Vidant Medical Center Safety Audit

• Audit Title

• Conducted on

  Date

• Prepared by

• Manager

Safety

• Are computers logged appropriately?<br>

  Yes

  No

  N/A

• Are patient refrigerators monitored appropriately?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is confidential information stored properly?

  Yes

  No

  N/A

• Are machine guards in place?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are paper cutters, etc. stored properly?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Security

• Are all employees and patients properly identified?

  Yes

  No

  N/A

• Are access controls uncircumvented and working properly?

  Yes

  No

  N/A

Hazardous Materials/Waste

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

  Yes

  No

  N/A

• Are eyewash stations available and operational?

  Yes

  No

  N/A

• Is hazardous pharmaceutical waste handled appropriately?

  Yes

  No

  N/A

• Is regulated medical waste distinctly separated from normal waste?

  Yes

  No

  N/A

• Are all containers properly labeled?

  Yes

  No

  N/A

• Is appropriate PPE available?

  Yes

  No

  N/A

Fire/Life Safety

• Are fire extinguishers free from obstruction?

  Yes

  No

  N/A

• Have fire extinguishers been checked at least monthly?

  Yes

  No

  N/A

• Are fire and smoke doors free from obstruction?

  Yes

  No

  N/A

• Are all exit signs illuminated?

  Yes

  No

  N/A

• Are corridors and stairwells unobstructed?

  Yes

  No

  N/A

• Are compressed gas cylinders stored properly?

  Yes

  No

  N/A

• Is there adequate clearance to sprinklers/ceilings?

  Yes

  No

  N/A

• Are electrical panels visible and unobstructed?

  Yes

  No

  N/A

• Are multioutlet strips used properly?

  Yes

  No

  N/A

• Are ABHR dispensers installed appropriately?

  Yes

  No

  N/A

Medical Equipment

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

  Yes

  No

  N/A

• Is all defective equipment properly tagged?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is Defib/Crash Cart log book current?

  Yes

  No

  N/A

• Is there an AED available?

  Yes

  No

  N/A

• Are call bells unobstructed and within reach?

  Yes

  No

  N/A

Utility Systems

• Are medical gas valves unobstructed and properly labeled?

  Yes

  No

  N/A

• Are all electrical receptacles and switches in good repair?

  Yes

  No

  N/A

• Is electrical equipment in proper working condition?

  Yes

  No

  N/A

• Are working flash lights available?

  Yes

  No

  N/A

Employee Knowledge

• Explain the immediate response to fire (RACE).

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Describe what a code pink event is.

  Yes

  No

  N/A

• How do you determine what goes in the Black Pharmaceutical Box?

  Yes

  No

  N/A

Other Safety Concerns Found

• Add media

  Media