Georgia Regional Hospital Atlanta EOC Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Safety EC.2.1 Performance Standards.

• Work areas clean and orderly?

  Yes

  No

  N/A

• No tripping hazards?

  Yes

  No

  N/A

• Floors clean and dry?

  Yes

  No

  N/A

• Furniture free of jagged edges an corners?

  Yes

  No

  N/A

• Storage room clean and safe?

  Yes

  No

  N/A

• All other safety hazards found?

  Safe

  At Risk

  N/A

Security E.C. 2.2 Performance Standards

• All staff wearing ID Badges ?

  Yes

  No

  N/A

• All doors locks functioning properly?

  Yes

  No

  N/A

• Any contraband found on the unit?

  Yes

  No

  N/A

• Sensitive areas secured?

  Yes

  No

  N/A

Hazardous Material & Waste E.C. 2.3

• Hazardous Materials stored properly?

  Yes

  No

  N/A

• No unlabeled containers?

  Yes

  No

  N/A

• Does the staff know how to access the MSDS online program?

  Yes

  No

  N/A

• PPE available for staff?

  Yes

  No

  N/A

Emergency Preparedness E.C. 2.4

• All staff know where the emergency plans are located?

  Yes

  No

  N/A

Life Safety E.C. 2.5

• All sprinklers unobstructed / unpainted?

  Yes

  No

  N/A

• Fire extinguishers in designed cabinets/locations?

  Yes

  No

  N/A

• Fire extinguishers inspection tags complete?

  Yes

  No

  N/A

• All staff have fire keys?

  Yes

  No

  N/A

• All emergency exit signs working and visible?

  Yes

  No

  N/A

• No exits are obstructed?

  Yes

  No

  N/A

• No extension cords used as permanent wiring?

  Yes

  No

  N/A

• No objects stored within 18 inches of ceiling?

  Yes

  No

  N/A

• No penetrations in ceiling, walls, or floors?

  Yes

  No

  N/A

• No doors propped open?

  Yes

  No

  N/A

• No outlet boards on the floor?

  Yes

  No

  N/A

• All lint traps on dryers clean?

  Yes

  No

  N/A

Medical Equipment E.C.2.6

• All medical equipment inspected?

  Yes

  No

  N/A

Utility Systems E.C.2.7

• No dripping faucets or pipes?

  Yes

  No

  N/A

• All outlets working and in good repair?

  Yes

  No

  N/A

• All lights working?

  Yes

  No

  N/A

Physical Environment E.C 2.8

• All areas maintained and in good repair?

  Yes

  No

  N/A

• All waste receptacles clean, sanitary, covered?

  Yes

  No

  N/A

• Ceiling and walls in good repair?

  Yes

  No

  N/A

• Any suspect mold, mildew, other other growths on the unit?

  Yes

  No

Housekeeping

• Vents dust free?

  Yes

  No

  N/A

• Washers/dryers clean (log signed)?

  Yes

  No

  N/A

• Housekeeping closets locked?

  Yes

  No

  N/A

• Housekeeping cart attended?

  Yes

  No

  N/A

• Chemicals or supplies on top of cart?

  Yes

  No

  N/A

• Wet floor sign used if mopping?

  Yes

  No

  N/A

• Pest sightings?

  Yes

  No

Outdoor areas

• Front entrance neat and free of trash?

  Yes

  No

  N/A

• Soffit lights free of debris and working?

  Yes

  No

  N/A

• Fenced area clean of trash.

  Yes

  No

  N/A

• Fencing in good repair and securely fastened to frame?

  Yes

  No

  N/A

• Pavilion in good repair?

  Yes

  No

  N/A