Spartanburg Regional: Life Safety EHS Rounds

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Life Safety Egress Observations

• Egress free from obstruction(s)?

  Yes

  No

  N/A

• Emergency exits clear of obstruction(s)?

  Yes

  No

  N/A

• Fire and/or Smoke doors free of obstruction(s) & door props and are operating correctly? Latch and Seal properly when closed?<br>

  Yes

  No

  N/A

• Exit doors and stairwells clear?

  Yes

  No

  N/A

Life Safety Equipment Observations

• Fire Extinguishers are charged and inspected?<br>

  Yes

  No

  N/A

• Fire Alarm Pull Stations and Fire Extinguishers unobstructed? <br>

  Yes

  No

  N/A

• Oxygen shut-off valves unobstructed?<br>

  Yes

  No

  N/A

• There are NO unapproved electrical devices on the unit?<br>

  Yes

  No

  N/A

• Exit doors are clearly marked "EXIT" and illuminated?<br>

  Yes

  No

  N/A

• Sprinkler Heads in good repair / dust free?

  Yes

  No

  N/A

• Hand sanitizer NOT over a trash can?<br>

  Yes

  No

  N/A

• Hand sanitizer NOT over carpet without a drip tray?<br>

  Yes

  No

  N/A

Life Safety : Staff Knowledge

• Demonstrate location of fire alarm pull station and fire extinguisher

  Yes

  No

  N/A

• Explain / Demonstrate evacuation routes / protocols. <br><br>Horizontal, Vertical, Complete

  Yes

  No

  N/A

• Explain RACE<br><br>Rescue - Alarm - Contain- Extinguish/Evacuate

  Yes

  No

  N/A

• Explain PASS<br><br>Pull<br>Aim<br>Squeeze<br>Sweep

  Yes

  No

  N/A

• Identify Oxygen shut-offs and who is authorized to turn them off?<br><br>Charge nurse or supervisor can authorize the shut off of the oxygen system after confirming patients are on a portable oxygen system

  Yes

  No

  N/A

• Explain the First method of evacuation used in the even of a fire <br><br>Horizontal evacuation to an area separated by sets of smoke doors.

  Yes

  No

  N/A

• Locate Paraslyde Evacuation devices.<br><br>7 & 8 Tower; 4 & 5 Heart; NICU<br>Hospice House

  Yes

  No

  N/A

• Explain who can authorize the use of elevators while a fire alarm is sounding.<br><br>Fire Marshal or the Safety Officer

  Yes

  No

  N/A

• Why are the halls and passageway egress kept clear of clutter and equipment?<br>

  Yes

  No

  N/A

• What is a Code Red?<br><br>Fire

  Yes

  No

  N/A

Life Safety Storage Area(s) Observations

• Storage areas clean and without clutter?<br>No cardboard on floor?

  Yes

  No

  N/A

• Materials are stored at least 18 inches below sprinkler heads?

  Yes

  No

  N/A

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