OPERATION THEATER AUDIT CHECK LIST
S.No DISPLAY Status Remarks
11 Caution X ray signage for Radiation exposure
12 Asset label
13 PM Label
14 Calibration label
15 Instruction /operator protocol displayed in the Machine
16 Emergency codes
17 Material Safety Data Sheets Displayed
18 Hazardous materials cupboard
21 Evacuation plan
22 HIRA
25 Fire Exit
27 Departmental signages
28 Operation theatre
29 Entry Restricted
30 Please remove your footwear here
31 Dress change area
1 Safety of electrical plugs & Sockets-(Check for loosely tangling wires)
2 Any damaged items in the area which has potential for Injury.
11 Mobile oxygen cylinder
12 Nitrous cylinder
13 Suction Apparatus
15 Uniflow direction-Man, material
16 HEPA Filter
17 RO water facility
18 Elbow or Knee action tap
20 Spill kit for Mercury
21 Separate stretcher with safety belts
29 Zoning in OT
30 Temperature monitor
31 Humidity monitor
32 Pressure monitor
38 Sterile Zone stickering
39 Clean Zone stickering
40 Unsterile Zone stickering
41 Eye wash
42 Treatment of Drainage water
43
Hazardous materials are identified and stored separately under lock and key
10 Equipment Stock Register
14 Equipment Breakdown register
15 Equipment operating manual
16 Complaint Register
17 HEPA Filter service report file
18 Temperature, Humidity and Pressure monitor Checklist
19 Temperature checklist for Refrigerator
23 O2 Cylinder checklist
24 Suction apparatus checklist
25 Boyle's machine checklist
26 Defibrillator checklist
27 Multiparamonitor checklist
31 Emergency drill reporting form
53 Asset list of equipments
54 Preventive Maintenance plan
58 MSDS file
59 Water quality check report
Responsibility
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FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
FMS Champion
