Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Previous Inspection

  • 1.1 Has the last EoC Inspection been reviewed?

  • 1.2 Have all outstanding concerns been resolved?

A. Life Safety Management

  • A1. Doors: Latch properly, free of doorstops, closures on storage room doors are functional?

  • A2. Are exit doors and stairwells unobstructed and clearly marked/illuminated EXIT?

  • A3. Are pull stations, fire extinguishers and electrical panels unobstructed?

  • A4. Is material stored 18" below sprinkler heads?

  • A5. Are fire extinguisher monthly checks completed?

  • A6. Is the area free of signs of smoking?

B. Safety Management

  • B1. Are corridors and passageways unobstructed with undamaged floors, walls, ceilings and handrails?

  • B2. Are general areas clean and clear of clutter, with furnishings, floors, walls and ceilings in good conditions?

  • B3.. Are storage and equipment rooms clean and free of clutter?

  • B4. Are eyewash stations inspected weekly?

C. Security Management

  • C1. Are employees wearing ID badges?

  • C2. Are mechanical, electrical, janitorial, communication rooms and electrical panels locked?

  • C3. Is the Code One icon on PC's?

  • C4. Were all Code One Locations correct for these PCs?

D. Infection Prevention

  • D1. Is PPE readily available?

  • D2. Are underneath sink areas clear of any storage?

  • D3. Are employees eating and drinking in designated areas?

E. Hazardous Material Management

  • E1. Are Chemicals safely stored away?

  • E2. Are alll chemical containers properly labeled?

F. Utility Management

  • F2. Are electrical outlets in good condition with wires safely maintained?

G. Additional Identified Deficiencies

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