Utilities EOC Checklist

UM 1. Electrical device covers & enclosures are: Securely in place. No exposed wiring. Free of physical damage

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 2. Electrical devices:▪ Adequate number of receptacles provided▪ E-power receptacles marked/labelled▪ Cover plates undamaged and securely in place

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 3. E-power receptacles used for critical equipment only?

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 4. Ground fault receptacles provided in wet locations?

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 5. Electrical power strips meet the following requirements:▪ Wires are managed to prevent tripping hazards▪ Not daisy-chained

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 6. Battery powered task lighting functions properly?▪ Emergency generator locations ▪ Transfer switch locations

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 7. Domestic hot water temperature is maintained according to policy:▪ 105-120 F in hospital spaces

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 8. Appropriate pressure relationships are maintained where required?▪ Soiled utility rooms ▪ Clean utility rooms▪ Sterile processing & storage rooms

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 9. Mechanical and electrical spaces are not used for the storage of combustible materials?

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 10. Spaces around pipes, conduits, bus ducts, cables, wires, air ducts, etc. that penetrate fire and smoke rated walls, floors and ceilings are protected with an approved fire-rated material/assembly?

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

Um 11. Exit signs are:. Provided when the path to exit is not readily apparent. Visible when doors are in opened or closed position. Adequately illuminated

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 12. Fire sprinkler system components (e.g. valves, alarms, connections, hoses, main drains, pumps, etc.):▪ Unobstructed▪ Undamaged▪ Secured and/or supervised▪ Accurately labelled / tagged

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 13. Battery powered egress lighting functions properly?. Stair enclosures. Areas without E-power

What is the likelihood to harm a patient / staff / Visitor?
Is the problem…

UM 14. Do you have any additional comments? If so, please add them here.

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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.