Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Location:

  • Does site contain Asbestos? If so, see Asbestos containment procedures and form.

  • Adequate barriers in place?

  • Barrier smoke tight/ no combustible?

  • Barrier dust proof with walk-off "sticky" pads in place?

  • Proper construction signage "Authorized personnel only" / "Contact Engineering for access" signage in place?

  • Applicable SAMC permits in place and on display?

  • Contractor following proper FGI guidelines for Healthcare construction (Negative pressure relationship with HEPA filtration)?

  • Site ADA compliant?

  • All trades following OSHA guidelines?

  • ILSM, if necessary, in place?

  • Trades properly trained regarding ILSM?

  • Temporary Fire Protection, if needed, in place?

  • Trades aware of Emergency egress routes?

  • ILSM Fire Drills being performed?

  • All exits clear and not blocked by carts or material?

  • Free access to Emergency Services (doors, entrances, drives) not obstructed?

  • Alternate route around construction site clearly marked?

  • Have trades been properly trained on how to notify PBX in the event of a fire?

  • Smoking is prohibited on site and all trades have acknowledged policy?

  • Site is clean and orderly?

  • Trades are aware of adjacent patient care areas effected by their work and noise?

  • Site access restricted?

  • Storage of material on site clean, orderly, and not excessive?

  • Fire, Smoke control, and Sprinkler systems maintained and functional?

  • Will there be any Noise, Vibration, or Drilling involved? If so, fill out "Noise and Vibration Risk Assessment" form.

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