FACILITY CHECKLIST

A. Access and patient friendliness

1. Signage for directions and names of areas to be displayed at appropriate
locations.
2. All signage and displays should be at-least in two languages (English and local)
and in addition pictorial signage should be used.
3. Display of layout of the facility at all entrances.
4. Display of scope of services and services not in scope.
5. Display of important information such as timing, visitor policy and general
instructions to patients.
6. Entire facility should be a no smoking zone.
7. Well maintained ambiance.
8. Availability of general utility items like adequate seating space, public toilets etc.
B. Patient safety related requirements
1. Floors and stairs across the building (and especially in patient areas) should be
non-slippery.
2. If required a signage (wet floor) to inform people about the hazard should be
displayed.
3. Electric installations should be safe. No dangling or naked wires.
4. The first and last step of staircase should have an identification (e.g. a colored
line) to prevent people from accidentally missing it.
5. Drinking water should be regularly tested in a water testing lab for potability.
6. The corridors and general movement area should be devoid of unnecessary
obstacles or anything that could cause accidents.
7. The terrace should have border wall to prevent anyone from accidental falling.
8. The land of the hospital should wall to prevent unguarded entry of anybody,
including animals.
9. The outside open area of the hospital should be safe from snakes, pot-holes or
any other accidental things.
10. CCTV camera should be installed for security reasons and a notice of same
should be displayed.
11. The water tanks should be cleaned and date of cleaning should be displayed.
12. Biomedical waste collection area should be separate, identified and away from
general area.
13. Road towards emergency should be clear at all times and should have sufficient
space for movement of ambulance.
14. Hazardous items like diesel, medical gases cylinders, bulk chemicals etc.
should have a safe place for storage.
15. Crash cart should be available and easily accessible to each patient area, to be
used during medical emergency.
16. Radiology and radiation therapy areas must comply with AERB/BARC
regulations.
 17. Sufficient space for carrying out patient care activities with adequate circulation
space.
C. Disabled friendly related requirements
1. Disabled friendly toilets are accessible to patients in each area of the hospital.
Such toilets should have provisions like, leveled entry, wide door and inside to
accommodate wheelchairs, low height commodes, grab bars, anti-slip mats,
water jet and emergency alarm.
2. Emergency department must be on ground floor and with a separate entrance.
3. Railing to hold on stairs (low height and normal height).
4. Ramps or Lifts (sufficient to accommodate wheelchairs and stretchers).
5. Ramps at all areas where there is a step and may be accessed by patients.
D. Infection prevention
1. Inter-bed distance in patient’s wards should be about 6ft.
2. Accessibility of hand washing basins in each patient areas. Alternatively, hand
rub can be made available near each patient’s bed.
3. CSSD should have zoning to separate clean, sterile and general areas.
4. Operation Theatre should have zoning and engineering controls.
E. Requirements related to emergency situation
1. Each area that are occupied by people should have a way for exit in case of
emergency situations.
2. Emergency exit (Evacuation) route must be displayed at appropriate locations
such as wards, patient rooms, labs, ICU etc.
3. In case of vertical rise building, facility should have provision for evacuation of
people from upper floors. This can be done by having a separate staircase to
bring people down from upper floors directly outside the building, or availability
of an open space on each floor to temporarily collect people of that floor till the
time they are evacuated by external help.
4. Firefighting equipment to be available and accessible to each area of building.
5. Dedicated emergency illumination system, which comes into effect in case of
fire.
6. Equipment for transporting bed ridden patients outside the building in case of
emergency.
7. A safe area earmarked for collection of people in case of emergency situation.
8. Specific facility requirement related to probable disaster situation of the area in
which hospital is located.
F. Requirements related to handling outside disaster situation
1. An identified area which could easily be prepared for accommodating mass
casualty patients.
2. A separate earmarked stock of medicines and consumables in a cupboard to be
used only in mass casualty situations.
3. Medicine and consumable for frequently occurring emergency situation in the
area should be kept available. For eg. Anti-snake venom, if snake bite is a
common emergency.
G. Legal requirements
1. Fire NOC, building occupancy certificate, Lifts and escalators inspection, boilers
permit, Diesel storage permit, electrical inspection report, ETP inspection report,
 DG set certificate etc
2. Licenses and clearances from AERB for all Radiation areas and radiation
equipment

Documents related to Facility Management and Safety

1. Disposal of non-functioning items and scrap materials
2. Facility inspection round
3. Up-to-date drawings and site layout
4. Maintenance plan for the facility
5. Preventive and breakdown maintenance plan
6. Maintenance plan for water management
7. Maintenance plan for electrical systems
8. Maintenance plan for HVAC systems
9. Maintenance plan for IT and communication network
10. Equipment replacement and disposal
11. Managing medical gases (procurement, handling, storage, distribution, usage and replenishment
12. Handling of fire (Code Red alert) and non-fire emergencies
13. List of hazardous materials in the organization
14. Handling of hazardous materials (sorting, labeling, handling, storage, transporting and disposal)
15. Managing spills of hazardous materials (including blood)

QUALITY INDICATORS
1. Percentage of downtime of Critical equipment
2. Patient fall rate per 1000 patient days
3. Percentage of variations observed in mock drills