Template

AHS Environmental Observations

by Sam Atlas, from the Community

This AHS Environmental Observations checklist helps healthcare facilities and long-term care communities evaluate environmental conditions that impact resident safety and comfort. Use it to review call systems, sound and temperature levels, lighting, cleanliness, building and equipment condition, homelike setup, hot water, linens, pest control, ventilation, and handrails. The form aligns with CMS guidance and supports interviews with staff to document corrective actions and maintain a safe, sanitary, and comfortable environment.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template

AHS - HACCP Kitchen Audit

HACCP and CMS kitchen observations.

by Sharon Bradley, from the Community

40+

Get

Template

Bear Creek Resident Room Inspection Audit

A comprehensive resident room inspection checklist for healthcare and long term care facilities. Assess cleanliness, room condition, bathroom fixtures, walls and ceilings, windows and coverings, baseboard heaters, lighting, electrical outlets and GFCI, nurse call stations, privacy curtains, fire protection, HVAC and ventilation, environmental factors such as odors and noise, oxygen safety, beds and mattresses, furnishings, electronics, and personal belongings. Record temperatures, ensure proper labeling and storage, verify accessibility and safety features, and capture multi departmental feedback. Conclude with overall impressions and auditor sign off to support compliance and resident care quality.

by Dan kipp, from the Community

10+

Get

Template

Building Health Safety and Environmental Compliance Review

This comprehensive checklist supports facilities teams in reviewing building health, safety and environmental compliance. It covers staffing and inductions, safety noticeboards and legal documentation, contractor management, working environment and welfare, risk assessments and permits to work, COSHH and hazardous substances, work equipment and ladder controls, working at height, portable and powered access equipment, noise controls, fire safety systems and training, housekeeping and waste management, pedestrian and traffic management, PPE, asbestos management, environmental impacts and spill response, storage areas, electronic maintenance records and certificate tracking, lone working arrangements, electrical isolation and LOTO, and water hygiene and Legionella controls. Use it to identify gaps and record observations and recommendations.

by Graeme WEAR, from the Community

20+

Get

Template

AHS Regulatory Survey Sweep List

This daily AHS regulatory survey sweep list helps healthcare teams maintain readiness for inspections. It covers exits and egress, hallway safety, medication room security and logs, sharps and medication dating, infection prevention and hand hygiene, EVS requirements for clean and soiled utility rooms, and procedure room standards including timeouts, PPE, labeling, and documentation. Use it to guide unit rounds, correct issues in real time, and document compliance.

by Nilda Perez, from the Community

Get

Template

Housekeeping Environmental Surveillance Checklist

This healthcare housekeeping environmental surveillance checklist helps environmental services teams monitor cleaning and disinfection across high-touch areas, patient rooms, and restrooms. Use it to verify PPE use and hand hygiene, check surfaces like door handles, sinks, bed frames, and medical equipment, and confirm waste removal and floor care. Log issues, corrective actions, and electronic signatures to maintain infection control standards and keep facilities clean and compliant.

by Michael Rountree, from the Community

30+

Get

Template

Health, Safety and Welfare Audit

This Health, Safety and Welfare Audit template helps healthcare teams assess wards and departments for workplace risks and staff facilities. It covers slips, trips and working at height, lighting and stair safety, and staff welfare provisions such as rest areas, kitchens, handwashing and sanitary facilities. It checks signage, access to plant and switch rooms, emergency phones, medical gas cylinder storage, and loading or distribution areas with reference to HSE guidance. Tools and lifting equipment condition and inspections, extension leads, ventilation and AC cleanliness are included. Building management items like asbestos surveys and conditions are reviewed, with clear sections for findings, corrective actions and a summary.

by Adrian Wrigley, from the Community

Get

AHS Environmental Observations

About author

You might also like

AHS - HACCP Kitchen Audit

Bear Creek Resident Room Inspection Audit

Building Health Safety and Environmental Compliance Review

AHS Regulatory Survey Sweep List

Housekeeping Environmental Surveillance Checklist

Health, Safety and Welfare Audit

You might also like

AHS - HACCP Kitchen Audit

Bear Creek Resident Room Inspection Audit

Building Health Safety and Environmental Compliance Review

AHS Regulatory Survey Sweep List

Housekeeping Environmental Surveillance Checklist

Health, Safety and Welfare Audit