Pittsburgh Zone 1 Weekly Quality/Safety Inspection

• Pittsburgh

  Select

• Inspection Date

  Date

• Inspected by

INSPECTION REQUIREMENT

• Per COP 5.9, In order to maintain safe, clean and attractive facilities, center management will conduct a weekly quality walk inspection of 1/4 of the center, for the purpose of identifying safety deficiencies, unresolved maintenance issues and quality of life issues. At a minimum, the quality walk inspection team will be comprised of the Center Director, F&A Director, Maintenance Manager/Supervisor, Safety Officer and the Supervisor, Manager or Director responsible for the area(s) being inspected.

Section I. Wellness Specific

• Examining rooms are private, separate from reception area, clean and has adequate space.

  Yes

  No

• Adequate storage space and medical supplies are in locked closet or cabinet.

  Yes

  No

• Medications are labeled and kept in a locked storage.

  Yes

  No

• Communicable disease patients are kept in isolation rooms that are equipped with restroom and showers.

  Yes

  No

• Hazardous materials, medical Waste, and sharps are properly labeled, stored and disposed of.

  Yes

  No

• Any additional Comments

• Yes

  No

STRUCTURAL INTEGRITY ALL AREAS IN ZONE 1

• Floors: clean, cleanable, in good repair

  Yes

  No

  N/A

• Walls and ceilings: clean, paint in good condition, cleanable

  Yes

  No

  N/A

• Foundation structurally sound ; no water leaks or flooding; walls and ceilings intact

  Yes

  No

  N/A

• Windows and doors not broken; open and close as designed

  Yes

  No

  N/A

• Stairways, stair tread and hand rails: in good repair; and free of trip hazards

  Yes

  No

  N/A

• Exterior walls and gutters are free of defects; and gutters are secured to building, and free of sagging, holes, cracks and leaks

  Yes

  No

  N/A

GENERAL HEALTH AND SAFETY

• No evidence of vermin, insects or rodents. Outer openings protected.

  Yes

  No

  N/A

• Ventilation adequate, no odors or moisture

  Yes

  No

  N/A

• Cleaning supplies, mops, brooms properly stored

  Yes

  No

  N/A

• Carpets and floor coverings securely fastened

  Yes

  No

  N/A

• Windows, sills, curtains, screens, shades: clean and in good repair

  Yes

  No

  N/A

• Lighting adequate, fixtures clean

  Yes

  No

  N/A

• Water fountains clean and working properly

  Yes

  No

  N/A

• First aid kits are stocked and conveniently located

  Yes

  No

  N/A

• AED is operational, with batteries and pads within the expiration dates

  Yes

  No

  N/A

• Enter location of AED that was inspected

• Safety Data Sheets (SDS) are maintained and conveniently located (SDS are on file for all chemicals; MSDS have been replaced with SDS)

  Yes

  No

  N/A

• Secondary chemical containers are properly labeled.

  Yes

  No

  N/A

• Emergency eyewash station is inspected and flushed regularly; functioning properly

  Yes

  No

  N/A

FIRE AND ELECTRICAL SAFETY

• Fire extinguishers accessible, charged, unobstructed and have undergone the required annual inspection.

  Yes

  No

  N/A

• Fire escapes, accessible, marked, unlocked; periodic fire drills conducted

  Yes

  No

  N/A

• Evacuation route maps posted and contain all the required information.

  Yes

  No

  N/A

• Flammable liquids, oily rags and waste properly stored; No fire hazards

  Yes

  No

  N/A

• Alarm system functioning properly; exit signs illuminated; smoke detectors working properly

  Yes

  No

  N/A

• The fire alarm system is free of trouble notifications.

  Yes

  No

  N/A

• Emergency lighting/Exit Signs functioning properly<br>(functional testing should be conducted by pressing the "push to test" button for a minimum of 30 seconds).

  Yes

  No

  N/A

• Fire Sprinkler Systems: in good condition with no visible damage; free of external leaks

  Yes

  No

  N/A

• The sprinkler system has undergone the required annual inspection.

  Yes

  No

  N/A

• 18” clearance maintained between sprinkler heads and stored items

  Yes

  No

  N/A

• Electrical installations adequate

  Yes

  No

  N/A

• GFCIs functioning properly

  Yes

  No

  N/A

BATHROOMS (Common and Individual)

• Toilets: adequate in number, in good repair, clean, toilet paper available

  Yes

  No

  N/A

• Showers and tubs: in good repair, hot and cold water, clean, mildew free

  Yes

  No

  N/A

• Sinks: clean, in good repair, hot and cold water, soap available, drying device available

  Yes

  No

  N/A

• Adequate ventilation, no odors or moisture

  Yes

  No

  N/A

• Plumbing installations and drains adequate

  Yes

  No

  N/A

• Rubbish containers: provided, adequate, clean, emptied daily

  Yes

  No

  N/A

Section 2 Grounds Adjacent Zone 1 Structures

• Will you be inspecting Center grounds?

  Yes

  No

Center Grounds

• This section will cover outdoors areas to include:
  - lawns, fields, sidewalks, roadways, parking areas, fencing and gates
  - A Light Survey section is also include
  
  

• Perimeter fencing in good condition (no gaps or holes in fencing)

  Yes

  No

  N/A

• Entry/Exit gates and Vehicle Control traffic arm devices are in working condition (items open/close or lift up/down per manufacturers guidelines)

  Yes

  No

  N/A

• Roadways, parking lots and sidewalks are free from build up of broken limbs and leaves

  Yes

  No

  N/A

• Roadways, parking lots and sidewalks have safe and even surfaces, with no sinking, uneven pavement, or potholes

  Yes

  No

  N/A

• Grounds are free of trash and debris

  Yes

  No

  N/A

• Retaining walls, drainage basins, and other lawn or ground features are in good condition, free of excessive debris

  Yes

  No

  N/A

• Free of graffiti or vandalism

  Yes

  No

  N/A

Light Survey

• All exterior lights are operational

  Yes

  No

  N/A

• How many exterior lights were identified as non-operational?

Additional Comments/Information/Photos

• Any further comments or recommendations from this inspection?

• Add any additional relevant photos

  Media

Completion

• All persons involved in the inspection will print their name and sign below

• Signature of Inspector

  Sign

• Center Director

  Sign

• Name of others involved in inspection

  Sign

• Name of others involved in inspection

  Sign

• Name of others involved in inspection

  Sign

• Name of others involved in inspection

  Sign

• Name of others involved in inspection

  Sign

• Name of others involved in inspection

  Sign