St. David's South Austin Medical Center

Audit Title

Client / Site

Personnel

Equipment in corridors is in use and not stationary over 30 minutes

Corridors and open alcoves are free from trash and linen carts.

Fire exit, cross-corridor and stairwell doors are equipped with panic hardware and self-closing devices (close completely and automatically)?

Corridors, fire exits and stairwells are clear and unobstructed?

Exit signs are illuminated and at least two are visible (all lights operational)?

Doors are held open only with magnetic hold open devices (no wedges, paper, cardboard, etc.)?

"Stairs" signs are displayed at stair entrances and elevator lobbies?

Corridor, cross-corridor and stairwell doors close and positively latch?

Electrical panels are locked and properly labeled?

No penetrations or separations in walls?

All light fixtures are protected, not damaged or burnt out?

There is no excessive trash or linen in the room?

All hazardous and proprietary doors are locked?

Biohazard signs on doors?

Biohazard bag usage acceptable?

Fire extinguishers have been checked monthly and have a current annual inspection tag?

Extinguishers less than 40 lbs must be no higher than 5 ft (measured from the floor to the top of the extinguisher), extinguishers greater than 40 lbs must be no higher than 3.5 ft (measured from the floor to the top of the extinguisher). Note: the clearance between the bottom of the extinguisher and the floor shall not be less than 4 inches?

No materials are blocking /hide ring access to or hanging off the fire extinguisher, fire pull, or emergency shut off (3 foot rule)?

There are no materials stored within 18 inches of any sprinkler head or 12 inches of lights if non-sprinkled?

Storage are clean, free of dust and clutter?

Shelves and stored items off floor ?

Extension cords are not in use?

Pow er strips are not plugged into power strips?

Electrical cords do not run under carpets, through walls or doors, or into cabinets?

All junction boxes, electrical switches and plugs have covers (not broken)?

Appropriate bags are in use (red--biohazard, blue--recycle, yellow-chemotherapy)?

Sharps containers less than 3/4 full?

Sharps container in appropriate rack or dog bowl on counter?

Appropriate disposal of fluid waste, (solidified or hopper with protective glasses within reach)?

Eye wash/ rinse stations operational and checked monthly?

All portable gas cylinders in racks/ stands and separated full/ empty?

All rooms in the facility are identified (marked, numbered, or labeled)?

Area free of fall potentials?

All employees are wearing ID badges?

Ceiling tiles are clean and undamaged?

Furnishings/ pads, mattresses safe and in good repair with no cuts?

Patient, surgery, treatment rooms free of dust/ dirt/ biohazard?

Do all clinical equipment items have current inspection tags.

Alternative waterless agent available and hung appropriately?

No items underneath sink area dry/ clean?

No cleaning agent accessible left unattended?

Work surfaces clean, free of dust, clutter and hazards?

Floors clean and free of clutter?

No environmental or personal heating devices?

Patient equipment found with no visible signs of soil or contamination?

Baseboards intact and in good repair?

Emergency pull cords hanging 6 inches from floor; no wrapping of cord aroun D hand rail?

Floor tiles/ sheet vinyl flooring without evidence of cracks or separation?

Additional comments.