Audit

Fire/Life Safety

Fire extinguishers readily accessible/unobstructed

Fire extinguishers tagged and inspected monthly

Travel distance to fire extinguishers < or = 75'

Doors in egress corridor self-closing or automatic closing

Doors not propped open

Doors in egress corridor positive latching

Fire doors free of obstructions to allow proper closing

Ceiling tiles in place/not damaged/stained

Evacuation routes posted and current

Hall is free of obstructions that could block free movement

Equipment located on one side of the aisle

Nurse servers/charting surfaces kept up/secure when not in use

Exit stairwells/passageways free of obstructions

Exit signs:
* Adequately illuminated/marked
* Readily visible from any direction of access
* Provided with a directional indicator that shows direction of travel when nearest exit is not apparent

Linen/waste chute doors self-closing/positive latching

Pull boxes well marked and unobstructed

Alcohol-based hand sanitizer dispensers installed per codes (>6" from electrical outlet and not directly above an electrical outlet).

Smoking policy enforced

Electrical Safety

Equipment is in good working order with no visible signs of electrical safety hazards

Electrical safety checks performed by Biomed/Facilities as required

Electrical plugs and cords in good repair

Electrical extension cords are not in use except where permitted

Use of portable heating devices prohibited in patient treatment areas; except physician- ordered treatment devices

Portable heating devices prohibited in employee areas except when approved by engineering (non sleeping staff and employee areas and heating elements <212 deg.).

Blanket warmers safely used (correct temperature setting <=130 deg, not overloaded, adequate clearance on bottom rack, etc.)

Hazardous Chemicals/Hazardous Waste

Regulated Medical Waste properly handled, segregated, stored

Chemotherapy drugs properly handled, stored, and disposed

Sharps containers available and not overflowing

Acids, solvents, and other chemicals safely handled, stored

Personal protective equipment (gloves, gowns, aprons, safety glasses, masks, etc.) available, properly stored.

Containers properly labeled (identity and hazard warnings)

When corrosive chemicals are present, is there a portable eyewash stations available (within 15 second access unobstructed), operable, and tested/checked weekly

Access to MSDSs (SDS) via Citrix or security

Compressed gas tanks properly stored and secured

Oxygen storage limited to 12 e-cylinders (unless 1 hr. fire rated room).

General Safety

Storage areas neat and orderly, free of clutter

Storage greater than 18" from fire sprinkler heads

Carts, stretchers, IV poles, chairs, etc., in good condition

Walking/climbing surfaces (floors, stairs, etc.) clear/safe with no trip, slip or fall hazards (wet floors, cords across walking surfaces, wrinkled up carpets/rugs, etc.).

Wet floor signs available and used

Handrails in halls present, accessible and properly secured

Machine guarding in compliance

Security

Employees/staff wearing ID badges per policy

Panic alarms present/ functioning

Rooms/offices secure when unattended

Property/valuables secure and out of plain view

Emergency access to all locked and occupied spaces

Patient Care Environment (EC.02.06.01)

Interior spaces safe and suitable for patient care/treatment/services

Lighting is suitable for care, treatment, and services

Ventilation, temperature/humidity levels suitable for patient care

Areas clean, sanitary and free of offensive odors

Furnishings and equipment safe and in good repair

Emergency Preparedness

Staff can identify the location of the nearest emergency fire alarm pull station.

Staff can identify the location of their nearest exit and where they discharge the building

Staff can identify the location of their nearest fire extinguisher

Staff are familiar with RACE and PASS for fire reesponse

Staff can verbalized the hospital extension to call to report a fire/smoke situation

Staff can identify the location of the hospital Emergency Operations Plan and/or the Emergency Quick Action Guide

Staff can identify the correct actions to take during a Code Gray (Tornado) situation

Staff understand their roles and responsibilities during a Code Pink

Staff are familiar with the process of accessing a MSDS

Medical gas shutoff valves clearly labeled as to which rooms/areas they supply and staff can verbalized who is responsible for shutting them down during an emergency

Flashlights are readily available in the department and are functioning/available for emergency situations

Other Issues

Please report any additional safety issues, concerns, or comments

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.