Hospital safety inspection checklist
Safety inspections of clinical and non- clinical departments
What does this form include?
This form contains 10 sections:
Instructions:-------------------------------------1. Answer "Yes", "No", "N/A" for the questions belo
1.0 - Previous inspection
- 1.1 - Has the last inspection been reviewed?
2.0 - Fire Prevention
- 2.1 - Door wedged or propped open, none found?
- 2.2 - Fire doors are not blocked by carts, equipment, or materials?
- 2.3 - Extinguishers is not missing damaged, or discharged?
- 2.4 - Extinguishers has current inspection documentation?
- 2.5 - Extinguishers clear of obstructions?
- 2.6 - Sprinkler Heads/Smoke Detectors are clean & intact?
- 2.7 - Indicator Lights are not obstructed?
- 2.8 - Fire Exit signs are illuminating and working properly?
- 2.9 - Fire Doors close and latch properly?
- 2.10 - Storage is less than 18" from ceiling?
- 2.11 - Doors to Soiled/Clean/Hazardous Materials Rooms closed locked?
- 2.12 - Emergency Exit Corridors / Doors are clear?
- 2.13 - All wheeled equipment in corridor is "attended"?
- 2.14 - Flammables, stored appropriately?
- 2.15 - Penetrations to Walls / Ceilings / Floors, not present?
- 2.16 - No unauthorized space heaters present?
- 2.17 - No unauthorized heat producing equipment present (Toasters, etc)
- 2.18 -Trash containers are no more than 32-gallons in capacity.
3.0 - Electrical Safety
- 3.1 - Electrical outlets are not damaged or loose?
- 3.2 - Critical equipment is plugged into Red Outlet?
- 3.3 - All extension cords are equipped with a ground prong?
- 3.4 - All switches, receptacles and computer boxes have covers or plates?
- 3.5 - Electrical panels are accessible - 36" clearance around panels.
4.0 - General Safety
- 4.2 - All wheelchairs are in good repair and with both footrest?
- 4.1 - Handrails are attached firmly to the walls?
- 4.4 - Floors - tiles, carpet in good repair - no trip hazards?
- 4.5 - Stairwell lights working?
- 4.6 - Storage Rooms clean and orderly?
- 4.7 - No items are being stored under the sinks?
- 4.8 - Step ladders available to reach high places are in good shape?
- 4.9 - No electrical cords, telephone and computer wires in area that might entangle feet?
- 4.10 - Desk, chairs, furniture in safe condition?
- 4.11 - Patient Room furniture in safe condition?
- 4.12 - No evidence of food, drinks or eating occurring around computers or nurse station?
- 4.13 - Storage is at least 6" from the floor. No boxes on the floor?
5.0 - Hazardous Marerial
- 5.1 - Eye wash station inspected weekly and documented?
- 5.2 - High level disinfectant policy being followed - QC, documentation, etc?
- 5.3 - Medical gas cylinders are stored where full and empties are separated?
- 5.4 - Medical gas cylinders are restrained properly in bins, racks, or hand carts?
- 5.5 - Biohazard containers are stored properly?
- 5.6 - Sharps boxes are no more than 3/4 full; syringe disposed of properly?
- 5.7 - Staff are able to obtain a MSDS?
- 5.8 - Secondary container are labeled properly?
- 5.9 - Hazardous materials properly stored?
6.0 - Security Management
- 6.1 - Employee personal items are secured out of sight?
- 6.2 - Employee I.D. Badges visible and worn properly?
- 6.3 - Confidential Materal secured /protected?
- 6.4 - High risk patient's, equipment areas, hazardous material area rooms are secure?
- 6.5 - Medications secured?
- 6.6 - Doors with security hardware operate properly?
- 6.7 - Code carts locked and in view of staff?
7.0 - Utilities Management
- 7.1 - All lights are operational, no lights out?
- 7.2 - Ceiling tiles, none discolored,/wet/damaged?
- 7.3 - HVAC System - Air temperature within condor table range?
- 7.4 - Plumbing, faucets,, toilets operational (no leaks)?
- 7.5 - Ice machine clean and maintenance on schedule?
- 7.6 - Lights in nearest stairwell operational?
Additional Comments:
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