Hospital Safety Checklist
Complete this checklist to assess and document safety compliance in hospital settings.
Auditor Full Name
*
First Name
Last Name
Department/Area Being Inspected
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Fire Safety Assessment
*
Rows
Compliant
Non-Compliant
Not Applicable
Fire extinguishers accessible and inspected
1
2
3
Fire exits clearly marked and unobstructed
4
5
6
Fire alarms functional and regularly tested
7
8
9
Infection Control Assessment
*
Rows
Compliant
Non-Compliant
Not Applicable
Hand sanitizers available and filled
10
11
12
Waste disposal bins properly labeled and used
13
14
15
Personal protective equipment (PPE) available
16
17
18
Equipment Safety Assessment
*
Rows
Compliant
Non-Compliant
Not Applicable
Medical equipment inspected and maintained
19
20
21
Electrical cords and outlets in good condition
22
23
24
Emergency equipment (e.g., defibrillator) accessible
25
26
27
Staff Emergency Preparedness
*
All staff trained and aware of emergency procedures
Some staff trained, some unaware
No staff training evident
Not Applicable
Overall Safety Rating for This Area
*
1
2
3
4
5
Additional Comments or Observations
Auditor Signature
*
Submit Checklist
Submit Checklist
Should be Empty: