Template

CHI Franciscan Facilities EOC Rounds Checklist v.3

by Patrick ONeil, from the Community

10+

This Environment of Care rounds checklist designed for CHI Franciscan helps facilities teams assess and document compliance across hospital units. Sections cover life safety items such as fire doors, extinguishers, exits, signage, sprinklers, and emergency lighting, as well as general EOC elements including medical gas labeling, ceiling and water damage checks, pressure relationships, electrical safety, and housekeeping. Hazardous materials controls are included for oxygen storage and satellite accumulation areas with labeling, dates, container condition, and segregation requirements. The template supports notes, corrective action plans, and signatures for surveyor and department representatives to drive timely follow up and continuous improvement.

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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

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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
CHI Franciscan Facilities EOC Rounds Checklist
Use this CHI Franciscan Facilities Environment of Care rounds checklist to assess hospital life safety and facility conditions. Verify unobstructed exits and corridors, correct labeling of medical gas panels, fire extinguisher checks, sprinkler clearance, door latching and gaps, eyewash functionality, and proper storage of hazardous materials. Capture findings, record corrective action plans, and obtain signatures for compliance and follow up.
by Patrick O'Neil, from the Community
Downloads: 20+
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Template
Sample Environment of Care EOC Rounds Checklist
Use this sample Environment of Care EOC rounds checklist to standardize hospital and clinic safety inspections. Cover key areas such as egress, exit signage, ceiling tile integrity, and compliance with EC.02.01.01. Document observations, capture photos, assign actions, and track resolution to improve facility safety and survey readiness. Ideal for safety officers and EOC committees conducting routine rounds across healthcare sites.
by Laura Madden, from the Community
Downloads: 0
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Template
Jefferson Hospital EOC Rounds 2016
Conduct Environment of Care rounds across hospital units using this Jefferson Hospital checklist. Sections cover emergency management, fire safety, hazardous materials and waste, infection control, medical equipment upkeep, safety management, security, staff knowledge, and utilities. Use it to verify clear exits and fire doors, proper PPE and cleanliness, correct chemical labeling and SDS access, safe equipment and gas storage, and up to date logs. Includes fields for previous audits, additional findings, and sign off to support compliance and continuous improvement.
by Tony Van Dyke, from the Community
Downloads: 10+
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Template
EOC Rounds Templates for Healthcare
Use these Environment of Care rounding templates to standardize hospital safety inspections and document compliance. Checklists cover fire and life safety, hazardous materials management, utilities, security, emergency preparedness, and infection control. Align with CMS, NFPA, OSHA, HIPAA, and FGI requirements while ensuring clear egress, proper equipment storage, medical gas labeling, and PPE availability. Ideal for clinical units and facilities teams conducting regular EOC rounds in hospitals and clinics.
by Zachary Roberts, from the Community
Downloads: 10+
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CHI Franciscan Facilities EOC Rounds Checklist v.3

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