Long term care safety checklist

Date:

Inspected By:

Location:

Bloodborne pathogens

Pass

Fail

N/A

Action required

Completion date

Is a bloodborne pathogen plan in place?

 

 

 

 

 

Are all employees trained on the blood borne pathogen plan?

 

 

 

 

 

Is regulated waste discarded according to applicable laws and regulations?

 

 

 

 

 

Are medically approved first-aid kit and sharps containers adequately supplied?

 

 

 

 

 

Compressed Gas Storage

Pass

Fail

N/A

Action required

Completion date

Are cylinders legible marked to clearly identify the contents?

 

 

 

 

 

Are cylinders stored in areas that are protected from external heat sources?

 

 

 

 

 

Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or tampered with by unauthorized persons?

 

 

 

 

 

Are cylinders stored or transported in a manner to prevent them from creating a hazard by slipping, falling or rolling?

 

 

 

 

 

Are valve protectors/caps in place on cylinders that are not in use?

 

 

 

 

 

Do low pressure fuel gas cylinders display any corrosion, cracks, distortion or other defect?

 

 

 

 

 

Are fuel gas stored separately from oxygen cylinders, separated by at least 20' or by a 1-hour rated firewall?

 

 

 

 

 

Are cylinders properly supported to prevent them from falling over?

 

 

 

 

 

Dining Areas

Pass

Fail

N/A

Action required

Completion date

Is sufficient spacing between tables provided so that employees and customers can easily move about the dining area?

 

 

 

 

 

Are floors clear of debris and moisture?

 

 

 

 

 

Are floor coverings in good condition, free of slip or trip hazards?

 

 

 

 

 

Are all chairs, booths and other seating surfaces in good condition, without bent or broken legs or damaged seats?

 

 

 

 

 

Are exits clearly marked?

 

 

 

 

 

Distracted Driving

Pass

Fail

N/A

Action required

Date completed

Are vehicle GPS systems designed to not accept input while the vehicle is in gear?

 

 

 

 

 

Are rules in place and enforced to prevent drivers from making or receiving phone calls or text messages while driving?

 

 

 

 

 

If driver communication is absolutely necessary, are hands-free devices provided?

 

 

 

 

 

Are drivers trained to suspend conversations during hazardous driving conditions?

 

 

 

 

 

Are drivers trained to not take notes or look up numbers while driving?

 

 

 

 

 

Driver qualification

Pass

Fail

N/A

Action required

Date completed

Do personnel files contain up to date copies of all driver's licenses

 

 

 

 

 

Are current Motor Vehicle Records (MVRs) on file for each driver?

 

 

 

 

 

Does each driver have the proper license for any vehicle they may operate?

 

 

 

 

 

Are clear standards provided to each driver regarding consequences to moving violations, regardless of whether they take place in the course of employment?

 

 

 

 

 

Elevators

Pass

Fail

N/A

Action required

Completion date

Are inspection certificates up to date and available for inspection?

 

 

 

 

 

Do elevators provide sufficient space for moving passengers, equipment or cargo between floors?

 

 

 

 

 

Exit Routes

Pass

Fail

N/A

Action required

Completion date

Are all exit routes marked as such and illuminated?

 

 

 

 

 

Are doors, passageways or stairways that do not lead to exits properly marked as "NOT AN EXIT" or with an indication of its actual use?

 

 

 

 

 

Are all exits free from obstruction?

 

 

 

 

 

Do all exit doors open from the inside without the use of a key, tool or any special knowledge?

 

 

 

 

 

Are all emergency lights in proper working condition?

 

 

 

 

 

Fire Protection

Pass

Fail

N/A

Action required

Completion date

Is the fire suppression system inspection up to date?

 

 

 

 

 

Have fire alarm systems been tested in the past year?

 

 

 

 

 

Have interior standpipes and valves been inspected in the past year?

 

 

 

 

 

Are fire extinguishers provided in adequate number and type and are they readily accessible at all times?

 

 

 

 

 

Hand Tools

Pass

Fail

N/A

Action required

Completion date

Are all tools in good working condition?

 

 

 

 

 

Do any hand tools, such as chisels, punches, etc. show signs of mushroomed heads?

 

 

 

 

 

Do any hammers, axes or similar equipment have broken or fractured handles?

 

 

 

 

 

Are any wrenches worn or bent?

 

 

 

 

 

Do all filed have appropriate handles?

 

 

 

 

 

Are all floor jacks in good operating condition?

 

 

 

 

 

Are tool handles wedged tightly in the heads of all tools?

 

 

 

 

 

Are all tool cutting edges sharp so that the tool will move smoothly without binding or skipping?

 

 

 

 

 

Are tools that are not in use stored in dry, secure locations?

 

 

 

 

 

Hazard communications/chemical handling

Pass

Fail

N/A

Action required

Completion date

Are eyewash fountains and safety showers provided and in working order where corrosive chemicals are handled?

 

 

 

 

 

Are chemical containers labeled properly?

 

 

 

 

 

Is proper PPE available when necessary to handle chemicals?

 

 

 

 

 

Are flammable and toxic chemicals properly stored in closed containers when not in use?

 

 

 

 

 

Are adequate means readily available for containing spills or overflows properly and safely?

 

 

 

 

 

Are hazardous substances handled only in properly designed and exhausted locations?

 

 

 

 

 

Is there a list of hazardous substances that are used in your workplace?

 

 

 

 

 

Is the written hazard communication plan up to date?

 

 

 

 

 

Are all Material Safety Data Sheets up to date and readily available?

 

 

 

 

 

Are all containers of hazardous substances labeled properly with the product identity and any applicable hazard warnings?

 

 

 

 

 

Is the master list of chemicals used up to date?

 

 

 

 

 

Are flammable liquids grounded while in storage?

 

 

 

 

 

Are flammable liquids grounded and bonded during transfer?

 

 

 

 

 

Is secondary containment (e.g., berms) provided for chemicals and wastes stored outside of the building?

 

 

 

 

 

Housekeeping

Pass

Fail

N/A

Action required

Completion date

Is a first aid kit available and adequately stocked?

 

 

 

 

 

Are all exits clearly marked, unlocked and free of obstruction?

 

 

 

 

 

Are work areas properly illuminated?

 

 

 

 

 

Are spray painting operations, if present, done in spray rooms or booths equipped with proper exhaust systems?

 

 

 

 

 

Are noise levels in work areas within acceptable levels?

 

 

 

 

 

Are caution labels and signs used to warn of hazardous substances and biohazards?

 

 

 

 

 

Are grinders, saws and other machines that produce respirable dust vented to an industrial collector or central exhaust system?

 

 

 

 

 

Are water outlets not suitable for drinking clearly identified as such?

 

 

 

 

 

Is there safe clearance for equipment through all aisles and doorways?

 

 

 

 

 

Are aisles properly marked and kept clear?

 

 

 

 

 

Are hand trucks maintained in safe operating condition?

 

 

 

 

 

Are shelves secured and constructed to withstand the maximum designated storage weight?

 

 

 

 

 

Are shelves secured to prevent tipping or falling?

 

 

 

 

 

Are floors free of clutter that might cause slips, trips and falls?

 

 

 

 

 

Are signs used to identify slippery floors when wet or during clean-up?

 

 

 

 

 

Do stairs have handrails that are in good condition?

 

 

 

 

 

Kitchen

Pass

Fail

N/A

Action required

Completion date

Are knives properly stored to prevent accidental laceration?

 

 

 

 

 

Are all knives properly sharpened and clean?

 

 

 

 

 

Is appropriate protective equipment provided for employees?

 

 

 

 

 

Are nonslip mats present on floor surfaces that may become wet?

 

 

 

 

 

Are working surfaces (tables, counters, etc) at a comfortable height for workers?

 

 

 

 

 

Is sufficient working space available for all prep work, cooking and cleaning?

 

 

 

 

 

Are all floor drains clear of debris?

 

 

 

 

 

Is all kitchen machinery in good working order with manufacturer recommended guards in place?

 

 

 

 

 

Are warning signs posted near any potentially hazardous equipment?

 

 

 

 

 

Are floors clear of debris and moisture?

 

 

 

 

 

Are aprons and protective gloves available to protect against burns and scalds?

 

 

 

 

 

Are cooktops free of excess grease or other buildup?

 

 

 

 

 

Are flammable materials stored safely away from ignition sources?

 

 

 

 

 

Are aerosols stored safety away from ignition sources?

 

 

 

 

 

Ladders

Pass

Fail

N/A

Action required

Completion date

Are non-slip feet intact on each ladder?

 

 

 

 

 

Are ladder rungs and steps free from grease and oil?

 

 

 

 

 

Do any ladders have broken or missing steps, rungs, or cleats, broken side rails, or other faulty equipment?

 

 

 

 

 

Are metal ladders legibly marked with signs cautioning against using them around electrical power sources?

 

 

 

 

 

Are rungs of ladders uniformly spaced at 12", center to center?

 

 

 

 

 

Laundry

Pass

Fail

N/A

Action required

Completion date

Are cleaning supplies kept in properly marked bottles and containers?

 

 

 

 

 

Is sufficient space provided around all machinery to allow easy movement and operation?

 

 

 

 

 

Are means provided to alleviate overexertion by employees lifting large quantities of laundry? (such as carts or dollies)

 

 

 

 

 

Are hazard and caution signs posted as appropriate?

 

 

 

 

 

Is access to laundry facilities effectively restricted to relevant personnel?

 

 

 

 

 

Lock Out/Tag Out

Pass

Fail

N/A

Action required

Completion date

Are all equipment control valve handles provided with a means of lockout?

 

 

 

 

 

Do appropriate employees have individually keyed safety locks?

 

 

 

 

 

Are all machines being service properly locked out to prevent accidental usage?

 

 

 

 

 

Material Handling

Pass

Fail

N/A

Action required

Completion date

Do employees carry loads in excess of 50 lbs by hand?

 

 

 

 

 

Are mechanical means provided to carry heavy or awkward loads safely?

 

 

 

 

 

Are aisles and pathways clear of debris and clearly marked?

 

 

 

 

 

Office

Pass

Fail

N/A

Action required

Completion date

Are all aisles, passageways and doorways clean and clear of obstruction?

 

 

 

 

 

Are chairs, benches and other seating surfaces clean, in good condition and lacking undue signs of wear or fatigue?

 

 

 

 

 

Are adjustable chairs provided for employees that spend significant time seated?

 

 

 

 

 

Is sufficient lighting provided in all work areas?

 

 

 

 

 

Are monitors positioned comfortably, with employee eye level near the top of each screen?

 

 

 

 

 

Are cords arranged such that they do not cause a tripping hazard to employees?

 

 

 

 

 

Are office supplies stored such that they are easily accessible without undue employee strain?

 

 

 

 

 

Are floor coverings in good condition, free of slip or trip hazards?

 

 

 

 

 

Parking/Sidewalks

Pass

Fail

N/A

Action required

Completion date

Are paved surfaces smooth and free of large cracks or unevenness?

 

 

 

 

 

Are all surfaces free of ice and snow?

 

 

 

 

 

Are parking spaces clearly marked and sufficiently sized?

 

 

 

 

 

Are outdoor areas sufficiently lit at night?

 

 

 

 

 

Power Tools

Pass

Fail

N/A

Action required

Completion date

Are portable electrical tools and equipment grounded or have double insulation?

 

 

 

 

 

Are grinders, saws and similar equipment provided with appropriate, properly installed safety guards?

 

 

 

 

 

Are inspection dates marked on all power tools and cords?

 

 

 

 

 

Do portable circular saws have guards above and below the base shoe?

 

 

 

 

 

Are any circular saw guards wedged up in a fashion that leaves the lower portion of the blade unguarded?

 

 

 

 

 

Are rotating or moving parts of equipment guarded to prevent physical contact?

 

 

 

 

 

Are effective guards in place over belts, pulley, chains and sprockets?

 

 

 

 

 

Do portable fans have guards or screens with openings of 1/2" or less?

 

 

 

 

 

Do pneumatic or hydraulic hoses on power-operated tools show signs of deterioration or damage?

 

 

 

 

 

Are tools needing repair tagged with a "Do Not Use" sign?

 

 

 

 

 

Do employees avoid wearing loose clothes, jewelry or gloves that can get caught in machinery?

 

 

 

 

 

Are all electrical cords intact (not frayed)?

 

 

 

 

 

Do all electrial cords have intact grounding prongs?

 

 

 

 

 

Personal Protective Equipment

Pass

Fail

N/A

Action required

Completion date

Are protective goggles or face shields provided and worn where there is a danger of flying particles or corrosive materials?

 

 

 

 

 

Are approved safety glasses worn at all times in areas where there is a risk of eye injuries?

 

 

 

 

 

Are protective gloves, aprons, shields or other means provided where employees could be cut or where there is reasonably anticipated exposure to; corrosive liquids, chemicals, blood or other potentially dangerous materials?

 

 

 

 

 

Are hard hats provided and worn where danger of falling objects exists?

 

 

 

 

 

Do hard hats show any sign of damage to the shell or suspension system?

 

 

 

 

 

Is appropriate foot protection provided?

 

 

 

 

 

Are approved respirators provided for regular and emergency use as needed?

 

 

 

 

 

Is PPE maintained in a sanitary condition and ready for use?

 

 

 

 

 

Is hearing protection required when noise levels exceed 85 dBa?

 

 

 

 

 

Are adequate work procedures and PPE provided and used when cleaning up spilled toxic or hazardous materials or liquids?

 

 

 

 

 

Are appropriate hypoallergenic gloves, glove liners, powderless gloves, or other similar alternatives readily available?

 

 

 

 

 

Recordkeeping

Pass

Fail

N/A

Action required

Completion date

Are OSHA 300/300A logs maintained?

 

 

 

 

 

Are employee medical and exposure records maintained as required?

 

 

 

 

 

Are training records maintained?

 

 

 

 

 

Are employee records maintained?

 

 

 

 

 

Are all operating permits and records up-to date?

 

 

 

 

 

Are current Motor Vehicle Records available for all employee drivers?

 

 

 

 

 

Are records kept of all safety inspections?

 

 

 

 

 

Are records kept of safety meetings?

 

 

 

 

 

Are records kept of accident investigations?

 

 

 

 

 

Are records kept of any emergency response drills?

 

 

 

 

 

Resident/Patient Mobility

Pass

Fail

N/A

Action required

Completion date

Are gait belts, hoyer lifts or other appropriate patient assist devices available to assist non-ambulatory residents in moving?

 

 

 

 

 

Are employees properly trained in how to assist residents while limiting their own risk of injury?

 

 

 

 

 

Resident Rooms

Pass

Fail

N/A

Action required

Completion date

Is sufficient space available between furniture for employees to move and perform their duties?

 

 

 

 

 

Are floor surfaces clear of debris and clean?

 

 

 

 

 

Are all doors free of obstruction?

 

 

 

 

 

Restroom

Pass

Fail

N/A

Action required

Completion date

Are toilet and sink surfaces clean?

 

 

 

 

 

Are adequate provision made for hand-washing (hot water, soap, towels or hand-dryers)

 

 

 

 

 

Are floor surfaces clean and dry?

 

 

 

 

 

Is a record of cleaning and resupply dates/times clearly displayed?

 

 

 

 

 

Roof Access

Pass

Fail

N/A

Action required

Completion date

Is roof access limited by use of locks, keypads or other security device?

 

 

 

 

 

Are parapets at roof edges of sufficient height (42" above walking level) to prevent falls?

 

 

 

 

 

If not, are means in place to install guardrails or temporary barriers to protect employees from falls?

 

 

 

 

 

Are surfaces clear of debris and safe for walking?

 

 

 

 

 

Is fall protection available for any workers performing work within six feet of open roof edges?

 

 

 

 

 

Are roof edges clearly marked?

 

 

 

 

 

On pitched roofs, is fall protection available for all workers?

 

 

 

 

 

Stairways

Pass

Fail

N/A

Action required

Completion date

Are stairways clearly marked?

 

 

 

 

 

Are stairwells well lit?

 

 

 

 

 

Are stairwells clean and free of debris?

 

 

 

 

 

Are handrails secure and in good repair?

 

 

 

 

 

Are stairwell exit doors unlocked as appropriate?

 

 

 

 

 

Storage Areas

Pass

Fail

N/A

Action required

Completion date

Are shelves secured and constructed to withstand the maximum deisgnated storage weight?

 

 

 

 

 

Are shelves secured to prevent tipping or falling?

 

 

 

 

 

Workplace Postings

Pass

Fail

N/A

Action required

Completion date

Are OSHA and state required posters prominently displayed?

 

 

 

 

 

Are safety/warning signs properly posted where appropriate?

 

 

 

 

 

Are emergency phone numbers posted prominently?

 

 

 

 

 

Is a first aid kit available and adequately stocked?

 

 

 

 

 

Are emergency evacuation routes identified and prominently posted?

 

 

 

 

 

 

The information provided in this article is intended for general informational purposes only and should not be considered as all encompassing, or suitable for all situations, conditions, and environments. Please contact us or your attorney if you have any questions.