Project Name:

Project Location:


All exits and unobstructed are useable, including the construction area

The means of egress in the construction area are unobstructed and useable

All Life Safety Equipment (fire alarms, fire sprinklers, smoke detectors, alarm pull stations, exit lights, emergency lights, door operators, latches and controls, etc.) are NOT impaired and are in proper working order.

Temporary construction/renovation partitions are in place; smoke tight; made on no combustible materials that will not contribute to the development or spreading of a fire.

Air pressure barriers are active (negative pressure maintained, exhaust fans functioning, air quality adequate, no excess fumes/vapors)

All ILSM required by permit are implemented?


All approved permits are posted at each entrance to the construction/renovation area. (Interim Life Safety Plan, Penetration Permits, etc.)

Construction area is secure (barriers are adequate to prevent entry from unauthorized persons, vermin, etc.)

Safety has been notified of ANY equipment or systems disabled prior to them being disabled

Contractors are following safe work practices (observe for trip/fall hazards, ladder safety, and no smoking)

Proper construction garb/ ppe is in use. Including appropriate hospital approved badges.

Construction personnel hygiene, appearance, and conduct is appropriate.

Is the construction/renovation area clean and orderly

All waste and scrap has been removed and disposed of properly with tight lid on during transport

Patient care equipment and items have been removed from the construction area

Compressed gas cylinders are properly stored and secured

Electrical cords and equipment is maintained in good condition. (No frayed cords or damaged equipment)

All hazardous materials, including flammable liquids, are properly labeled, store and disposed of when not in use.

Ceiling tiles are replaced when the space above the ceiling is not being accessed.


Construction/renovation areas, adjacent areas, and personnel are free from dust and debris

Walk Off/Tack Mats are clean and adequate

Construction personnel and materials are transported on dedicated elevators. (Non-Patient use elevators)

Negative air machine or Air Scrubber machines are in place, on and filters are not clogged

Please enter date and time of the inspection.
Person completing the inspection, please sign below

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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.