Hospital safety rounds checklist
Upmc hamot safety rounds
What does this form include?
This form contains 11 sections:
Fire Prevention
- Fire doors close and latch?
- Smoke doors close?
Security Management
- Medications secured?
- Syringes and needles secured?
- Medical records secured?
- Staff wearing IDs?
- Belongings secured?
Log Sheet Documentation
- Crash carts - daily?
- Refrigerators - daily?
- Fire Extinguishers - monthly?
Safety Management
- Electrical cords and plugs in a safe condition?
- Extension cords are not in use?
- GFI outlet within 6' of water source?
- Electrical panels accessible (3')?
- Corridors unobstructed?
- Emergency reference guides available?
- Flashlights available?
- Lifting equipment available?
- Stairwells clear?
- Step stools available?
- Storage and mechanical rooms clean?
Utilities Management
Clinical Equipment
Hazardous Materials
- Appropriate use of utility rooms?
Infection Control
- Hand-washing observed?
- Isolation precautions followed?
- Linen covered?
Waste Management
- Appropriate items in general trash?
- Appropriate items in red bags?
- Appropriate items in RCRA cans?
- Appropriate items in sharps container?
- Appropriate handling of waste streams?
Follow-up for manager?
Follow-up for Facilities?
Use this template