Audit

GENERAL SAFETY

Hallways and stairs are free of obstructions?

Elevator doors open / close properly

Walls and ceilings are free of major damage and stains?

Floors have no damaged carpet or tile, slippery spots, or tripping hazards

Ventilation grills are clean and unobstructed?

Handrails are present and secure in patient rooms, bathrooms, and stairwells

Comments:

FIRE SAFETY

All fire extinguishers have been inspected monthly

Fire extinguishers / pull stations are easily accessible?

Are EXIT signs illumination working and unobstructed?

Self-closing doors are not obstructed or held open with wedges, chairs, etc.?

When fire doors are allowed to close, they close all the way and latch shut?

Comments:

GAS / ELECTRICAL SAFETY

Only hospital approved extension cords are in use and are not trip hazards or untidy?

The outside of equipment and power cords and plugs have no visible damage?

Utility panels are free from obstructions?

Electrical outlets are free from damage

Medical equipment is properly tagged , PM's have been conducted within the last 12 months?

Gas valves and panels are properly labeled and functioning?

Comments:

STORAGE

Equipment is stored and stacked properly with 18 inches of clearance below the sprinkler heads?

Boxes or supplies are kept at least 6 inches off of the floor?

Gas cylinders are secured in carts, stands, or chained to the wall

Comments:

SECURITY

Electrical closets and hazardous areas are kept locked?

Personal items (purses, wallets, keys, etc.) are stored out of sight?

Doors with extra security devices, such as card readers and key pads, are always allowed to close and lock?

Employees are wearing photo ID's (face forward)?

Comments:

INFECTION CONTROL

Isolation rooms are properly labeled, functioning, and supplies are readily available outside the door?

Department is clean and dust free?

Are needle / sharp containers less than 2/3rd full and secured to the wall, cabinet, or cart?

Waste containers are available to separate general waste from infectious waste?

Evidence of hand hygiene in ( ) # of employees out of ( ) # observed?

Refrigerator clean and all contents within manufactures expiration date?

Microwave oven is clean

Personal Protective Equipment is readily available where appropriate?

No evidence of storage under the sinks

Comments:

COMMENTS

Comments:

PHOTOS
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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.