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Healthcare Facility Compliance Checklist

Complete inspection checklist for hospitals and healthcare facilities covering Joint Commission EC/LS standards, CMS Conditions of Participation, NFPA 99/101, and OSHA requirements. Stay survey-ready year-round.

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Updated Feb 2026

The Hidden Cost of Manual Compliance

Healthcare facilities face intense regulatory scrutiny from multiple agencies. Missing even one item can trigger citations, fines, or worse.

78%
of healthcare facilities
cite documentation as their biggest compliance challenge
$8,500+
per day penalty
for CMS Immediate Jeopardy citations
4.2 hrs
average prep time
for each Joint Commission survey element

This checklist helps you stay organized. See how to automate it with Infodeck.

Complete Compliance Checklist

Use this checklist to ensure your healthcare facility meets Joint Commission, CMS, and OSHA requirements. Click any section to expand or collapse.

Fire Alarm System (NFPA 72)

Sprinkler System (NFPA 25)

Fire Extinguishers (NFPA 10)

Emergency Lighting & Exit Signs

Fire/Smoke Doors & Dampers

High-Risk / Life Support Equipment

Imaging Equipment (No AEM Allowed)

Sterilization Equipment

Hemodialysis Equipment (if applicable)

Emergency Power (NFPA 110)

Medical Gas Systems (NFPA 99)

HVAC & Ventilation

Electrical Systems

Bloodborne Pathogen Compliance

Environmental Cleaning

Water Management (Legionella)

Chemical Safety (HazCom)

Building Safety

ADA Accessibility

Security Systems

Medication Storage

Total inspection items: 100+ tasks across 5 compliance categories
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Smart Automation

Where Sensors Can Do the Work for You

Many healthcare compliance checks can be automated with IoT sensors - collecting data 24/7, triggering alerts when thresholds are exceeded, and automatically creating work orders for your team.

Temperature Monitoring

Medication refrigerators
TJC MM.03.01.01
Automatic excursion alerts, continuous logging
Vaccine storage (VFC)
CDC VFC Program
Meet CDC twice-daily logging requirement automatically
Blood bank refrigerators
AABB Standards
Critical temperature alerts with escalation
Operating rooms (68-75F)
CMS 42 CFR 482.41
Auto work order when out of range

Pressure Monitoring

Airborne Infection Isolation rooms
CDC/CMS
Negative pressure verification, alarm on loss
Operating rooms
ASHRAE 170
Positive pressure monitoring, real-time verification
Protective Environment rooms
CDC/CMS
HEPA-filtered positive pressure monitoring

Water Quality

Hot water return lines
ASHRAE 188
Legionella prevention, temperature trending
Ice machines
FDA Food Code
Temperature and cleaning schedule monitoring

Equipment Runtime

Emergency generators
NFPA 110
Automatic runtime logging, load monitoring
HVAC systems
ASHRAE 170
Air handler status, filter differential pressure

How Smart Workflows Automate Healthcare Compliance

IoT Sensor
Monitors 24/7
Threshold Alert
Temp/pressure exceeds limit
Work Order
Auto-generated
Team Notified
Right person assigned
Documented
Survey-ready audit trail
Implementation Guide

Set Up Compliance Tracking in Infodeck

Follow these steps to automate your healthcare facility's compliance program. Each inspection from the checklist above becomes a scheduled, tracked, and documented task.

1

Create Recurring Work Orders by Frequency

Group compliance tasks by frequency (daily, weekly, monthly, quarterly, annual) and create recurring work orders. Infodeck auto-generates them on schedule.

Daily: Med Fridge Temps
Auto-logged with IoT
Monthly: Fire Extinguishers
Recurring PM
Annual: TJC Full Inspection
Complex PM with checklist
2

Build Digital Inspection Forms (SOPs)

Create standardized forms for each inspection type. Include pass/fail checkboxes, measurement fields, photo requirements, and digital signatures.

Pass/Fail Checkbox Temperature Reading Photo Documentation Digital Signature Deficiency Notes
3

Connect IoT Sensors for Continuous Monitoring

Temperature sensors for med fridges, pressure sensors for isolation rooms, and more. Smart Workflows auto-create work orders when readings exceed thresholds.

IF Med fridge > 46F then Create urgent work order and Alert pharmacy manager
4

Generate Survey-Ready Reports

When surveyors arrive, export complete compliance history with one click. All inspections, readings, photos, and corrective actions documented.

Inspection History Temperature Logs PM Completion Rates Deficiency Resolution Photo Documentation

Ready to Automate Healthcare Compliance?

Get the printable checklist now, or start automating your compliance tracking with Infodeck's 30-day free trial.

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Related Resources

CMMS for Healthcare

See how Infodeck helps healthcare facilities
Preventive Maintenance

Automate recurring inspections
IoT Integration

Connect sensors for real-time monitoring

Regulatory Sources

The Joint Commission EC/LS Standards CMS Conditions of Participation (42 CFR 482) NFPA 99 Health Care Facilities Code NFPA 101 Life Safety Code NFPA 72 National Fire Alarm Code OSHA Bloodborne Pathogens (29 CFR 1910.1030) ASHRAE 188 Legionellosis Prevention ADA Standards for Accessible Design

Disclaimer

This checklist is provided as a general guide for healthcare facility compliance based on the sources cited above. Requirements vary by state, accrediting organization, and facility type. Always verify specific requirements with The Joint Commission, your state health department, CMS, and local Authority Having Jurisdiction (AHJ).

Last updated: February 2026 | Region: United States