Self-Inspection Form for Healthcare Buildings and Grounds

Periodic inspection of your organization’s buildings and grounds can alert you and your maintenance staff to hazards which may cause damage and accidents to your buildings and those who use it.  This form is provided for periodic self-inspection and is recommended for use on a quarterly basis to assist you in discovering hazards before an accident can occur.  Correct all negative conditions immediately.

This self-inspection form does not intend to point out all hazards and exposures which may be found at your building.  It is intended to be used as a guide to highlight major areas of exposure which are common to most emergency service organization buildings.  The use of this form does not warrant that all hazards will be found and corrected.