• Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Required Postings

  • Construction Permit

  • Infection Control Risk Assessment Posted

  • Interim Life Safety Code submitted on The Joint Commission website

  • Signs are posted to prevent patients and hospital personnel from entering construction zone


  • Exits provide free and unobstructed egress through construction

  • Alternative exits clearly identified

  • Means of egress in construction area inspected dailt

  • Free and unobstructed access to ER/Services and for emergency

2.0 - Equipment & Safety

  • Construction areas are free of storage and housekeeping materials, food waste, and debris for daily operations to reduce flammable and combustible fire load of the building; floor area leading to/from construction site cleaned daily

  • Means of egress in construction are inspected daily

  • Extinguishers are recently serviced? (Check 6 monthly punch mark on tabs.)

  • Extinguishers clear of obstructions?

  • Power is properly secured during construction and at the end of each workday

  • Extension cords are grounded and in good condition

  • Workers wearing required identification and hard hats are used as required

Infection Prevention & Hazard Surveillance Safety

  • For project lasting <8 hours: use poly barriers floor to deck, create an airtight enclosure. Construct a 2-3 foot overlap of plastic for entry and exit. Need approval from infection Control

  • For projects lasting > 8 hours: solid airtight barrier is required with a doorway for entry and exit

  • Negative pressure relationship is maintained within area under construction. Visual indicators are required

  • Exhaust ducts sealed/capped as agreed by ICRA

  • Unused doors are sealed with masking or duct tape

  • HEPA filtration units, HEPA vacuum equipment, and/or continuous use of exhaustion fans demonstrate they are functioning appropriately

  • Cutting and welding operations are properly identified and safely conducted and have appropriate hot work permits

  • Documentation of worker attending system construction orientation is available upon request

  • All scaffolding complies with OSHA/MIOSHA requirements (1926.451)

  • Construction site secure and properly isolated from fresh air intake

  • Lock out/tag out procedures used as appropriate

  • Materials used (e.g. Fire retardant) comply with necessary safety regulations

  • No signs of water leakage or pests

  • Noise levels controlled

  • Workers demonstrate compliance with traffic patterns

  • Workers comply with the use of PPE as needed

  • Construction carts transporting debris are covered and consistent with agreement designed to minimize airborne particulate matter from debris

  • All doors and windows remain closed to prevent circulation of debris/dust

  • Walk-off mats and adhesive strips are clean and changed sufficiently, or construction exit is cleaned sufficiently to maintain clean entry/exits

  • Ceiling tiles replaced when space not being accessed

  • Equipment removed from the work site is either cleaned or covered before transport within the facility

  • Construction debris is wet down and removed in a tightly covered cart

  • Route to remove debris is away from patient care areas

  • Debris is removed at the end of the work day OR early the next morning before hospital traffic increases

  • Adjacent areas and traffic pathways are w t mopped as needed. NO foot prints or visible dust should be seen in the area

  • Barriers are left in tact until area thoroughly cleaned once work is completed

  • Barriers are removed carefully to minimize spread of dirt and debris

Chemical Safety

  • Material Safety Data Sheets available for all chemicals

  • Risk assessments completed for hazardous substances

  • All containers labelled correctly

  • Unused substances disposed of appropriately

  • Do special storage conditions apply

  • If applicable are special storage conditions followed

  • Evidence available upon request that workers are trained in the use of hazardous substances

  • If required is PPE available

  • Is adequate ventilation provided

  • Are eye washes and showers easily accessed

11.0 Ladders

  • Are all ladders Industrial strength (Non Household rated, check label.)

  • Are ladders in good condition

  • If used for electrical work are they non conductive (Wood or fibre glass.)

  • Used according to safety standards

Sign Off

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.