Audit

Fire Safety

1. Are exit doors and stairwells clear?
Main, corridor, and stairwell exits cannot be blocked.

2. Are exit doors clearly marked "exit" and illuminated?
Check for burnt out bulbs.
EC.02.05.03

3. Do fire doors latch properly?
Close the fire doors to see if they latch properly and see that there is no gap<1/8 inch in the middle.
EC.02.03.05
LS.02.01.10
NFPA 101

4. Are corridors and passageways free of obstructions?
The corridors can have mobile items (wheels on them) that are emergency needed items and are in use. (8 ft corridor and 6 in projections followed with nothing remaining in the hall <30 min)
EC.02.05.07
LS.02.01.20
LS.03.01.20

5. Are pull stations or fire extinguishers unlocked and obstructed?
There must be nothing to obstruct access.
EC.02.03.01
EC.02.03.05
NFPA 101

6. Are doors propped / held open?
Doorstops or homemade held open devices are not allowed.
EC.02.03.05
NPFA 105
NPFA 80

7. Are materials stored a minimum of 18 inches from sprinkler deflectors?
The distance between sprinkler deflector and stored items is 18 inches for sprinkled buildings. Check storage rooms, med rooms, patient rooms, etc.
LS.02.01.10
LS.03.01.35

8. Are stored rooms and equipment rooms free from clutter and unsafe conditions?
Make sure that items are not falling down or overstocked. Can you confirm there is no storage on the floor, including closet floors?
EC.02.06.01

9. Do fire extinguishers have monthly and yearly checks?

10. Are linen, trash, and recycle bins < 32 gallons?
LS.02.01.70

11. Sprinkler heads clean and free from debris?

Fire Safety Staff Knowledge Questions

12. Does staff know the meaning of R.A.C.E.?

13. Does staff know the location of exit route?

14. Does staff know the meaning of P.A.S.S.?

Utilities Physical Inspection

15. All lighting is operational?

16. Can you confirm there is no storage under the sink?
UT 3. EC.01.01.01

17. Is there at least 36” of clearance from electrical panels, fire and pull stations? Are electrical panels locked?
LS.02.01.20
NFPA 101

18. Is Med Gas, O2 shut off location labeled and clear of obstruction?
EC.02.05.07
EC.02.05.09

19. Are all mechanical, electrical, janitorial, communications rooms clean with no storage?

Utilities Staff Knowledge Questions

20. Does staff know how to identify an emergency outlet? (Red outlets are fail-safe)

Safety & Security Management Physical Inspection

21. Are floors and hallways in good condition?

22. Walls are free from damage (chips, scuffs, or gouges)?

23. Are ceiling tiles clean, stain free, and in good condition?
Indicate where these bad tiles are located in the comments.
EC.02.06.01

24. Are heavy items stored at low levels or mid levels in storage?
Make sure heavy items are stored at waist level or lower shelves.

25. Is there an Emergency Operations Plan available? Check area for red emergency procedures guidebook.

26. Are staffs personal items properly secured?
RI.01.01.01

27. Are all employees wearing their I.D badges properly?

29. No space heaters present

Safety & Security Staff Knowledge Questions

30. Does staff know what a tornado watch and a warning are? (Code gray and code black)

31. Does staff know how to contact Security? 5550 non-emergent, 2222 for emergency

Hazardous Materials & Waste

32. Are appropriate procedures, instructions, or directions available for obtaining MSDS? MCL intranet page, HAZSOFT link.

33. All chemicals contain a manufactures label? Ensure all containers have a label.
EC.02.02.01
EC.04.01.01

Medical Equipment Physical Inspection

34. Does equipment have cords in good condition (no cracks or exposed wires)?

35. Are all medical equipment inspection tags current?
EC.02.04.01
EC.02.04.03

Infection Control Physical Inspection

36. Hand-washing soap dispensers are in place and filled?

37. Alcohol hand sanitizers are in place and not expired?

Notes or work orders needed:

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.