Life Safety Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Building Tour

• Fire extinguisher(s): available & inspected

  Yes

  No

  N/A

• Smoke/fire doors: not locked/obstructed. Doors with self-closures not propped open – except for maintenance, repair or cleaning and where fully attended. All doors must open 90º (i.e. no storage behind doors).

  Yes

  No

  N/A

• Exits signage: identified, properly illuminated & directional arrows correct.

  Yes

  No

  N/A

• Egress corridors: Clear and unobstructed

  Yes

  No

  N/A

• Electrical rooms: No items stored (ladders ok)

  Yes

  No

  N/A

• Hazardous rooms: Must be locked/secured (EVS closets, mechanical, soiled utility, electrical, telecom)

  Yes

  No

  N/A

• Emergency Items: No obstructed Fire Pull Boxes, Fire Extinguishers, or electrical boxes. Minimum 3’ in front of these items.

  Yes

  No

  N/A

• Alcohol Based hand rubs: Properly installed. Not directly over or <4" from side of dispenser to side of electrical source.

  Yes

  No

  N/A

• 18” ceiling storage: No storage within 18” of ceiling.

  Yes

  No

  N/A

• Stairwells: Free of obstructions & handrails properly installed; if applicable

  Yes

  No

  N/A

• Electrical cords, extension cords: Check cords and plugs to ensure no damage, frays, kinks. Cords not to be trip hazard, draped over furniture, equipment, etc. Power strips to be UL listed.

  Yes

  No

  N/A

• Walking surface: Free of trip/slip hazards

  Yes

  No

  N/A

• Hazardous materials: handled, stored & labeled properly

  Yes

  No

  N/A

• Emergency eyewash and shower equipment: Where required, must be present, and have clear & unobstructed path. Signage required. Completed weekly log for eyewash stations & showers – must be Orlando Health log. No evident damage. Bottle systems are not compliant.

  Yes

  No

  N/A

• Portable space heaters: Prohibited in all Orlando Health properties. Note the location of any space heaters found.

  Yes

  No

  N/A

• Badge worn above waist: ALL badges must be visible & worn above the waist, cannot be worn under lab coat unless in lab work area. <br>

  Yes

  No

  N/A

• Spill Kits: Present where required.

  Yes

  No

  N/A

• PPE: Team members observed wearing proper PPE, where required.<br>

  Yes

  No

  N/A

• Sidewalks, drives, and parking lots: Free of hazards

  Yes

  No

  N/A

• Outside lighting: Sufficient & in working order - ask staff

  Yes

  No

  N/A

• Landscaping: Free of hazards

  Yes

  No

  N/A

• Pre-construction Risk Assessment (PCRA): Paperwork & measures in place for projects as required (ILSM & ICRA). Staff Knowledge: Changes to life safety and/or infection prevention precautions.

  Yes

  No

  N/A

• Sinks: No storage under sinks (cleaning products only permitted under sinks). <br>

  Yes

  No

  N/A

• Floor: No items stored on floors. <br>

  Yes

  No

  N/A

• Non-medical equipment: Checked by Engineering

  Yes

  No

  N/A

• Any other unsafe conditions

  Yes

  No

  N/A

Staff Knowledge

• Spill Kits: Where kits required, staff knowlegeable on where located, how to use, and obtain replacment.

  Yes

  No

  N/A

• RAACE & PASS procedures: Staff knowledge of their duties during a Code Red event. Team members MAY NOT use their badges for RAACE & PASS.

  Yes

  No

  N/A

• Emergency color coded wall chart: Staff knowledge of where they can find immediate information to respond to an established code. Located on the main page on SWIFT & on Safety web-page. Not recommended to be printed as new updates will not be seen.<br>

  Yes

  No

  N/A

• Emergency Plans/Codes: Staff knowledge of emergency phone # for their facility. Location & how to access emergency operation plans. Knowledge of response to designated code of choice (not Code Red). <br>

  Yes

  No

  N/A

• MSDS: Staff knowledge of how to locate an MSDS via SWIFT.<br>

  Yes

  No

  N/A