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Pre-Fumigation Assessment Form

by chris larbie, from the Community

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Use this hospital-focused pre-fumigation assessment form to confirm an area is prepared for fumigation. Capture site details, verify the need for fumigation, and ensure cleaning and disinfection have been completed. Record room size and ventilation, select the fumigant type and concentration, and define the duration, date, and time. Document removal of medical equipment, supplies, and furniture, note occupancy status, and specify authorized personnel such as the fumigant applicator, hospital staff, and the Disease Control Officer. Use the checklist to support safe, compliant fumigation in healthcare environments.

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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

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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.