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UTMB Healthcare Move Checklist
UTMB Healthcare Move Checklist
Gary Beard

UTMB Healthcare Move Checklist

Move Checklist

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Free UTMB Healthcare Move Checklist Checklist

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Information

  • Conducted on

  • Document No.

  • Prepared by

  • UTMB Healthcare Move Checklist

    • Project Name:

  • Project Name:

  • Project Number: 2010-0787

    Site Location: 5712 S Claiborne Ave., New Orleans, LA 70125

    Contractor: Ellis Construction

    Jacobs/CSRS PM: Sonji White

  • Project Number: 2011-0861

    Site Location: 3019 Canal St., New Orleans, LA 70119

    Contractor: Tuna Construction

    Jacobs/CSRS PM: Sonji White

  • Date of visit.

  • Time In:

  • Time Out:

  • Weather:

  • Temperature:

  • Report Submitted By:

  • Quality:

  • Observations/General Comments

    • Observation

  • Floor:

    • 1
    • 2
    • 3
    • 4
    • 5
    • 6
    • 7
    • 8
    • 9
    • 10

  • Room #:

  • Room Type

  • Patient Room

  • Vacuum Regulators

  • Vacuum Regulator Quantity

  • Flow meters

  • Flow Meter Quantity

  • Specialty Soap & Dispensers

  • Specialty Soap & Dispensers Quantity

  • Sharps Container and Holder

  • Sharps Container and Holder Quantity

  • Gloves

  • Gloves Quantity

  • Glove Holder

  • Glove Holder Quantity

  • Hand Sanitizer

  • Hand Sanitizer Quantity

  • Telephone

  • Telephone Quantity

  • Clock

  • Clock Quantity

  • Linen Hamper

  • Linen Hamper Quantity

  • Video Signal Activation

  • Television

  • Television Quantity

  • White Board

  • White Board Quantity

  • White Board Marker Holder

  • White Board Marker Holder Quantity

  • Markers and Erasers

  • Markers and Erasers Quantity

  • Patient rights Poster

  • Patients RIght Poster Quantity

  • Pain Poster

  • Pain Poster Quantity

  • Call Light system

  • Pillow Speaker

  • PIllow Speaker Quantity

  • Check all lights

  • Condition of Lights

  • Blinds

  • Privacy Curtains

  • Monitor Brackets

  • Monitor Bracket Quantity

  • Saniglaze restrooms

  • Make Beds

  • Bathroom

  • Trash cans

  • Trash Can Quantity

  • Shower Curtain

  • Toilet Paper Holder

  • Toilet Paper

  • Paper Towel Dispenser

  • Paper Towel Dispenser Quantity

  • Paper Towels

  • Soap Dispenser

  • Soap Dispensor Quantity

  • Soap

  • Soap Quantity

  • Water Filters - Sink (Vendor)

  • Water Filter (Vendor) Quantity

  • Water Filters - Sink (Maintenance)

  • Water Filters (Maintenance) Quantity

  • Check Lighting

  • Condition of Lights

  • Check Ceramic finishes

  • Condition of Finishes

  • Check Flooring finishes

  • Condition of Finishes

  • Beds

  • Bed Quantity

  • Bed Side Tables

  • Bed Side Table Quantity

  • Over Bed Tables

  • Over Bed Table Quantity

  • Trash cans

  • Trash Can Quantity

  • Nursing Station

  • Patient White Board

  • Omnicell

  • Pyxis

  • C-Locker

  • File Cabinet under Counter

  • Linen Carts

  • Medical Refrigerator

  • PACS

  • Glucometers

  • Med Frig Key

  • Task Chairs

  • Computer

  • Monitor

  • Grease Board

  • NC Master

  • Galley

  • Refrigerator

  • Microwave

  • Coffee Maker

  • Coffee Pots

  • Sink

  • Ice Machine

  • Observation:

  • Add media

UTMB Healthcare Move Checklist
Gary Beard

UTMB Healthcare Move Checklist

Move Checklist

Use this Template
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.

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