Safety inspections of clinical and non clinical de

Home > Health Services > Safety inspections of clinical and non clinical de

General inspection

Audit date

Is the previous inspection been checked?

Yes No NA

Did you notice any outstanding actions?

Yes No NA

Is Door wedged or propped open seen?

Yes No NA

Are carts, equipment, or materials blocking the fire doors?

Yes No NA

Is Extinguishers in good condition?

Yes No NA

Is current inspection documentation present for extingishers?

Yes No NA

Is the Extinguishers free of obstruction?

Yes No NA

Are the Sprinkler Heads/Smoke Detectors well maintained?

Yes No NA

Are Indicator Lights blocked?

Yes No NA

Are Fire Exit signs well lit?

Yes No NA

Are Fire Doors locked properly?

Yes No NA

Is the Storage less than 18" from ceiling?

Yes No NA

Are Soiled/Clean/Hazardous Materials Rooms locked properly?

Yes No NA

Are Emergency Exit Corridors / Doors obstruction free?

Yes No NA

Is wheeled equipment present in corridor?

Yes No NA

Is Flammables well kept?

Yes No NA

Are there any leakage in Walls / Ceilings / Floors?

Yes No NA

Did you find any unauthorized space heaters?

Yes No NA

Is unauthorized heat producing equipment present (Toasters, etc) available?

Yes No NA

Are the Trash containers equivalent to 32 gallons capacity?

Yes No NA

Are the Electrical outlets working properly?

Yes No NA

Is the Critical equipment plugged into Red Outlet?

Yes No NA

Is ground prong available in all extension cords?

Yes No NA

Is covers or plates present on all switches, receptacles and computer boxes?

Yes No NA

Are Electrical panels accessible with 36" clearance around panels?

Yes No NA

Are handrails attached to the walls?

Yes No NA

Are wheelchairs in good condition?

Yes No NA

Did you notice any boxes on the floor?

Yes No NA

Are the tiles, carpet in good condition?

Yes No NA

Were stairwell well lit?

Yes No NA

Were the storage room well maintained?

Yes No NA

Did you find any items under sinks?

Yes No NA

Were the step ladders in good condition?

Yes No NA

Did you find any electrical cords, telephone and computer wires?

Yes No NA

Were the Desk, chairs, furniture well maintained?

Yes No NA

Is the Patient Room furniture well maintained?

Yes No NA

Were any stuffs thrown out near computers or nurse station?

Yes No NA

Is weekly inspection at eye wash station?

Yes No NA

Is High level disinfectant policy being followed?

Yes No NA

Were empty and full Medical gas cylinders kept seperatedly?

Yes No NA

Are Medical gas cylinders kept properly in bins, racks, or hand carts?

Yes No NA

Are Biohazard containers stored properly?

Yes No NA

Is MSDS provided to staff?

Yes No NA

Are Secondary container tagged properly?

Yes No NA

Are Hazardous materials well kept?

Yes No NA

Are employee personal items secured safely?

Yes No NA

Did the staff wear I.D. Badges properly?

Yes No NA

Are Confidential Material kept secured?

Yes No NA

Are the High risk patient's, equipment areas, hazardous material rooms have protected?

Yes No NA

Are Medications secured?

Yes No NA

Are the security hardware doors working properly?

Yes No NA

Are the Code carts locked in presence of staff?

Yes No NA

Were all the lights functional?

Yes No NA

Were Plumbing, faucets,, toilets well maintained?

Yes No NA

Is there any cleaning schedule for ice machine?

Yes No NA

Was the stairwell lights functional?

Yes No NA

Please mention any additional comments

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