Life Safety Egress Observations

Egress free from obstruction(s)?

Emergency exits clear of obstruction(s)?

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

Exit doors and stairwells clear?

Life Safety Equipment Observations

Fire Extinguishers are charged and inspected?

Fire Alarm Pull Stations and Fire Extinguishers unobstructed?

Oxygen shut-off valves unobstructed?

There are NO unapproved electrical devices on the unit?

Exit doors are clearly marked "EXIT" and illuminated?

Sprinkler Heads in good repair / dust free?

Hand sanitizer NOT over a trash can?

Hand sanitizer NOT over carpet without a drip tray?

Life Safety : Staff Knowledge

Demonstrate location of fire alarm pull station and fire extinguisher

Explain / Demonstrate evacuation routes / protocols.

Horizontal, Vertical, Complete

Explain RACE

Rescue - Alarm - Contain- Extinguish/Evacuate

Explain PASS


Identify Oxygen shut-offs and who is authorized to turn them off?

Charge nurse or supervisor can authorize the shut off of the oxygen system after confirming patients are on a portable oxygen system

Explain the First method of evacuation used in the even of a fire

Horizontal evacuation to an area separated by sets of smoke doors.

Locate Paraslyde Evacuation devices.

7 & 8 Tower; 4 & 5 Heart; NICU
Hospice House

Explain who can authorize the use of elevators while a fire alarm is sounding.

Fire Marshal or the Safety Officer

Why are the halls and passageway egress kept clear of clutter and equipment?

What is a Code Red?


Life Safety Storage Area(s) Observations

Storage areas clean and without clutter?
No cardboard on floor?

Materials are stored at least 18 inches below sprinkler heads?

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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.