Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

FHMMC 12th Floor Administration

  • 40" / 31.5g Exec Console Conf Doc -restroom lobby

  • 40" / 31.5g Exec Console- Conf. Doc.- Copy Room

  • "0" containers larger than 32 gallons

  • Containers not closer than 8'

FHMMC 11th Floor Classroom

  • "0" containers larger than 32 gallons

FHMMC 10th Floor - Education

  • 40" / 31.5g Exec Console- Conf. Doc.- Reception Area

  • "0" containers larger than 32 gallons

FHMMC 10th Floor Nursing Unit

  • 40" / 31.5g Exec Console- Nurses Station

  • 40" / 31.5g Exec Console- Conf. Doc.- Equipment Room

  • Containers not closer than 8'

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 2ea

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 9th Floor Department of Clinical Effectiveness

  • 40" / 31.5g Exec Console Conf Doc 1

  • 40" / 31.5g Exec Console Conf Doc 2

  • Containers not closer than 8'

  • "0" containers larger than 32 gallons

FHMMC 9th Floor Mother Baby Unit

  • 40" / 31.5g Exec Console Conf Doc - Nurse Station

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 9th Floor Hospice

  • 40" / 31.5g Exec Console Conf Doc - Nurse Station

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 8th Floor Employee Health/Diabetes

  • 40" / 31.5g Exec Console Conf Doc - Workroom

  • "0" containers larger than 32 gallons

FHMMC 8th Floor Rehab Office

  • 40" / 31.5g Exec Console Conf Doc

  • "0" containers larger than 32 gallons

FHMMC 8th Floor Nursing Unit

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 1

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 2

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 3

  • 40" / 31.5g Exec Console Conf Doc

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 7th Floor Nursing Admin

  • 40" / 31.5g Exec Console Conf Doc 1

  • 40" / 31.5g Exec Console Conf Doc 2

  • 40" / 31.5g Exec Console Conf Doc 3

FHMMC 7th Floor Nursing Unit

  • 40" / 31.5g Exec Console Conf Doc 1 Nurse Station

  • 40" / 31.5g Exec Console Conf Doc 2 Nurse Station

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 1

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 2

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 6th Floor Nursing Unit

  • 40" / 31.5g Exec Console Conf Doc 1 Nurse Station

  • 40" / 31.5g Exec Console Conf Doc Equipment Room

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 1

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 2

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 5th Floor Case Management

  • 40" / 31.5g Exec Console Conf Doc

  • "0" containers larger than 32 gallons

FHMMc 5th Floor Nursing Unit ICU

  • 40" / 31.5g Exec Console Conf Doc - Nurse Mgr Office

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 1

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station 2

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 4th Floor Information Svcs

  • 40" / 31.5g Exec Console Conf Doc 1

FHMMC 4th Floor Nursing Unit Birth Care

  • 40" / 31.5g Exec Console Conf Doc 1- Front Desk

  • 40" / 31.5g Exec Console Conf Doc 2- Nurse Station

  • 24"/ 15g Exec Console- Conf. Doc.- Nursery

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 3rd Floor Nursing Unit CSDU

  • 95g Wheeled Container conf doc.- Soiled Holding by Central Monitor Room

  • 40" / 31.5g Exec Console- Conf. Doc.- Central Monitor Rm

  • 40" / 31.5g Exec Console- Conf. Doc. 1 - Nurse Station

  • 40" / 31.5g Exec Console- Conf. Doc. 2 - Nurse Station

  • 24"/ 15g Exec Console- Conf. Doc.- Nurse Station

  • "0" containers larger than 32 gallons

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

FHMMC Nursing Unit Cardio- CVICU, CPU, Cath Lab, Admin

  • 40" / 31.5g Exec Console- Conf. Doc. CVOR Holding

  • 40" / 31.5g Exec Console- Conf. Doc. CVICU Nurse Station

  • 40" / 31.5g Exec Console- Conf. Doc. - Dr Lounge

  • 40" / 31.5g Exec Console- Conf. Doc. 1 CPU Nurse Station#1

  • 40" / 31.5g Exec Console- Conf. Doc. 2 CPU Nurse Station #2

  • 24"/ 15g Exec Console- Conf. Doc. - Admin Rob Grant Ofc.

  • 24"/ 15g Exec Console- Conf. Doc. - Office next to CV Education classroom

  • 24"/ 15g Exec Console- Conf. Doc. 1 Cath Lab

  • 24"/ 15g Exec Console- Conf. Doc. 2 Cath Lab

  • 24"/ 15g Exec Console- Conf. Doc. 3 Cath Lab

  • 24"/ 15g Exec Console- Conf. Doc. 4 Cath Lab

  • 24"/ 15g Exec Console- Conf. Doc. .?

  • 24"/ 15g Exec Console- Conf. Doc. ?

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 2nd Floor Pharmacy

  • 40" / 31.5g Exec Console- Conf. Doc. 1

  • 40" / 31.5g Exec Console- Conf. Doc. 2

  • 40" / 31.5g Exec Console- Admin Office

  • 24"/ 15g Exec Console- Conf. Doc. . Coordinator Office

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • "0" containers larger than 32 gallons

FHMMC 2nd Floor SPD

  • 40" / 31.5g Exec Console- Conf. Doc.

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 2nd Floor PreOp Testing

  • 95g Wheeled Container - doc. Soiled Holding

  • Large Soiled Carts- trash, linen & bio waste- located in properooms only

FHMMC 2nd Floor ASU

  • 95g Wheeled Container/ conf doc.- Soiled Holding

  • 40" / 31.5g Exec Console- Conf. Doc. Nurse Station

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 2nd Floor Recovery

  • 40" / 31.5g Exec Console- Conf. Doc. Nurse Station

  • 24"/ 15g Exec Console- Conf. Doc. 1 Nurse Station

  • 24"/ 15g Exec Console- Conf. Doc. 2 Nurse Station by Docs

  • 24"/ 15g Exec Console- Conf. Doc. PreOp Holding

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

FHMMC 2nd Floor OR

  • 95g Wheeled Container- conf. doc.

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 1st Floor Admitting- Registration

  • 40" / 31.5g Exec Console- Conf. Doc. Behind main registration

  • 40" / 31.5g Exec Console- Conf. Doc. Behind ED registration

  • 40" / 31.5g Exec Console- Conf. Doc. Office by ED registration

  • "0" containers larger than 32 gallons

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

FHMMC 1st Floor ED

  • 40" / 31.5g Exec Console- Conf. Doc. Admin Suite Conf Room

  • 40" / 31.5g Exec Console- Conf. Doc. Doctors Lounge

  • 24"/ 15g Exec Console- Conf. Doc. Fast Track

  • 24"/ 15g Exec Console- Conf. Doc. Triage workroom

  • 24"/ 15g Exec Console- Conf. Doc. Nurse Station Main

  • 24"/ 15g Exec Console- Conf. Doc. Nurse Station #2

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 1st Floor Cardio

  • 95g Wheeled Container- conf. doc. Clean Utility

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 1st Floor Imaging

  • 40" / 31.5g Exec Console- Conf. Doc. Reception

  • 40" / 31.5g Exec Console- Conf. Doc. Rad Workroom Ultrasound

  • 40" / 31.5g Exec Console- Conf. Doc. Rad Workroom Nuc Med

  • 40" / 31.5g Exec Console- Conf. Doc. Rad Workroom CT

  • 40" / 31.5g Exec Console- Conf. Doc. Radiologists Reading Room

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 1st Floor LAB

  • 40" / 31.5g Exec Console- Conf. Doc. 1

  • 40" / 31.5g Exec Console- Conf. Doc. 2

  • 40" / 31.5g Exec Console- Conf. Doc. 3

  • 40" / 31.5g Exec Console- Conf. Doc. 4

  • 24"/ 15g Exec Console- Conf. Doc.- Supervisor office Blood Draw

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • "0" containers larger than 32 gallons

FHMMC 1st Floor Med Staff, Mail rm

  • 40" / 31.5g Exec Console- Conf. Doc. - Mail Room

  • 40" / 31.5g Exec Console- Conf. Doc. - Doctors Lounge

  • 40" / 31.5g Exec Console- Conf. Doc. - Physician Workroom

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • "0" containers larger than 32 gallons

FHMMC 1st Floor MED Records

  • 95g Wheeled Container- conf. doc. 1 Storage

  • 95g Wheeled Container- conf. doc. 2 Storage

  • 95g Wheeled Container- conf. doc. 3 Storage

  • 40" / 31.5g Exec Console- Conf. Doc. 1- Near Main Entry

  • 40" / 31.5g Exec Console- Conf. Doc. 2 - Center Hall

  • 40" / 31.5g Exec Console- Conf. Doc. 3 - Near Main Entry

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHMMC 1st Floor MM, Engineering

  • 40" / 31.5g Exec Console- Conf. Doc. Materials Mgt

  • 40" / 31.5g Exec Console- Conf. Doc. Security Office

  • 40" / 31.5g Exec Console- Conf. Doc. Engineering office

  • 40" / 31.5g Exec Console- Conf. Doc. FANS Kitchen

  • 24"/ 15g Exec Console- Conf. Doc.- EVS Supervisor office

  • 24"/ 15g Exec Console- Conf. Doc.- EVS AsstD office

  • "0" containers larger than 32 gallons

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

Starr Rehab

  • 95g Wheeled Container- conf. doc.

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

  • "0" containers larger than 32 gallons outside properly rated storage area

FHO 3rd Floor

  • 95g Wheeled Container- conf. doc. - Copier closet

  • 64g Wheeled Container- conf. doc. - Case Mgrs Office

  • 40" / 31.5g Exec Console- Conf. Doc. Nurse Station

  • 24"/ 15g Exec Console- Conf. Doc. - doctors office

  • "0" containers larger than 32 gallons outside properly rated storage area

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

FHO 2nd Floor

  • 40" / 31.5g Exec Console- Conf. Doc. Rehab Gym

  • "0" containers larger than 32 gallons outside properly rated storage area

FHO 1st Floor

  • 95g Wheeled Container- conf. doc. 1 Med Records

  • 95g Wheeled Container- conf. doc. 2- Med Records

  • 95g Wheeled Container- conf. doc. 3- Med Records

  • 95g Wheeled Container- conf. doc. FANS- kitchen

  • 40" / 31.5g Exec Console- Conf. Doc. - Health Care Partners

  • 40" / 31.5g Exec Console- Conf. Doc. - Pharmacy

  • 40" / 31.5g Exec Console- Conf. Doc. 1- ED

  • 40" / 31.5g Exec Console- Conf. Doc. 2- ED

  • 40" / 31.5g Exec Console- Conf. Doc. 1- LAB

  • 40" / 31.5g Exec Console- Conf. Doc. 2- LAB

  • 40" / 31.5g Exec Console- Conf. Doc. - Cardio

  • "0" containers larger than 32 gallons outside properly rated storage area

  • Large Soiled Carts- trash, linen & bio waste- located in properly rated rooms only

  • Containers not closer than 8'/ or 32g within 64 sq.ft. In non protected space

FH Imaging

  • Need info:

Additional Comments

  • Additional Comments

  • Signature of person completing report

  • Type name of person completing report

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