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Healthcare Facilities Compliance Checklist

TJC • CMS • NFPA 99 • OSHA • Infection Control

INFODECK
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1

Fire & Life Safety

NFPA 101 / NFPA 99 / TJC LS Standards

Fire Alarm System (NFPA 72)

Task / Inspection ItemFrequencyDate CompletedInitials
Fire alarm panel visual inspectionDaily
Manual pull station functional testMonthly
Smoke detector sensitivity test (sampling)Annual
Heat detector functional testAnnual
Audible/visual notification device testSemi-annual
Fire alarm battery load testAnnual
Fire watch procedures when system impairedAs needed

Sprinkler System (NFPA 25)

Task / Inspection ItemFrequencyDate CompletedInitials
Control valve position verificationWeekly
Waterflow alarm testQuarterly
Sprinkler head visual inspectionAnnual
Main drain flow testQuarterly
Fire pump flow testAnnual
Spare sprinkler head inventory (min 6)Annual

Fire Extinguishers (NFPA 10)

Task / Inspection ItemFrequencyDate CompletedInitials
Visual inspection (all extinguishers)Monthly
Professional inspection and tagAnnual
Hydrostatic pressure test5-12 years
Verify clear access (3 ft clearance)Monthly
Check mounting height (max 5 ft to top)Annual

Emergency Lighting & Exit Signs

Task / Inspection ItemFrequencyDate CompletedInitials
30-second functional testMonthly
90-minute battery discharge testAnnual
Exit sign illumination checkMonthly
Battery replacement (per manufacturer)5-7 years

Fire/Smoke Doors & Dampers

Task / Inspection ItemFrequencyDate CompletedInitials
Fire door visual inspectionMonthly
Fire door operational testAnnual
Smoke compartment barrier integrityAnnual
Fire damper operational test6 years (initial Year 1)
Smoke damper operational test6 years (initial Year 1)
2

Medical Equipment Maintenance

TJC EC.02.04.01 / CMS 42 CFR 482.41

High-Risk / Life Support Equipment

Task / Inspection ItemFrequencyDate CompletedInitials
Ventilator PM (per manufacturer)Per MFR
Defibrillator functional testDaily/Shift
Defibrillator comprehensive PMPer MFR
Anesthesia machine PMPer MFR
Patient monitoring equipment PMPer MFR
Infusion pump PMPer MFR

Imaging Equipment (No AEM Allowed)

Task / Inspection ItemFrequencyDate CompletedInitials
X-ray equipment PMPer MFR
CT scanner PMPer MFR
MRI equipment PMPer MFR
Ultrasound equipment PMPer MFR
Nuclear medicine calibrationAnnual
Radiation safety surveyAnnual

Sterilization Equipment

Task / Inspection ItemFrequencyDate CompletedInitials
Sterilizer biological indicator testDaily/Each load
Sterilizer chemical indicatorEach load
Sterilizer Bowie-Dick test (vacuum)Daily
Sterilizer PMPer MFR
Sterilizer calibrationAnnual

Hemodialysis Equipment (if applicable)

Task / Inspection ItemFrequencyDate CompletedInitials
Dialysis machine PMPer MFR
Water quality testing (chlorine/chloramine)Before each shift
Water bacteria/endotoxin testingMonthly
Reverse osmosis system PMPer MFR
3

Utility Systems

TJC EC.02.05 / NFPA 99 / NFPA 110

Emergency Power (NFPA 110)

Task / Inspection ItemFrequencyDate CompletedInitials
Generator visual inspectionDaily
Generator load test (30% min)Monthly
Generator transfer test (10 sec)Monthly
Generator annual load bank testAnnual
ATS (Automatic Transfer Switch) testMonthly
UPS battery inspectionMonthly
Generator fuel quality testAnnual

Medical Gas Systems (NFPA 99)

Task / Inspection ItemFrequencyDate CompletedInitials
Medical gas alarm panel testDaily
Medical gas outlet pressure testAnnual
Medical vacuum system testAnnual
Bulk oxygen system inspectionPer vendor
Medical air compressor PMPer MFR
Medical gas piping inspectionAnnual

HVAC & Ventilation

Task / Inspection ItemFrequencyDate CompletedInitials
Operating room air pressure verificationDaily
Isolation room negative pressure checkDaily
HEPA filter inspection (ORs, isolation)Annual
Air changes per hour verificationAnnual
Temperature monitoring (OR 68-75F)Daily
Humidity monitoring (OR 20-60%)Daily

Electrical Systems

Task / Inspection ItemFrequencyDate CompletedInitials
Electrical panel inspectionAnnual
Ground fault circuit interrupter (GFCI) testMonthly
Hospital-grade receptacle testAnnual
Isolated power system testMonthly
Line isolation monitor (LIM) checkDaily
4

Infection Control & Safety

OSHA 1910.1030 / CDC Guidelines

Bloodborne Pathogen Compliance

Task / Inspection ItemFrequencyDate CompletedInitials
Exposure Control Plan reviewAnnual
Sharps injury log reviewAnnual
Sharps container inspectionDaily
Engineering controls evaluationAnnual
Employee BBP trainingAnnual
Hepatitis B vaccination offeringUpon hire

Environmental Cleaning

Task / Inspection ItemFrequencyDate CompletedInitials
Patient room terminal cleaning auditPer discharge
High-touch surface disinfectionDaily/Per shift
Operating room terminal cleaningAfter each case
Isolation room cleaning protocolPer protocol
UV disinfection (if equipped)Per protocol

Water Management (Legionella)

Task / Inspection ItemFrequencyDate CompletedInitials
Water management program reviewAnnual
Hot water temperature check (>124F)Monthly
Cold water temperature check (<68F)Monthly
Cooling tower Legionella testQuarterly
Dead leg/low flow outlet flushingWeekly
Water quality testing (Legionella)Per risk assessment

Chemical Safety (HazCom)

Task / Inspection ItemFrequencyDate CompletedInitials
Safety Data Sheet (SDS) reviewAs updated
Eyewash station functional testWeekly
Emergency shower testMonthly
Hazardous material storage inspectionMonthly
Spill kit inventoryMonthly
5

Physical Environment

CMS 42 CFR 482.41 / ADA Standards

Building Safety

Task / Inspection ItemFrequencyDate CompletedInitials
Elevator inspection (state certified)Annual
Elevator emergency phone testMonthly
Elevator recall test (firefighter)Monthly
Roof condition inspectionAnnual
Parking structure inspectionAnnual
Window safety device checkAnnual

ADA Accessibility

Task / Inspection ItemFrequencyDate CompletedInitials
Accessible parking signage & stripingAnnual
Ramp slope and handrail inspectionAnnual
Door opening force test (5 lbs max)Annual
Accessible toilet fixture checkAnnual
Grab bar mounting verificationAnnual
Braille/tactile signage conditionAnnual

Security Systems

Task / Inspection ItemFrequencyDate CompletedInitials
Infant security system testPer MFR
Access control system testMonthly
CCTV system inspectionMonthly
Panic/duress alarm testMonthly
Controlled substance storage auditPer DEA

Medication Storage

Task / Inspection ItemFrequencyDate CompletedInitials
Medication refrigerator temperature logDaily
Medication freezer temperature logDaily
Vaccine storage temperature (VFC)Twice daily
Medication storage area securityDaily
Expired medication checkMonthly
Disclaimer: This checklist is based on The Joint Commission (TJC), CMS Conditions of Participation, NFPA 99, and OSHA standards. Requirements vary by facility type and state. Verify with your accrediting body and local AHJ.
Last updated: February 2026 • Sources: TJC, CMS, NFPA, OSHA infodeck.io/resources/healthcare-compliance-checklist