Safety and Facility Audit at hospital
Facility Inspection
- Examine walls, ceilings, and floors for cracks or water damage.
- Check windows and doors for proper sealing and functionality.
- Look for loose tiles or floorboards that may pose tripping hazards.
- Ensure structural integrity of support beams and columns.
- Document findings for repair or maintenance.
- Test all light fixtures to ensure they are operational.
- Replace any burnt-out bulbs promptly.
- Evaluate brightness levels for safety in darker areas.
- Ensure emergency exit lights are functional.
- Report any areas with insufficient lighting.
- Check that all exit signs are illuminated and visible.
- Remove any obstructions blocking exit paths.
- Verify that doors open easily and are not locked.
- Confirm that signage complies with safety regulations.
- Inspect for clear pathways leading to exits.
- Locate evacuation plans in high-traffic areas like lobbies.
- Ensure plans are up-to-date and clearly legible.
- Check for multilingual versions if applicable.
- Post plans at eye level for easy visibility.
- Conduct a review of the plans during staff meetings.
- Inspect patient rooms for tidy and sanitary conditions.
- Evaluate common areas like waiting rooms for cleanliness.
- Check restrooms for hygiene and supply levels.
- Ensure waste disposal is managed properly.
- Document any areas needing immediate attention.
Fire Safety
- Verify installation in all required areas.
- Test alarms and detectors for sound and sensitivity.
- Check battery levels and replace if necessary.
- Ensure regular maintenance logs are available and up to date.
- Confirm extinguishers are located in visible and accessible locations.
- Check that maintenance tags are current and indicate last service date.
- Inspect for physical damage or corrosion.
- Ensure appropriate type of extinguisher is available for specific hazards.
- Inspect all exit routes for obstructions or hazards.
- Verify signage is clear, visible, and correctly placed.
- Ensure doors open easily and are not locked.
- Check that exit pathways are well-lit.
- Confirm frequency of drills meets regulatory requirements.
- Ensure records document participation and outcomes.
- Check for any identified issues during drills.
- Review plans for improvements based on drill feedback.
- Verify that flammable materials are stored in designated areas.
- Ensure containers are properly labeled and sealed.
- Check that storage complies with safety regulations.
- Inspect for proper ventilation in storage areas.
Infection Control
- Check for presence of hand sanitizers and soap dispensers.
- Ensure dispensers are filled and functional.
- Verify the location is accessible to staff and visitors.
- Inspect for signs indicating proper hand hygiene practices.
- Examine surfaces for dust, stains, or residues.
- Check for proper functioning of equipment.
- Review maintenance logs for regular servicing.
- Ensure equipment is stored correctly when not in use.
- Verify the presence of clearly marked waste containers.
- Inspect disposal procedures for biohazard materials.
- Ensure staff are trained on waste segregation.
- Review compliance with local regulations for waste disposal.
- Check for necessary personal protective equipment (PPE) availability.
- Inspect ventilation and air filtration systems.
- Ensure rooms are stocked with essential medical supplies.
- Review cleaning protocols specific to isolation areas.
- Review training records for staff participation.
- Evaluate the frequency and content of training sessions.
- Check for updated materials reflecting current practices.
- Ensure ongoing education opportunities are available.
Emergency Preparedness
- Gather all emergency response plans.
- Ensure plans cover various scenarios.
- Verify that plans are up to date.
- Distribute plans to relevant staff.
- Conduct a review meeting to discuss updates.
- Inventory all emergency supplies.
- Check expiration dates on medical supplies.
- Ensure adequate food and water supply.
- Store supplies in accessible locations.
- Regularly restock items as necessary.
- Inspect backup generators for maintenance.
- Test generator functionality under load.
- Verify fuel supply and accessibility.
- Document testing results.
- Schedule regular maintenance checks.
- Review training records for all staff.
- Schedule regular emergency drills.
- Provide additional training for new staff.
- Create a feedback mechanism for training effectiveness.
- Ensure all staff understand their roles.
- Test alert systems for functionality.
- Ensure redundancy in communication channels.
- Verify that all staff can access alerts.
- Conduct drills to practice communication.
- Update contact lists regularly.
Patient Safety
- Collect recent incident reports.
- Analyze data for recurring issues.
- Identify contributing factors to incidents.
- Summarize findings in a report.
- Share insights with relevant staff.
- Review current patient identification policies.
- Observe staff adherence during patient interactions.
- Check the use of wristbands and identifiers.
- Gather feedback from staff on challenges.
- Document any discrepancies and recommendations.
- Inspect medication storage areas for organization.
- Confirm proper labeling and expiration date checks.
- Observe medication administration processes.
- Ensure compliance with safety protocols.
- Report any issues to pharmacy management.
- Review fall prevention policies and procedures.
- Inspect patient rooms for safety equipment.
- Confirm staff training on fall protocols.
- Monitor compliance through regular checks.
- Document incidents and effectiveness of measures.
- Inspect all safety-related signage in the facility.
- Ensure signs are clear and visible.
- Verify that signage is up-to-date and relevant.
- Assess staff understanding of signage importance.
- Report missing or damaged signs for replacement.
Staff Safety
- Check stock levels of PPE in all relevant areas.
- Verify that PPE meets safety standards and regulations.
- Ensure proper storage conditions for PPE.
- Confirm that staff are using the correct PPE for tasks.
- Document any shortages or compliance issues.
- Examine written protocols for handling, storage, and disposal.
- Ensure protocols are easily accessible to staff.
- Verify that staff have received training on these protocols.
- Check for proper labeling on hazardous materials.
- Document any gaps or updates needed in protocols.
- Review training records for all staff members.
- Confirm that training covers all relevant safety procedures.
- Ensure documentation is up-to-date and easily accessible.
- Check for regular refresher courses and updates.
- Document any missing training records or needs.
- Observe staff performing manual handling tasks.
- Check for availability of ergonomic tools and equipment.
- Ensure training is provided on proper lifting techniques.
- Document any ergonomic-related injuries or near misses.
- Suggest improvements based on observations and feedback.
- Review the incident reporting process and forms.
- Ensure that all staff are aware of reporting procedures.
- Check for timely follow-up on reported incidents.
- Document any barriers to effective reporting.
- Suggest improvements to streamline the reporting process.
Compliance and Documentation
- Gather copies of all relevant licenses.
- Check expiration dates and renewal status.
- Ensure certifications meet regulatory requirements.
- Verify staff qualifications against job descriptions.
- Document any discrepancies for follow-up.
- Review the latest versions of all safety policies.
- Confirm accessibility to all staff members.
- Update policies based on recent regulations.
- Distribute updated policies and track acknowledgment.
- Store documents in a central, digital location.
- Collect records of past audits and inspections.
- Check for completed action plans on findings.
- Ensure documentation is clear and comprehensive.
- Review timelines for implementing changes.
- Maintain a log of unresolved issues for follow-up.
- Review applicable regulations for the facility type.
- Conduct a gap analysis against current practices.
- Document compliance status for each regulation.
- Identify areas needing improvement or updates.
- Schedule regular reviews to ensure ongoing compliance.
- Collect training records for all staff members.
- Verify completion dates against training requirements.
- Ensure training programs are up-to-date and relevant.
- Document any lapses in training compliance.
- Plan for future training sessions if needed.
- Review all safety policies and procedures.
- Confirm documentation of safety training for all staff.
- Ensure maintenance logs for equipment are up to date.
- Verify that incident reports are filed and addressed.
- Check availability of emergency preparedness plans.
Use in Manifestly