Security Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Supervisor / Manager Name and Contact Number:

• Police Department Contact and phone number:

• Who Does Maintance?

• Safety Rep: and contact Number

• Site / Address / Phone number
  Address

• Security Rep and Contact Number

• Personnel

• Front Layout

  Drawing

Security Technology

• Card Access in use? / What System?

  Yes

  No

  N/A

• Panic Alarms in Use? What System? Where do they Report to?

  Yes

  No

  N/A

• Security Alarm system in use? What system if yes?

  Yes

  No

  N/A

General Security questions

• Are there CCTV Cameras on site?

  Yes

  No

  N/A

• What CCTV System?

  Viconet

  Other System

• How Many doors to the Exterior?

  3 Entrances

  1 Entrance

  2 Entrances

  4 Entrances

• How many entrances are unlocked at a time zone?

  3 Entrances

  1 Entrance

  2 Entrances

  4 Entrances

• Is Behavioral Health on Site

  Yes

  No

  N/A

• Are Narcotics Keep on Site?

  Yes

  No

  N/A

• Any High Security Incidents in the Last Year?

  Yes

  No

  N/A

Money Storage

• Is Money Keep on Site?

  Yes

  No

  N/A

• Is Money Keep over Night?

  Yes

  No

  N/A

• Is there a Safe on Site?

  Yes

  No

  N/A

Active shooter

• Is there a separation from the registration area/waiting to back area?

  Yes

  No

  N/A

• Is there locking hardware on the doors?

  Yes

  No

  N/A

• Is There Lock Down Buttons in Place? If Yes Locations?

  Yes

  No

  N/A

• Is there a Designated Safe Area? Where?

  Yes

  No

  N/A

Documentation /Drills

• Are Security Alert Code Green Drills Conducted on Site? Last one

  Yes

  No

  N/A

• Is Security Alert Code Green Policy up to Date?

  Yes

  No

  N/A

Safe knowledge

• Are Staff Aware of Active Shooter Plan and Location?

  Yes

  No

  N/A

• Are Staff Aware of who to call when they have a combative patient?

  Yes

  No

  N/A

• Are staff aware of where to complete Security Incident Report?

  Yes

  No

  N/A

General Notes

• Summary Notes:

End Of Assessment

• Security Rep

  Sign

• Building Manager Supervisor or Rep

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