Print or save this page as PDF using your browser's print function (Ctrl/Cmd + P)

Healthcare Facilities Compliance Checklist

Australia - AS 1851 - AS 2896 - AusHFG - WHS Act - NCC 2022

INFODECK
infodeck.io
1

Fire & Life Safety

AS 1851:2012 / NCC 2022 / State Fire Services

Essential Fire Safety Measures

Task / Inspection ItemFrequencyDate CompletedInitials
Annual Fire Safety Statement (AFSS) submissionAnnual
Fire safety schedule compliance auditAnnual
Fire Safety Manager appointmentOngoing
Fire compartment integrity inspectionAnnual
Fire watch procedures when system impairedAs needed

Fire Detection & Alarm (AS 1851)

Task / Inspection ItemFrequencyDate CompletedInitials
Fire indicator panel (FIP) visual inspectionMonthly
Manual call point functional testMonthly
Smoke detector functional test (sampling)Quarterly
Aspirating smoke detection system testMonthly
Fire alarm battery load testAnnual
Complete fire detection system inspectionAnnual

Automatic Sprinkler System

Task / Inspection ItemFrequencyDate CompletedInitials
Sprinkler system visual inspectionMonthly
Alarm valve and flow switch testMonthly
Main stop valve inspectionMonthly
Fire pump set operational testWeekly
Full sprinkler system inspectionAnnual

Fire/Smoke Doors & Barriers

Task / Inspection ItemFrequencyDate CompletedInitials
Fire door visual inspectionMonthly
Fire door operational testAnnual
Smoke door operational test6 Months
Fire damper inspectionAnnual
Smoke damper operational test6 Months

Emergency Preparedness

Task / Inspection ItemFrequencyDate CompletedInitials
Fire and evacuation drill (all staff)6 Months
Emergency Response Plan reviewAnnual
Fire Warden trainingAnnual
Emergency lighting functional testMonthly
Emergency lighting 90-minute discharge testAnnual
2

Medical Equipment

AusHFG / TGA / State Health Regulations

Life Support Equipment

Task / Inspection ItemFrequencyDate CompletedInitials
Ventilator preventive maintenancePer MFR
Defibrillator functional checkDaily
Defibrillator comprehensive servicePer MFR
Anaesthesia machine maintenancePer MFR
Patient monitoring equipment PMPer MFR
Infusion pump calibration and testPer MFR

Imaging Equipment

Task / Inspection ItemFrequencyDate CompletedInitials
X-ray equipment maintenancePer MFR
CT scanner preventive maintenancePer MFR
MRI equipment maintenancePer MFR
Radiation survey and safety assessmentAnnual
Dosimetry badge reviewMonthly

Sterilization Equipment

Task / Inspection ItemFrequencyDate CompletedInitials
Sterilizer biological indicator testEach cycle
Sterilizer chemical indicatorEach load
Steam sterilizer Bowie-Dick testDaily
Sterilizer preventive maintenancePer MFR
Sterilizer validationAnnual

Biomedical Safety Testing

Task / Inspection ItemFrequencyDate CompletedInitials
Electrical safety test (Class I equipment)Annual
Electrical safety test (Class II equipment)Annual
Medical equipment performance verificationPer MFR
Equipment recall and hazard alert reviewOngoing
3

Medical Gas Systems

AS 2896:2021 / AusHFG

Medical Gas Pipeline System

Task / Inspection ItemFrequencyDate CompletedInitials
Medical gas area alarm panel testDaily
Medical gas outlet pressure testAnnual
Zone valve box inspection6 Months
Medical gas pipeline identity verificationAnnual
Medical gas quality testing (purity)Annual

Medical Air & Vacuum

Task / Inspection ItemFrequencyDate CompletedInitials
Medical air compressor inspectionMonthly
Medical air quality test (particulates, oil)Quarterly
Medical vacuum pump inspectionMonthly
Medical vacuum system flow testAnnual

Bulk Gas Storage

Task / Inspection ItemFrequencyDate CompletedInitials
Bulk oxygen vessel inspectionPer vendor contract
Manifold system inspectionMonthly
Reserve supply checkDaily
Cylinder storage area complianceMonthly
4

Utility Systems

AusHFG / AS Standards

Emergency Power

Task / Inspection ItemFrequencyDate CompletedInitials
Emergency generator visual inspectionWeekly
Generator load test (30% minimum)Monthly
Generator annual load bank testAnnual
Automatic transfer switch testMonthly
UPS system inspectionQuarterly
Generator fuel quality testAnnual

HVAC & Ventilation

Task / Inspection ItemFrequencyDate CompletedInitials
Operating theatre air pressure verificationDaily
Isolation room negative pressure checkDaily
HEPA filter inspection (critical areas)Annual
Air changes per hour verificationAnnual
Temperature monitoring (OT 20-24°C)Continuous
Humidity monitoring (OT 30-60%)Continuous

Water Systems

Task / Inspection ItemFrequencyDate CompletedInitials
Hot water temperature check (>60°C storage)Monthly
Thermostatic mixing valve inspectionAnnual
Dead leg flushingWeekly
Cooling tower Legionella testMonthly
Water quality testingQuarterly

Electrical Systems

Task / Inspection ItemFrequencyDate CompletedInitials
Electrical distribution board inspectionAnnual
RCD (safety switch) test6 Months
Isolated power system test (theatres)Monthly
Line isolation monitor checkDaily
Switchboard thermal imagingAnnual
5

Infection Control & Environment

NHMRC / State Health Regulations

Environmental Cleaning

Task / Inspection ItemFrequencyDate CompletedInitials
Patient room terminal cleaning auditPer discharge
High-touch surface disinfectionPer shift
Operating theatre terminal cleaningAfter each case
Isolation room cleaning protocolPer protocol

Clinical Waste Management

Task / Inspection ItemFrequencyDate CompletedInitials
Clinical waste bin inspectionDaily
Sharps container inspectionDaily
Clinical waste storage area inspectionWeekly
Waste contractor compliance reviewAnnual

Chemical Safety

Task / Inspection ItemFrequencyDate CompletedInitials
Safety Data Sheet (SDS) register updateAs changed
Emergency eyewash station testWeekly
Emergency shower testMonthly
Hazardous chemical storage inspectionMonthly
Spill kit inventory checkMonthly

Medication Storage

Task / Inspection ItemFrequencyDate CompletedInitials
Medication refrigerator temperature logTwice daily
Vaccine storage monitoring (2-8°C)Twice daily
Controlled drug safe/room checkEach shift
Expired medication checkMonthly
Disclaimer: This checklist is based on AS 1851:2012, AS 2896:2021, WHS Act 2011, NCC 2022, and Australasian Health Facility Guidelines (AusHFG). Requirements may vary by state. Verify requirements with your State Health Department and relevant regulatory bodies.
Last updated: February 2026 | Sources: Safe Work Australia, AusHFG, Standards Australia, ABCB infodeck.io/au/resources/healthcare-compliance-checklist