Safety Inspection Policy (123.003)

Safety Inspection Policy (123.003) - Policies, Administrative, UWMF, UWMF-wide, Safety, Safety


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Subject: Safety Inspection Policy
Effective Date: 4/8/15 Approved: Dr. Richard Welnick, Medical Dir
Supersedes Policy Date: 6/08 Revision #4
Distribution: Uconnect


Each site supervisor will ensure that the below listed items are inspected as required and
documented on the Safety Inspections Checklist (see Attachment A). If any item is
found to be defective or deficient, the site supervisor will remove the item from service (if
applicable) and make arrangements with Facilities to have it repaired. The Safety
Inspections Checklist must be retained at the site for a period of at least 3 years.

Eyewash Stations
Inspect all eyewash stations weekly for the following:
ξ Must activate in 1 second or less
ξ Must be in an accessible and well-lit area (identified with a sign)
ξ Must be activated weekly and cleaned if necessary
ξ Water flow must be even on either side of the eye wash and high enough for
effective rinsing of the eyes
ξ Once activated, eye wash should run by itself (without assistance from user)

Overhead paging
Each month, the overhead paging must be tested to ensure communication is clear and
distinguishable in the common areas of the site. Common areas mean those spaces
within the building that are available for common use by all tenants (e.g. waiting areas,
hallways, open work space areas, lobbies). If any deficiencies are noted, the site
manager will coordinate improvements with IT as approved by leadership.

Wheel Chairs
Inspect wheel chairs quarterly for the following:
ξ Tears in upholstery
ξ Loose hand rims
ξ Alignment (does it move straight?)
ξ Unusual grinding or clicking noises
ξ Brakes
ξ Foot rests (maneuver up/down, secured, release level operates properly)
ξ Contamination (i.e. blood spots, grease or other debris)

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Medical Waste Containers
Check all medical waste containers quarterly for the following:
ξ Check waste for appropriateness (refer to Medical Waste Disposal Policy in
Infection Control Manual.)
ξ Container lid is attached and functions properly.

Compressed Gas Cylinders
Check quarterly to see that all compressed gas cylinders are secured to a wall or cart to
prevent them from falling over.

Aneroid Blood Pressure Units
Check aneroid units every 6 months to ensure the needle reads within the boxed area
inside the dial when the unit is at rest. If the needle is completely outside the boxed
area, it is out of calibration and needs repair. If the same unit has the "Lifetime
Certified" markings inside the dial, it can be returned to the manufacturer for free
calibration (see below). If the unit does not have the above markings and/ or Welch
Allyn turn around time is too long, make arrangements with your biomedical service
provider to calibrate.

Returning Welch Allyn/Tycos Units (for calibration)
Call Welch Allyn at 1-800-535-6663. Chose option 2 for technical support. Welch Allyn
will ask for the serial number. Thereafter, a RMA number/address will be given to return
the unit. Turn around time for calibration is typically two weeks. Units can be boxed up
and labeled with a return address to clinic site and sent to Facilities for pickup by parcel
service (shipping/handling will be charged to the clinic).

Battery Replacement
1. Check weather scanner reception and replace backup batteries annually.
2. For power outages, check flashlights and replace batteries annually.
3. For temperature monitoring in medication refrigerating/freezing units, replace
batteries in thermometers annually.

Corded Equipment & Extension Cords
1. Inspect all non-patient related electrical equipment for damaged cords/extension
cords. Electrical cords are damaged if they
ξ Show bare wire or signs of wear (cord insulation damage)
ξ Are kinked, cut or loosely attached to the equipment or plug

2. Verify that the ground plug or other prongs have not been tampered with.
3. Verify that extension cords are not plugged into power strips or power strips are
plugged into additional power strips.
4. Verify that power strips are not used with medical equipment, space heaters or other
heat-producing appliances (i.e. microwave, coffee makers).
5. Re-inspect cords/extension cords only when non-patient care equipment is

UW Medical Foundation Safety Inspection Checklist ATTACHMENT A

Site Manager:_____________________________ Location:_________________________

Weekly Eyewash Inspections




Monthly Overhead Page Testing
completed/ Initials

Quarterly Wheel Chair Inspections
Date completed/Initials

Quarterly Compressed Gas Cylinder Inspections
Date completed/Initials

Quarterly Medical Waste Container Inspections

Semi-Annual Aneroid Blood Pressure Unit Inspection

Annual Battery Replacement
weather scanner, flashlight(s),