Orlando Health Non-Hospital Security Threat Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Descriptors

• Family/Practice Name: <br>

  Safe

  At Risk

  N/A

• Assessment Date:

  Safe

  At Risk

  N/A

• Facility/Practice Address:

  Safe

  At Risk

  N/A

• Facility/Practice Manager:

  Yes

  No

  N/A

• Person Preparing Report:

  Yes

  No

  N/A

• Contact Telephone number:

  Safe

  At Risk

  N/A

I. General Information

• Description of Facility/Practice activities:

  Safe

  At Risk

  N/A

• Description of Assessment Area:

  Safe

  At Risk

  N/A

• Ownership:

  Yes

  No

  N/A

• Is property leased?

  Yes

  No

  N/A

• Is property owned?

  Yes

  No

  N/A

• Address & phone number of Law Enforcement Jurisdiction:

  Safe

  At Risk

  N/A

• Operating Hours:<br>Weekdays: <br>Saturday:<br>Sunday:

  Yes

  No

  N/A

II. Building & Perimeter

• Total number of perimeter entrances/exits:

  Safe

  At Risk

  N/A

• Are all entrances/exits supervised?<br>If not, how are they controlled?

  Yes

  No

  N/A

• Perimeter fence(s) present?

  Yes

  No

  N/A

• If yes: Type:<br>Height:<br>Distance from Building:<br>Barbed Wire Top:

  Yes

  No

  N/A

• Roof openings or entries?<br>If yes, are they secured & how?

  Yes

  No

  N/A

• Floor grates, ventilation openings?<br>If yes, are they secured & how?

  Yes

  No

  N/A

• Adjacent occupancy?<br>If yes, describe:

  Yes

  No

  N/A

• Shrubs present?<br>If yes, are they in good condition & away from building?

  Yes

  No

  N/A

• Criminal activity in area?<br>If yes, describe:

  Yes

  No

  N/A

• Narcotics stored on site?<br>If yes, are they secured & how?

  Yes

  No

  N/A

III. Vehicular Movement

• Is employee parking within perimeter fence?

  Yes

  No

  N/A

• Do employees have access to vehicles during work hours?

  Yes

  No

  N/A

• Do vehicles have passes or decals?

  Yes

  No

  N/A

IV. Lighting

• Is perimeter lighting provided? If yes, is it adequate?

  Yes

  No

  N/A

• Is there an emergency lighting system within the facility?

  Yes

  No

  N/A

• Are all the exits sufficiently lighted?

  Yes

  No

  N/A

• Is external lighting in use during all night hours?

  Yes

  No

  N/A

• Is external lighting adequate for parking areas?

  Yes

  No

  N/A

• How is lighting external checked/maintained?

  Safe

  At Risk

  N/A

V. Locking Controls

• Does the facility/practice have adequate control and records for all keys?

  Yes

  No

  N/A

• Is a master key system in use?

  Yes

  No

  N/A

VI. Alarms

• Does this facility utilize any security alarm devices? <br>Number of alarms?

  Yes

  No

  N/A

• Are alarms of central station type connected to law enforcement agency or outside monitoring service?

  Yes

  No

  N/A

• Is list of authorized personnel to "open & close" alarmed premises up to date?

  Yes

  No

  N/A

• Are local alarms used on exit doors?

  Yes

  No

  N/A

• If you have an alarm, do you have accompanying policy and procedure?

  Yes

  No

  N/A

• Is closed-circuit television utilized?

  Yes

  No

  N/A

• Is the CCTV recorded?

  Yes

  No

  N/A

VII. Sensitive Populations/Areas

• Does your facility treat or have any of the following sensitive populations/departments?

  Yes

  No

  N/A

• Pediatrics?

  Yes

  No

  N/A

• Behavioral Health?

  Yes

  No

  N/A

• Pharmacy?

  Yes

  No

  N/A

• Information Services?

  Yes

  No

  N/A

• Cash Office?

  Yes

  No

  N/A

• Other: (Describe)

  Yes

  No

  N/A

VIII. Security Incidents

• Has your facility suffered any security related events recently? (If yes, describe event, outcomes & corrective actions taken)

  Yes

  No

  N/A

IX. Additional Comments

• Any additional comments? (If yes, please comment)

  Yes

  No

  N/A