Healthcare Facilities Compliance Checklist (Canada) | Infodeck

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Facility Name

Inspector Name

Inspection Date

Next Review Date

1

Fire & Life Safety

NFC 2020 / Provincial Fire Codes

Fire Safety Planning

	Task / Inspection Item	Frequency	Date Completed	Initials
	Fire Safety Plan review and update	Annual
	Fire drill conduct (all staff)	Per shift annually
	Fire department notification of plan changes	As needed
	Staff fire safety training	Annual
	Fire watch procedures when system impaired	As needed

Fire Detection & Alarm (CAN/ULC-S536)

	Task / Inspection Item	Frequency	Date Completed	Initials
	Fire alarm control unit inspection	Monthly
	Manual pull station functional test	Monthly
	Smoke detector functional test (sampling)	Annual
	Duct smoke detector test	Annual
	Fire alarm battery test	Monthly
	Complete fire alarm system annual test	Annual

Sprinkler System

	Task / Inspection Item	Frequency	Date Completed	Initials
	Control valve position verification	Weekly
	Waterflow alarm test	Quarterly
	Main drain flow test	Quarterly
	Fire pump flow test	Annual
	Spare sprinkler head inventory	Annual

Fire/Smoke Doors & Barriers

	Task / Inspection Item	Frequency	Date Completed	Initials
	Fire door visual inspection	Monthly
	Fire door operational test	Annual
	Smoke barrier integrity inspection	Annual
	Fire damper inspection	Annual
	Smoke damper operational test	Annual

Emergency Lighting & Exit Signs

	Task / Inspection Item	Frequency	Date Completed	Initials
	Exit sign illumination check	Monthly
	Emergency lighting 30-second test	Monthly
	Emergency lighting 1-hour discharge test	Annual
	Generator-backed emergency light test	Monthly

2

Medical Equipment

Health Canada / CSA Standards

Life Support Equipment

	Task / Inspection Item	Frequency	Date Completed	Initials
	Ventilator preventive maintenance	Per MFR
	Defibrillator functional check	Daily
	Defibrillator comprehensive service	Per MFR
	Anesthesia machine maintenance	Per MFR
	Patient monitoring equipment PM	Per MFR
	Infusion pump calibration	Per MFR

Imaging Equipment

	Task / Inspection Item	Frequency	Date Completed	Initials
	X-ray equipment maintenance	Per MFR
	CT scanner preventive maintenance	Per MFR
	MRI equipment maintenance	Per MFR
	Radiation safety survey	Annual
	Dosimeter badge review	Monthly

Sterilization Equipment

	Task / Inspection Item	Frequency	Date Completed	Initials
	Sterilizer biological indicator test	Each cycle
	Sterilizer chemical indicator	Each load
	Steam sterilizer Bowie-Dick test	Daily
	Sterilizer preventive maintenance	Per MFR
	Sterilizer validation	Annual

Biomedical Safety Testing

	Task / Inspection Item	Frequency	Date Completed	Initials
	Electrical safety test (patient care equipment)	Annual
	Medical equipment performance verification	Per MFR
	Equipment recall and alert review	Ongoing
	Incoming inspection for new equipment	On receipt

3

Medical Gas Systems

CSA Z7396.1 / Provincial Standards

Medical Gas Pipeline System

	Task / Inspection Item	Frequency	Date Completed	Initials
	Medical gas area alarm panel test	Daily
	Medical gas outlet pressure test	Annual
	Zone valve box inspection	6 Months
	Medical gas pipeline identity verification	Annual
	Medical gas quality testing	Annual

Medical Air & Vacuum

	Task / Inspection Item	Frequency	Date Completed	Initials
	Medical air compressor inspection	Monthly
	Medical air quality test (particulates, dewpoint)	Quarterly
	Medical vacuum pump inspection	Monthly
	Medical vacuum system flow test	Annual

Bulk Gas Storage

	Task / Inspection Item	Frequency	Date Completed	Initials
	Bulk oxygen system inspection	Per vendor
	Manifold system inspection	Monthly
	Reserve supply verification	Daily
	Cylinder storage area compliance	Monthly

4

Utility Systems

CSA Z32:21 / CSA C282

Emergency Power (CSA C282)

	Task / Inspection Item	Frequency	Date Completed	Initials
	Emergency generator visual inspection	Weekly
	Generator load test (30% minimum)	Monthly
	Generator transfer test (10 seconds)	Monthly
	Generator annual load bank test	Annual
	Automatic transfer switch test	Monthly
	UPS system inspection	Quarterly

HVAC & Ventilation

	Task / Inspection Item	Frequency	Date Completed	Initials
	Operating room air pressure verification	Daily
	Isolation room negative pressure check	Daily
	HEPA filter inspection (critical areas)	Annual
	Air changes per hour verification	Annual
	Temperature monitoring (OR 20-23°C)	Continuous
	Humidity monitoring (OR 30-60%)	Continuous

Water Systems

	Task / Inspection Item	Frequency	Date Completed	Initials
	Hot water temperature check (>60°C storage)	Monthly
	Thermostatic mixing valve inspection	Annual
	Dead leg flushing	Weekly
	Cooling tower Legionella test	Quarterly
	Water quality testing	Quarterly

Electrical Systems (CSA Z32:21)

	Task / Inspection Item	Frequency	Date Completed	Initials
	Electrical distribution board inspection	Annual
	GFCI test	Monthly
	Isolated power system test (ORs)	Monthly
	Line isolation monitor check	Daily
	Hospital-grade receptacle test	Annual

5

Infection Control & Environment

PHAC / Provincial Health Guidelines

Environmental Cleaning

	Task / Inspection Item	Frequency	Date Completed	Initials
	Patient room terminal cleaning audit	Per discharge
	High-touch surface disinfection	Per shift
	Operating room terminal cleaning	After each case
	Isolation room cleaning protocol	Per protocol

Biomedical Waste Management

	Task / Inspection Item	Frequency	Date Completed	Initials
	Biomedical waste container inspection	Daily
	Sharps container inspection	Daily
	Biomedical waste storage area inspection	Weekly
	Waste contractor compliance review	Annual

Chemical Safety (WHMIS)

	Task / Inspection Item	Frequency	Date Completed	Initials
	Safety Data Sheet (SDS) register update	As changed
	Emergency eyewash station test	Weekly
	Emergency shower test	Monthly
	Hazardous material storage inspection	Monthly
	WHMIS training compliance	Annual

Medication Storage

	Task / Inspection Item	Frequency	Date Completed	Initials
	Medication refrigerator temperature log	Twice daily
	Vaccine storage monitoring (2-8°C)	Twice daily
	Controlled substance storage check	Each shift
	Expired medication check	Monthly