Information

  • Audit Title

  • Conducted on

  • Prepared by

  • Location
  • Personnel

LIFE SAFETY

  • Appropriate storage of boxes and pt care items:<br> * Not directly on floor.<br> * 18" clearance from sprinkler head.<br> * Boxes stored on shelves close to floor must have solid bottom and high enough to not incur water damage from mopping.<br> * Volume of combustible material is not stored in large quantity as to create a fire hazard.

  • Oxygen or other combustible compressed gas cylinders are stored properly:<br> * Secured in floor stand, carrier or secured to the wall by a mount. (not laying on the floor or against wall)<br> * Limited to 12 E-cylinders per smoke compartment.<br> * Greater than 12 stored in a secured room.

  • Fire exits and hallways are cleared:<br> * Egress corridors must have 8ft clearance.<br> * Equipment in corridors must be actively accessed to be in use.

  • Fire alarm pull stations, fire extinguishers, medical gas shutoff valves are not blocked.

  • Fire extinguishers have been inspected monthly.

  • Maximum of 2-32 gallon trash cans in a 10x10 room. (unless fire rated)

  • Fire doors are not blocked or propped and when closed there is positive latching.

  • Exit signs are illuminated.

  • Evacuation route posted & current.

  • Everyone has ID badges and worn appropriately:<br> * Staff and Visitors

  • Ceiling tiles are in place, no cracks, holes, misaligned or visible stains.

  • Floors, ceilings, walls, and other surfaces intact and free from holes.

  • Nurse call lights working.

  • Are there any alarms operating appropriately?

DESCRIBE THE DEPARTMENTS RESPONSE TO ARRIVAL

  • Greet the team with smiles and introductions.

  • Have a space designated for the team to conduct interviews and file reviews.

  • Promptly deliver materials required for review to the tracer team.

  • Any additional comments regarding positive or suboptimal issues observed during the tracer.

  • Surveyors Signature

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