Information

  • Department

  • Conducted on

  • Prepared by

Safety

  • Are computers logged appropriately?<br>

  • Are patient refrigerators monitored appropriately?

  • Is the building structure in good repair and free from damage?

  • Are medicine cabinets and drug carts properly locked when not attended?

  • Is confidential information stored properly?

  • Are machine guards in place?

  • Is lighting appropriate for type of work being done in area?

  • Are paper cutters, etc. stored properly?

  • Is equipment, other than medical equipment, in good repair (no frayed cords, etc)?

Security

  • Are all employees and patients properly identified?

  • Are access controls uncircumvented and working properly?

Hazardous Materials/Waste

  • Are sharps containers filled less than 3/4 full?

  • Are eyewash stations available and operational?

  • Is hazardous pharmaceutical waste handled appropriately?

  • Is regulated medical waste distinctly separated from normal waste?

  • Are all containers properly labeled?

  • Is appropriate PPE available?

Fire/Life Safety

  • Are fire extinguishers free from obstruction?

  • Have fire extinguishers been checked at least monthly?

  • Are fire and smoke doors free from obstruction?

  • Are all exit signs illuminated?

  • Are corridors and stairwells unobstructed?

  • Are compressed gas cylinders stored properly?

  • Is there adequate clearance to sprinklers/ceilings?

  • Are electrical panels visible and unobstructed?

  • Are multioutlet strips used properly?

  • Are ABHR dispensers installed appropriately?

Medical Equipment

  • Has medical equipment (new and used) been ID tagged and safety checked?

  • Is all defective equipment properly tagged?

  • Is equipment in good repair (no frayed cords, etc)?

  • Is Defib/Crash Cart log book current?

  • Is there an AED available?

  • Are call bells unobstructed and within reach?

Utility Systems

  • Are medical gas valves unobstructed and properly labeled?

  • Are all electrical receptacles and switches in good repair?

  • Is electrical equipment in proper working condition?

  • Are working flash lights available?

Employee Knowledge

  • Explain the immediate response to fire (RACE).

  • Demonstrate where to find a MSDS (online, dolphin).

  • Describe what the red outlets are for and when to use them.

  • Describe what a code pink event is.

Other Safety Concerns Found

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.