| Hospital Name | |
|---|---|
| Date of Assessment | |
| Assessor Name | |
| Location |
| Checklist Item | Yes / No | Comments |
|---|---|---|
| Are all entry/exit doors secured? | ||
| Are emergency exits clearly marked and accessible? | ||
| Are access points monitored (guards/cameras)? | ||
| Is visitor access controlled and logged? |
| Checklist Item | Yes / No | Comments |
|---|---|---|
| Are restricted areas secured (e.g., pharmacy, records)? | ||
| Are employee badges required for access? | ||
| Is there adequate lighting in all areas? | ||
| Are access logs reviewed regularly? |
| Checklist Item | Yes / No | Comments |
|---|---|---|
| Are physical barriers (fences, gates) present and intact? | ||
| Is signage adequate for restricted/prohibited areas? | ||
| Are entry points clearly designated? | ||
| Are security procedures clearly posted? |