Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Grounds/Building

  • Lighting adequate in Parking Area?

  • Are grounds free of trash/debris?

  • Are parking signs placed in proper spaces and in correct place (handicapped, visitor, physician)?

  • All entrances to building (including handicap ramps) clear of hazards and walking surfaces in good condition (cracked cements, clearly marked)?

  • Are all smoking areas clearly posted, cigarette extinguishing pots in place, and fire suppressants readily available?

  • Is the exterior of the facility in a proper and presentable state (clean, free of nuisance foliage, debris removed, etc.)?

  • Is all office space free of debris and doorways free of obstructions?

  • Are hallways and walking areas free of chords/hazards/debris?

  • Is all Kitchen equipment in proper working order and chords tagged?

  • Are all facility interior lighting fixtures in proper working condition and all burnt bulbs replaced?

Transportations

  • Are all Oceans vehicles on site in proper working mechanical order?

  • Are all Oceans vehicles on site clean and presentable (exterior and interior)?

  • Are all lifts utilized in Oceans vehicles on site in proper working condition?

  • Are all vehicle maintenance logs in proper place and completed accordingly?

  • Are all employees utilized as transportation drivers currently up to date on all required training?

  • Is the tire rotation and preventative maintenance schedule currently up to date?

Employee Safety

  • Have employees demonstrated safe work practices?

  • Is the proper PPE available for employees?

  • Do facility employees know where the proper PPE is stored?

  • Do facility employees know where proper patient lifting/transporting equipment is stored (wheelchairs, draw sheets, Hoyer lifts, gait belts, slings)

  • Is all lifting/transporting equipment in proper working condition ( Equipment must have a maintenance schedule to be performed by EOC personnel)?

  • Are all shelves at a height that allows employees to no overextend when reaching?

  • Is adequate staff available as to allow for two person lifting when helping move patients?

  • Are all staff members currently up to date on required safety/reorientation training and are these records readily available?

Patient Safety

  • Are patient areas free of hazards?

  • Are patient bedrooms in proper order and safety measures in working order?

  • Are patient shower areas free from slip hazards?

  • Are shower handrails blocked off to prevent patient injury?

  • Is shower area sanitary and free of mildew?

EOC

  • Are handrails in good, working condition?

  • Are eye wash stations in property working condition and unobstucted?

  • Are any lights bulbs burnt or need to be changed?

  • Are A/C vents clean and free of dust?

  • Are floors clean and unobstucted?

  • Are doors/gate locked and secured?

  • Is all required EOC paperwork completed and available?

  • Have work orders been generated, completed, or scheduled for hazards?

  • Are there any current outstanding repairs?

  • Has the required fire system paperwork been documented and filed in the appropriate time frame required?

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.