1.1 Has the last EoC Inspection been reviewed?
1.2 Have all outstanding concerns been resolved?
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, electrical panels and medical gas shut-offs unobstructed?
A4. Are fire extinguisher monthly checks completed?
A5. Is material stored 18" below sprinkler heads?
A6. Is the area free of signs of smoking?
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 needle boxes less than 2/3 full?
B5. Are eyewash stations inspected weekly?
C1. Are employees wearing ID badges?
C2. Are medication carts locked and crash carts checklist completed, up to date?
C3. Are mechanical, electrical, janitorial, communication rooms and electrical panels locked?
C4. Are staff's personal belongings properly safeguarded to prevent theft?
D1. Is clean linen covered and kept separate from soiled linens?
D2. Are patient's refrigerators clean, free of unopened & unlabeled containers and temp checks completed?
D4. Is medical waste kept in red biohazard bags or containers?
D3. Is medication and food kept in separate refrigerators?
D5. Are underneath sink areas clear of any storage?
D6. Is PPE readily available?
D7. Are employees eating and drinking in designated areas?
E1. Are electrical outlets in good condition with wires safely maintained?
E2. Are compressed gases stored properly, (empty separated from full) no more than 12 full E cylinders stored in one smoke area?
F1. Is medical equipment clean, properly inspected and tagged?
G1. Are Chemicals stored away from patient contact and clean items?
G2. Are primary and/or secondary chemical containers properly labeled?
H1. Do written Emergency plans exist for this site and were they reviewed (to include: Emergency Operations All Hazards Plan, Code Red Plan, Code Amber Plan, Code White Plan, Code Grey Plan, Code Orange Plan, Code Brown Plan and Emergency Transport Plan)?
H2. Has Fire Drill been completed and documented for this location?
H3. Has an Emergency Drill been completed and documented for this location?
H4. Has HVA been completed and documented for this location?
H5. Has HVA been reviewed for this calendar year?