Assisted Living Assessment Checklist

Use this Assisted Living Assessment Checklist for annual evaluation of facilities, services and amenities for seniors' care quality and safety standards.

Assisted Living Assessment Checklist



Other

1. Compressed gas cylinders secured correctly?


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2. Elevator operation, service, signs and keys checked?


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3. Backflow prevention devices comply with IPC?


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General Housekeeping Precautions

1. Is there an accumulation of combustible waste materials?


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2. Are weeds, grass, vines capable of being ignited?


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3. Is combustible rubbish being stored properly?


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4. Are containers of combustible rubbish stored in proper locations?


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5. Are housekeeping practices compliant with open flame, fire & burning?


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6. Fuelled equipment (lawn equipment, generators, etc.) stored correctly?


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7. Vehicles stored correctly?


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8. Is storage maintained at least 18 inches below sprinkler deflectors?


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9. Is storage provided in electrical, boiler, mechanical rooms, etc.?


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Emergency Planning & Fire Service Features

1. Fire safety, evacuation & emergency preparedness plans in place?


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2. Documented fire and emergency evacuation drills verified?


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3. Fire apparatus access roads checked?


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4. Fire apparatus access markings clear?


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5. Fire apparatus access free of obstructions (vehicles parked in fire lane, etc.)?


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6. Is there proper access to building openings & roofs?


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7. Is the address visible from street (6" letters)?


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8. Is there access to the key-box?


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9. All necessary keys verified?


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10. Water supplies for fire protection checked?


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11. Fire protection / utility equipment access / identification done?


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Interior Finish, Decorative Materials & Furnishings

1. General provisions checked?


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2. Interior wall, ceiling and floor finishes checked?


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3. Upholstered furniture & mattresses checked?


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4. Decorative vegetation checked?


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5. If there is any storage in corridors & lobbies, is it appropriate and posing no hazards?


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Fire Protection

1. Fire alarm system in operative condition and has a current tag?


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2. Does the access control drop out upon alarm or power loss?


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3. Offsite monitoring service of systems in place and have a current tag?


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4. Sprinkler system in operative condition and has a current tag?


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5. Hood suppression in operative condition and has a current tag?


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6. Excessive grease build-up cleaned?


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7. All records updated?


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8. Extinguishers serviced, in operative condition and have a current tag?


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9. Extinguishers unobstructed and unobscured?


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10. Extinguisher hangers, brackets and cabinets in good condition?


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11. Is there access to fire department connections?


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12. Locking FDC connection caps?


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13. Is there clear space around FDC connections?


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Electrical Equipment & Wiring Hazards

1. Is the electrical wiring to NFPA 70, current?


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2. Are electrical, boiler, mechanical rooms, etc. properly illuminated?


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3. Is there sufficient working space and clearance for electrical service equipment?


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4. Is there a proper identification and labelling of doors?


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5. Is there a proper use of extension cords?


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6. Is there any system in unapproved condition (missing covers, switches, outlets, etc)?


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Means Of Egress

1. Is the means of egress unobstructed (not reduced or blocked)?


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2. Emergency lighting in place?


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3. Door swing direction, correct?


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4. Door opening force checked?


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5. Door locks and latches checked?


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6. Egress doors access controlled?


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7. Panic and fire exit hardware maintenance done?


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8. Exit Signs clearly visible and lit?


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Fire Resistance & Rated Construction

1. Penetrations properly sealed in floors, walls & ceilings (no missing tiles, etc)?


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2. Hold open and closure devices (door holders, dampers, etc.) operating correctly?


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3. Door operations checked?


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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