff from access to the cutting edge when grabbing. i.e. knife block or magnetic strip
Blades on the electric slicers, meat saws, grinders not exposed
Blades on slicers should be guarded to prevent contact with sharp surfaces
Floor mixer guard present
It is recommended that the large floor mixer in the kitchen be equipped with a guard/cage to prevent access to the blades/moving parts
Stable step stools available and used
A stepladder or stepstool that has an antiskid bottom and provided 3 points of contact should be provided in the kitchen for access to the items on the upper shelves
Exhaust fans, vents, and fans, etc. cleaned regularly
Exhaust fans, vents, fans that move air or are affected by air movement should be cleaned on a regular schedule to ensure dust is not blown about affecting air quality
Hand washing facility is available
Handwashing sinks with soap and towels should be available in all food preparation/handling areas
Floors kept free of excessive water
Staff were observed standing in a noticeable amount of water. Even with slip resistant shoes, the amount of water on the floor still not only becomes a slip hazard but also a health risk for employees who may be working for hours with wet feet. It is recommended that you repair the leak in the dish machine or find a way to direct the water to a drain, so it is not in the walking working area. The use of mats to decrease the risk for falls and use of wet floor signs in the kitchen to notify others of the hazard should also be added.
Items on shelves: heavy waist-level; medium-low; light-overhead
Staff should make sure that boxes are stored/stacked in a safe manner. I noted boxes that were very heavy stored on shelving that was above my head in the storage area. Any large or heavy boxes should be stored on shelves between the knees and shoulders, where there is less risk for back injury and it is more safe to place and retrieve them. Storage items were also noted to be placed with a portion of the box was hanging over the edge. All boxes should be fully on the shelf. No items should be stored on the floor/in walkways/on pallets blocking access to shelves
Grates over floor drains, present and flush with floor
There are some floor drains and clean out access covers that sit below the floor surface and create a trip risk. A trip is the sudden or momentary stopping of the foot that prevents it from normal and continued forward motion. A trip occurs when something interferes with or interrupts our normal walking behavior. As we walk our foot is raised above the ground with a small clearance during its’ forward swing. This clearance may be as low as about three eighths of an inch. A trip can also occur due to a surface defect of the walkway. A depression or hole in the walkway surface that when stepped in will cause the foot to catch its leading edge. In order to prevent trips through the maintenance of safe walkways then, the walkway should be flat and planar to provide support of the foot as people walk. It should gently transition from flat to sloped to prevent air steps and stumbles. It should be free of surface defects that people may step into. OSHA Standard 1926.500(b) defines a hole as a gap or void 2 inches (5.1 cm) or more in its least dimension, in a floor, roof, or other walking/working surface. OSHA Standard 1926.501(b)(4)(ii) Each employee on a walking/working surface shall be protected from tripping in or stepping into or through holes by covers
Non-slip surfaces where applicable
Floor surfaces should be of a consistent material so the coefficient of friction remains constant. Changes in friction can cause slips and trips
Aisles, corridors, exits, and stairs kept clear at all times
Kitchen staff should be diligent about keeping the floors clean and free of any items that could be a trip risk. Staff should ensure that cords, hoses are secured or located so they are not exposed in walkways or other areas where feet could be caught in them. Trash cans, Deliveries should be placed out of aisles, corridors, away from blind corners or doorways into storage/freezers/cooking supplies/appliances or any area that staff work or walk
Spills and breakage cleaned immediately; dry and wet
Kitchen staff should be diligent about keeping the floors clean and free of debris and spills. The kitchen floor was dirty and had areas with slick spots throughout. Both wet and dry substances can create a slip hazard
Reporting procedure for faulty equipment
It is recommended that your lockout-tagout policy be reviewed with dietary staff and that any piece of equipment that is damaged or faulty is reported and placed out of service/properly locked and tagged out
Faulty or damaged equipment immediately removed from use
It is recommended that your lockout-tagout policy be reviewed with dietary staff and that any piece of equipment that is damaged or faulty is reported and placed out of service/properly locked and tagged out.
Employees properly trained in equipment use
Employees should be inserviced on the proper use of specified equipment
Restrictions for loose fitting clothing, jewelry, or hair
Staff should ensure that their pants are no longer than the sole of their shoe. When pants are too long they are walked on and this creates a slip hazard. The material is also exposed to all surfaces walked on so infection control can be an issue as well as if they have walked on a wet surface (rain outside, a shower room, dish areas in the kitchen, etc.), every step has a slip potential for the person as well as leaving behind a wet area that another person may step on. Loose clothing and Long hair should be pulled back/contained around machinery as well as to prevent food contamination. Jewelry that hangs and large rings that could damage gloves should not be worn
Proper foot wear
It is important that all staff wear appropriate and safe footwear. All staff should be wearing shoes that are appropriate for the job/position at all times
Switches guarded to prevent accidental operation
Safety interlock switches are used to prevent machine operation or startup in an unsafe situation, such as when a door or guard is open. Interlock devices with a locking function can also prevent doors or guards from being opened while the machine is in operation. A switch guard is recommended in
Emergency cut-off for hazardous equipment
Staff should be trained in the use of the emergency stop switch. This switch is manually operated by the operator when the operator senses danger, an abnormality in the machinery, equipment, or work piece, or the possibility of damage
Hand truck and dollies available for moving supplies and used correctly
As with carrying loads by hand and with vehicles, handling loads with hand trucks, carts and dollies can pose hazards if they are not used properly. Avoid accidents by following these safety tips: Use the two-wheel hand truck only when handling light loads. Always use the four-wheel hand truck for heavy loads. Always make sure the weight is evenly distributed on all wheels of a hand truck, cart or dolly, especially with four-wheeled hand trucks with side railings. (Hand Trucks) Before use, inspect center ladder section, cross bars and vertical bar for cracks and other defects/damage. Check all welds before moving loads. Never pull a cart, dolly, or hand truck. Always push it when moving loads.
Refrigerator/freezer doors equipped to open from the inside
Walk-in Freezers and Refrigerators must have a mechanism that allows the door to be unlatched from the inside
Washing racks in good condition
Wash racks should be replaced due to damaged/cracked areas that make them a risk for hand injuries or to be dropped when carried
Food cart wheels and drawers in good condition
Food cart should be repaired or replaced due to damaged
Fire extinguishers accessible and serviced
A clear path should be maintained to access all fire extinguishers. All fire extinguisher should be inspected annually and checked monthly for charge
Food or beverages where there is a risk of the food/drink being contaminated by chemicals or infectious materials
Staff should not have food or beverages in areas where chemicals are stored due to the risk of the food/drink being contaminated and potential chemical ingestion

HOUSEKEEPING

Chemical containers properly labeled
All containers, including mop buckets/microfiber mopping systems/buckets for sanitizing tables/spray bottles should be labeled to indicate the name of the chemical and should also include the health and safety risks associated with the chemical. If an unlabeled container with chemicals is left unattended. The only time a chemical can be in an unlabeled container/bucket is if it is supervised by the same person at all times. This person would dispense, use, then dispose of the chemical while assuring it is never left unattended. This is the 1:1:1 rule
"Wet Floor" signs properly posted in entrances
Wet floor signs should be placed at entrances to the affected area when the floor is wet after mopping or when spills occur
Extension cords on one side of hall during floor cleaning/Vacuuming
Extension cords should be located on one side of hall during floor cleaning/vacuuming
Spills and debris cleaned immediately
Staff should be diligent about keeping the floors clean and free of debris and spills
Proper PPE used when handling hazardous chemicals
It is recommended that this departments assess their need for PPE and the appropriate supplies be provided and staff inserviced on the need for use when handling chemicals. The SDS should be referenced as to the need for goggles, aprons, etc. and if gloves are required ensure they are of the type that will be adequate to protect the employee from chemical exposure
Safety Data Sheets readily available
The SDS must be accessible to all employees at all times either in a physical book or an online system. If you choose to have a physical book, all chemicals should have an up to date SDS that is compliant with the GHS system, and they should be organized in a manner that staff can immediately find the correct sheet in the case of an exposure. For example, all chemicals listed alphabetically with an index of chemicals at the front of the book. (Alphabet tabs can also be used to help expedite finding the correct sheet in the case of an exposure) and every chemical shipment must be checked to ensure a newer SDS has not been provided. If access in online, all staff must have immediate access to a computer that is on and a direct link to the program
Ladders or stepstools in good condition
The step stools in the facility should be replaced by a stepladder or step stool that has an anti-skid bottom and an even better model would provide a third point of contact when using.
Proper tools used for opening containers
Staff need training on use of the proper tools used to open containers.
Plastic liners in all garbage pails and covered
Garbage should be stored in a bin with a liner and closed, fitted lid garbage is removed to decrease the potential for the spread of infection
Proper handling of biohazardous materials.
It is recommended that staff be reinserviced on the importance of proper handling of biohazardous materials
No excessive lifting; repetitive or heavy weight
It is recommended that you review strategies to avoid excessive, repetitive lifting by engineering out the risk through the use of equipment (cart/dolly) breaking down the load, multiple smaller loads, etc
All equipment properly grounded
Any equipment that has a damaged cord, plug or the ground prong removed/missing should be placed out of service until it can be repaired
Chemicals/Cleaning solutions clearly labeled and stored properly
All chemicals should be in properly labeled containers. Labels should include the name of the chemical and the health and safety risk associated with the chemical
Eye wash accessible and employees aware of location
Eyewash stations should be located where staff will have immediate access in the event of an exposure. (within 50 ft. or accessible in 10 seconds) Eyewash stations must be located in areas where there is greater likelihood of eye exposure to harmful/corrosive products
Extension cords in good condition and properly grounded
Any equipment that has a damaged cord, plug, ground prong removed/missing should be placed out of service until repaired
Furniture, carts, etc. on one side of room or hall while cleaning
It is recommended that staff use care to positions carts, equipment, wheelchairs on the same side of the hallway to avoid blocking the hallway and essentially blocking the egress
Food or beverages where there is a risk of the food/drink being contaminated by chemicals or infectious materials
Staff should not have food or beverages in areas where chemicals are stored due to the risk of the food/drink being contaminated and potential chemical ingestion. Drinks noted on housekeeping cart

PHYSICAL THERAPY

Equipment checked to prevent electrical shock or burns
Electrical cords should be inspected regularly and repaired immediately when wires are exposed or removed from service
Employees aware of proper equipment use
Employees should be inserviced on proper use of the equipment noted
Floors tested for non-slipping in area of walking exercises.
Monitor all floor areas for consistent coefficient of friction.
Mops available for spills
Ensure that mops/supplies are available to immediate cleanup of spills
All moving parts; ropes, pulley, straps, etc. regularly inspected
Train employees to ensure that all equipment is inspected before initial use in each work shift, and more frequently as necessary, to identify any visible defects that could cause injury
Railing secured
With regular inspections of handrails, you can identify and correct problems before they become accidents you could have prevented. Ensuring that your handrails and guardrails are safe will help to ensure the safety of all who use them
Equipment and supplies stored properly
Staff should be diligent about keeping the floors clean and free of debris/clutter. The floor was cluttered with various items on the floor in high traffic working areas creating a trip/slip hazards

MAINTENANCE

Electrical panels doors closed yet assessable as needed
Circuit panel doors should be kept closed at all times
Clearance of 3 feet in all directions maintained around the panel doors
A clear path should be maintained to access all circuit breaker panels and a clearance of 3 feet in all directions should also be maintained around the panel doors
Circuit breaker panels labeled and readable
The circuit breaker panel should be clearly labeled to indicate the specific area that is supplied electricity by each circuit
Electrical equipment/tools properly grounded in good condition
Any equipment that has the ground prong removed/missing should be placed out of service until the plug can be replaced
Mechanical equipment in good repair and regularly serviced
Ensure there in a procedure in place to inspect and service all equipment used in the facility
Excess oil and/or grease around machinery and equipment
Ensure that any grease or oil that is spilled during maintenance is immediately cleaned up. If grease or oil in noticed during use, the equipment should be taken out of service until the source is determined and any repairs needed are completed
Flammable liquids properly stored
In the maintenance area all flammable liquids should be stored in a metal cabinet intended for that use
Safety guard on compressor
The safety devices in a compressor are relief valve fitted at every stage of the compressor, bursting disc, alarms, and cutouts for high air temperature and low lubricating oil pressure. Relief valve are fitted at every stage of the compressor, it release the excess pressure when the pressure rises above set value
Safety Data Sheets readily available
The SDS must be accessible to all employees at all times either in a physical book or an online system. If you choose to have a physical book, all chemicals should have an up to date SDS that is compliant with the GHS system, and they should be organized in a manner that staff can immediately find the correct sheet in the case of an exposure. For example, all chemicals listed alphabetically with an index of chemicals at the front of the book. (Alphabet tabs can also be used to help expedite finding the correct sheet in the case of an exposure) and every chemical shipment must be checked to ensure a newer SDS has not been provided. If access in online, all staff must have immediate access to a computer that is on and a direct link to the program
PPE used when performing hazardous tasks
It is recommended that this department assess their need for PPE and the appropriate supplies be provided and staff inserviced on the need for use when handling chemicals, OPIM, or tasks that could harm parts of the body due to falling/flying objects, electrical energy exposure, etc
Ladders in good condition
It is recommended that this step ladder be replaced with a newer ladder with better safety features
Grinder properly guarded with shield, rest properly positioned
The tool rest on the grinder should be adjusted on an ongoing basis and should not be farther than 1/8 inch from the wheel
Compressed gas storage
Compressed gas cylinders shall be secured in an upright position at all times except, if necessary, for short periods of time while cylinders are actually being hoisted or carried. Inside of buildings, cylinders shall be stored in a well protected, well ventilated, dry location, at least 20 feet (6.1 m) from highly combustible materials such as oil or excelsior. Cylinders should be stored in definitely assigned places away from elevators, stairs, or gangways. Assigned storage places shall be located where cylinders will not be knocked over or damaged by passing or falling objects, or subject to tampering by unauthorized persons. Cylinders shall not be kept in non-ventilated enclosures such as lockers and cupboards
Lockout/Tagout policy, equipment available and staff trained
The lockout/tagout standard establishes the employer’s responsibility to protect employees from hazardous energy sources on machines and equipment during service and maintenance. Employees need to be trained to ensure that they know, understand, and follow the applicable provisions of the hazardous energy control procedures. The training must cover at least three areas: aspects of the employer’s energy control program; elements of the energy control procedure relevant to the employee’s duties or assignment; and the various requirements of the OSHA standards related to lockout/tagout. Use only lockout/tagout devices authorized for the particular equipment or machinery and ensure that they are durable, standardized, and substantial
Tools in safe working order and good condition
Ensure there in a procedure in place to inspect and service all tools used in the facility
Exits unobstructed and illuminated
1910.37(a)(3) Each exit sign must be illuminated to a surface value of at least five foot-candles (54 lux) by a reliable light source and be distinctive in color. Self-luminous or electroluminescent signs that have a minimum luminance surface value of at least .06 footlamberts (0.21 cd/m2) are permitted
Materials stacked/stored appropriately
Staff should make sure that boxes are stored/stacked in a safe manner. Any large or heavy boxes should be stored on shelves between the knees and shoulders, where there is less risk for back injury and it is more safe to place and retrieve them. Boxes in the storage areas were also noted to be placed with a portion of the box was hanging over the edge. All boxes should be fully on the shelf.
Hazardous chemicals clearly labeled
I noted containers that did not have OSHA compliant labels/were not labeled with the required information. Secondary containers are those that chemicals are transferred into at the worksite and they must be labeled with, at a minimum, The Substance Name, Classification, Labeling Information, Pictograms, Signal Word, Hazard Statements, Precautionary Statements, Prevention, Response, Storage, Disposal. If not included on the label due to space limitations, employers must ensure that there is “other information immediately available to employees” to provide specific information regarding the chemical’s health and physical hazards. The SDS is one method that an employer may use to provide the requisite additional information. If an employer uses SDSs to provide the additional information, they must be immediately available to all employees in their work area throughout each work shift (e.g., not stored in a locked office or online access that is not available to all staff at all times)
Blade guards on table saws, band saws, and radial are saws
Machinery guarding should be in place and in good repair at all times. If guarding is missing or broken, the equipment should be placed out of service until corrected.
Ensure metal ladders never used for electrical work
Metal ladders should never be used when dealing with electricity. Always choose a nonconductive ladder made of wood or fiberglass
Broken/damages ladders removed from service
The ladder owned by the facility is an older wooden ladder which had several loose steps and the hinges have become loose so that the ladder legs could shift somewhat to the side. It is recommended that this step ladder be replaced with a newer ladder with better safety features
Gasoline powered equipment operated in well ventilated areas
All Employers and Equipment Users Should: NOT allow the use of or operate gasoline powered engines or tools inside buildings or in partially enclosed areas unless gasoline engines can be located outside away from air intakes. Use of gasoline powered tools indoors where CO from the engine can accumulate can be fatal
Oxygen cylinders separated from fuel gas cylinders at least 20'
Oxygen cylinders in storage shall be separated from fuel/gas cylinders or combustible materials (especially oil or grease), a minimum distance of 20 feet (6.1 m) or by a noncombustible barrier at least 5 feet (1.5 m) high having a fire-resistance rating of at least one-half hour
Oxygen cylinders separated from combustible materials
Oxygen cylinders in storage shall be separated from fuel-gas cylinders or combustible materials (especially oil or grease), a minimum distance of 20 feet (6.1 m) or by a noncombustible barrier at least 5 feet (1.5 m) high having a fire-resistance rating of at least one-half hour.
Full and empty cylinders stored separately
Full and empty cylinders should be stored separately to minimize handling of cylinders. Where they absolutely must be stored in the same area, precautions for handling the cylinders must still be observed. Where empty and full cylinders are stored together, empty cylinders must be segregated from full cylinders. For cylinders with internal pressure gauges, the facility needs to establish a pressure at which the cylinders will be considered empty
Gas cylinders secured by chain, stand, method to prevent from tipping/falling
Gas cylinders should be properly secured at all times to prevent tipping, falling or rolling. They can be secured with straps or chains connected to a wall bracket or other fixed surface, or by use of a cylinder stand. The gas cylinders should be stored in a cool, dry, well ventilated, fire-resistant area that meets all applicable federal, state and local regulations. When a gas cylinder is empty or not being used, ensure that the valve is closed, the regulator removed and the valve protector cap is secured in place
Trash compactors operated safely
Only trained and authorized staff members should be allowed to operate the trash compactor. Employees who work in the vicinity of the trash compactor must be trained to ensure all safety precautions are taken during the course of the work day to keep all workers safe. Visitors should not be allowed near heavy equipment at any time. Always make sure the door of the compactor is shut before operating the equipment and never open the door when the compactor is in operation
Safety measures or machine guarding for trash compactors
Ensure all guards are kept in place, especially during operation of any open top trash compactor. Wearing proper PPE, like gloves and safety glasses, helps protect against cuts, scrapes and abrasions when handling waste material that is sorted and loaded into an open top trash compactor. Ear plugs, hard hats and goggles should be worn, if recommended by the manufacturer or required by the employer
Eye wash station accessible and employees aware of location
Eyewash stations should be located where staff will have immediate access (within 10 seconds or 50 feet) in the event of an exposure. Eyewash stations must be located in areas where there is exposure to any chemical that is labeled as corrosive, risk to eyes. Areas with greater likelihood of eye exposure to harmful products might include the laundry, kitchen, and maintenance
Oily rags dried outside then kept in closed metal containers
The oils commonly used in oil-based paints and stains release heat as they dry. If the heat is not released in the air, it builds up. That is why a pile of oily rags can be dangerous. As the rags dry, the heat is trapped. The heat builds up and finally causes a fire. Never leave cleaning rags in a pile. At the end of the day, take the rags outside to dry. • Hang the rags outside or spread them on the ground. Weigh them down. Do this so they do not blow away. Make sure they are not in a pile. Keep them away from buildings. • Put dried rags in a metal container. Make sure the cover is tight. Fill the container with a water and detergent solution. This will break down the oils. • Keep containers of oily rags in a cool place. Keep them out of direct sunlight. Keep them away from other heat sources. Check with your local regulations for information on disposing of them
Extension cords in good condition and properly grounded
Grounded plugs on electrical equipment should be replaced when the ground prong has been removed or is missing
Extension cords not used on a long term basis
Extension cords should not be used on a permanent or long-term basis. If the is an ongoing need for electricity an outlet should be added to that area
Ensure there is no chaining of electrical devices
Devices that increase the number of outlets (outlet multipliers, extension cords) should never be used as this increases the risk of overloading the circuit, which could result in fire or electrical shock. A power strip with a surge protector may be used as long as electric devised as plugged directly into the power strip and additional extension cords are never allowed
PPE used during lawn mowing and weed eating operations
Ensure that staff use appropriate PPE when using a lawnmower: Eye protection: goggles. Ear protection: ear muffs. Foot protection: Sturdy shoes or boots. Leg protection: Long pants – ensure they are not too loose. Protection from the sun: sunscreen, hat, etc. A face shield should be used, in addition to safety glasses, when operating a string/brush trimmer and other times when your face could be hit by debris. Over time, you will lose your hearing if you are exposed to loud noises without protection. Two common types of hearing protection are muffs and plugs

LAUNDRY

Rubber mats around sinks
In areas that floors are frequently wet and/or spills occur (wet and dry) and staff should use care to keep floors dry. I recommend evaluating if mats would be beneficial in areas that are frequently wet
Hand iron disconnected and safely stored
After every use, unplug the iron and empty out the water reservoir so the residual heat from the iron can help to dry it out. Set the iron in a safe place while it cools then store it upright in a cool, dry place. Clean your iron frequently as needed
Lint regularly cleaned from dryer
Safety is one of the top concerns. If your dryer lint trap isn't being cleaned after every use, your safety and your facility's safety could be at risk. Lint is a flammable material and if not properly cleaned from the dryer, it could cause a fire. When completing a load of laundry, your dryer gets hot and will heat up lint in the dryer lint trap in the process. Cleaning your dryer lint trap after every use will reduce the risk of possible fire
Exhaust fans and grills routinely cleaned
It is important to clean fans and grills to helps get rid of odors, airborne contaminants and moisture in the air. A fan covered in dust doesn't work efficiently, eventually leading to mold, mildew and possibly a fire
PPE available for chemicals assessed to require PPE
It is recommended that this departments assess their need for PPE and the appropriate supplies be provided and staff inserviced on the need for use when handling chemicals. The SDS should be referenced as to the need for specific types of PPE and whether pt. care gloves are adequate to protect the employee from chemical exposure
Stable step stools available and used for reaching high shelves
The step stools in the facility should be replaced by a stepladder or step stool that has an anti-skid bottom and provides a third point of contact when using
Linen carts stored out of the way when not in use
Access to workspace should be kept clear of laundry carts, racks, etc. to decrease risk of trips/falls
PPE used when handling soiled laundry (gown, gloves)
PPE to prevent splash contamination should be provided for laundry staff when they are rinsing out soiled linen or clothing. Goggles and mask or a face shield should be worn as well as heavier gloves that cover the wrists and forearms. A gown or apron that would not allow moisture to seep through to staffs clothing underneath would also be recommended
Wet items handled in small quantities
Staff should be monitoring the weight of items they are lifting; this can be especially important in the laundry where linenclothing can have low volume but still be of significant weight due to being saturated with liquid. Staff may have to move a lot of wet items and the temptation to move larger amounts creates a risk for back and shoulder injury. Larger loads also increase the chance that soiled linen might be held against the body and cause employee exposure and/or cross contamination
Carts have spring loaded surface
The use of spring loaded platforms in laundry carts can decrease bending to access laundry in the bottom of deep carts. Below is a picture of the system for you to consider. You would have to contact a vendor to locate these to fit your particular laundry carts
Cleaning solutions clearly labeled and stored properly
Per OSHA; All containers should be labeled with at least the following information: Identity of the chemical, All potential hazards associated with the chemical, Manufacturer’s name, address and telephone number
Extractors inspected regularly for safe working conditions
Ensure there in a procedure in place to inspect and service all equipment used in the facility
Contaminated linen placed in specially marked, safe bags
OSHA standards requires that soiled linen should be handled as little as possible and with minimum agitation to prevent exposure to the handler, see 1910.1030(d)(4)(iv)(A). Linen soiled with blood or OPIM which is sent to a facility to be laundered must be placed and transported in specially marked bags that also prevent leakage, see 1910.1030(d)(4)(iv)(A)(1). The standard does not prohibit the employer from laundering on site as long as the laundering is performed by trained individuals utilizing universal precautions. Other provisions on laundry are set forth in 1910.1030(d)(4)(iv)
Clean linen handled separate from soiled linen
Once linen has been decontaminated it must be stored separately from contaminated linen to prevent crosscontamination. Clean should be stored in a clean, designated area, preferably an enclosed cupboard. If clean linen is not stored in a cupboard then the trolley used for storage must be designated for this purpose and completely covered with an impervious covering that is able to withstand decontamination
Floors kept clean
The laundry room should be thoroughly cleaned to remove build up of dust and chemicals on the floor, which cause this area to be less sanitary as well as creating a floor that is more susceptible to slips
Employees wear non-skid shoes
Slip-resistant or nonslip shoes are designed to reduce slips, trips, and accidental falls. Their outsoles have grippy treads, keeping you stable on your feet while walking on wet and slippery terrains. Nonslip shoes are ideal for people who work in health care setting where walking surfaces can be wet
Procedure to prevent sharps injury in laundry
A sharps container should be located in the laundry sorting area for immediate disposal. Heavy duty puncture resistant gloves should be worn while staff are sorting laundry
Machines adequately guarded and properly grounded
Machinery guarding should be in place and in good repair at all times. If guarding is not replaced after service, missing, or broken the equipment should be placed out of service until corrected
Access to water and cool air for employees to combat heat stress
Environmental Risk Factors for Heat Illness: Working conditions that create the possibility that heat illness could occur include air temperature, relative humidity, radiant heat from the sun and other sources, conductive heat sources such as the ground, air movement, workload severity and duration, protective clothing and personal protective equipment worn by workers. Personal Risk Factors for Heat Illness: Risk factors, such as an individual’s age, degree of acclimatization, health, water consumption, alcohol consumption, caffeine consumption and use of prescription medications, which affect the body’s water retention or other physiological responses to heat. Provision of Water Employees will have access to potable drinking water. Water will be fresh, pure, suitably cool and provided to employees free of charge. The water will be located as close as practicable to the areas where employees are working. Sufficient quantity is defined as enough to provide one quart per employee per hour for drinking for the entire shift. The frequent drinking of water, as described in the training section, will be encouraged. Employees must be allowed to keep their water and go to drink it in an area that is free from risk of exposure to chemicals or bloodborne pathogens
Carts specified and only used for dirty or clean laundry
Carts for dirty vs. clean laundry should be clearly identified by label, color, style to decrease the risk for cross contamination
Fire extinguishers accessible and serviced
A clear path should be maintained to access all fire extinguishers. All fire extinguisher should be inspected annually and checked monthly for charge
Unobstructed means of egress
All exit routes must remain cleared at all times
Eye wash station accessible and employees aware of location
Eyewash stations should be located where staff will have immediate access (within 10 seconds or 50 feet) in the event of an exposure. Eyewash stations must be located in areas where there is exposure to any chemical that is labeled as corrosive, risk to eyes. Areas with greater likelihood of eye exposure to harmful products might include the laundry
Safety Data Sheets readily available
Employers must ensure that the SDSs are readily accessible to employees for all hazardous chemicals in their workplace. This may be done in many ways. For example, employers may keep the SDSs in a binder or on computers as long as the employees have immediate access to the information without leaving their work area when needed and a backup is available for rapid access to the SDS in the case of a power outage or other emergency

STOREROOMS

Storerooms well illuminated
All work areas should be well lit allowing staff to see any hazards in the area
Exits and aisles clear
Staff should be diligent about keeping the floors clean and free of debris/clutter. The walkways were also cluttered with boxes and items stacked on the floor creating a trip hazard to anyone trying to access items on the shelves
Empty boxes, cartons, and paper disposed of immediately
Staff should be diligent about keeping the floors clean and free of debris/clutter. The floor was cluttered with various items blocking walkways. The storage closet was also cluttered with boxes and items stacked on the floor creating a trip hazard to anyone trying to access items on the shelves
Items on shelves: heavy waist-level; medium-low; light-overhead
Staff should make sure that boxes are stored/stacked in a safe manner. I noted boxes that were very heavy (full paper boxes) stored on shelving that was above my head in the file storage area. Any large or heavy boxes should be stored on shelves between the knees and shoulders, where there is less risk for back injury and it is more safe to place and retrieve them
Materials stored clear of sprinkler heads/firefighting equipment
A clearance area of 18 inches in all directions should be maintained around all sprinkler heads
Flammable liquids in approved containers/cabinets/quantities
1926.152(a)(1) Only approved containers and portable tanks shall be used for storage and handling of flammable liquids. Approved safety cans or Department of Transportation approved containers shall be used for the handling and use of flammable liquids in quantities of 5 gallons or less, except that this shall not apply to those flammable liquid materials which are highly viscid (extremely hard to pour), which may be used and handled in original shipping containers. For quantities of one gallon or less, the original container may be used, for storage, use and handling of flammable liquids. 1926.152(b)(1) No more than 25 gallons of flammable liquids shall be stored in a room outside of an approved storage cabinet. See full standard for more detail
Step stools/ladders in good condition
The step stool/ladder is damaged so should be removed from service and replaced.
Corrugated cartons opened with safe knife or cutting tool
Along with being extremely important for utility knives and safety cutters, utilizing a sharp blade is important for just about any knife you will ever use. A sharp blade will cut much easier than a dull one. This helps to ensure that the blade doesn’t slip from the surface of whatever you may be cutting and cause injury. A sharp blade works with you, versus against you. In addition to utilizing a shape blade, make sure that you always pull it towards you with control. This helps to make sure that your cuts are clean and straight. You also guarantee that you aren’t going to veer off course and accidentally cut someone by pushing the blade away from you. When you get ready to make a cut and pull a utility knife or safety blade towards you, double check the cutline or knife path. Make sure that your fingers are clear of this area and that there is no clothing or other items in the way of your cutline. Also make sure that whatever you are cutting is secure so that when you pull the blade towards you, what you’re cutting doesn’t move or slip. Lastly, in order to avoid any injuries, make sure to take your time. For thick materials, pass over the same cutline multiple times instead of forcing it to cut. Also, take the time to make sure you’re cutting whatever you need to safely
Fire extinguishers accessible and regularly serviced
The procedure for monthly checks of fire extinguishers should ensure that each one is checked monthly. A clear path should be maintained to access all fire extinguishers
Storage on ledges, in corners, top of cabinets, etc. eliminated
Boxes were also noted to be placed with a portion of the box was hanging over the edge. All boxes should be fully on the shelf/stack
Hand truck and dollies available for moving supplies
As with carrying loads by hand and with vehicles, handling loads with hand trucks, carts and dollies can pose hazards if they are not used properly. Avoid accidents by following these safety tips: Use the two-wheel hand truck only when handling light loads. Always use the four-wheel hand truck for heavy loads. Always make sure the weight is evenly distributed on all wheels of a hand truck, cart or dolly, especially with four-wheeled hand trucks with side railings. (Hand Trucks) Before use, inspect center ladder section, cross bars and vertical bar for cracks and other defects/damage. Check all welds before moving loads. Never pull a cart, dolly, or hand truck. Always push it when moving loads
Adequate space for proper lifting techniques
Ensure that prior to lifting or moving any object there is adequate space to have a wide supportive stance and room to pivot the body to avoid twisting, if needed, and there is a clear path to where the load needs to go
Flammable items stored min 3 feet from light bulbs, flame
Keep lamps, light fixtures and light bulbs at least 3 feet away from anything that can burn. (Furniture, bedding, curtains, clothing and flammable or combustible gases and liquids)
Storage at least 18 Inches below sprinkler heads
Sprinkler heads should have an area of at least 18 inches in all directions kept clear so the spray pattern is not blocked
Liquid items always stored below eye level
It is recommended that all chemical be dispensed and stored below eye/face level. In the event of a spill, the chemical could come into contact with the eyes/face. Chemicals dispensing units were mounted high on the wall so dispensing was above or at eye/face level depending on height.

Facility Inspection Checklist 2023

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ADMINISTRATION and PROGRAMS

GENERAL

EXTERIOR

HAZARD COMMUNICATION

HALLWAYS+COMMON USE AREA+STAIRS

RESIDENT AREAS

BATH SHOWER ROOMS

NURSING

DIETARY

HOUSEKEEPING

PHYSICAL THERAPY

MAINTENANCE

LAUNDRY

STOREROOMS

Sheet

Related checklists

Facility Inspection Checklist 2023

Free Facility Inspection Checklist 2023 Checklist

Go digital today!

Convert your paper checklists into digital forms

ADMINISTRATION and PROGRAMS

GENERAL

EXTERIOR

HAZARD COMMUNICATION

HALLWAYS+COMMON USE AREA+STAIRS

RESIDENT AREAS

BATH SHOWER ROOMS

NURSING

DIETARY

HOUSEKEEPING

PHYSICAL THERAPY

MAINTENANCE

LAUNDRY

STOREROOMS

Sheet

Related checklists