A Self-Assessment Guide for Health Care Organizations - IFC

Baseline
Score
Score
Score
Facility Safety and Emergency Management
FSE.1
Program to provide safe and secure
environment
1 Staff, visitor and vendor identification
2 Inspection of physical facility
3 Plan to reduce risks identified during inspection
4 Plans for upgrading and replacing systems
FSE.2 Hazardous materials
1 List of hazardous wastes
2 Plan covers listed processes
3 Hazardous materials managed according to plan
FSE.3 Emergency management plan
1 Identification of potential major internal and
external disasters
2 Plan to respond to identified disasters
3 Plan tested annually
FSE.4 Fire/smoke plans
1 Fire safety plan
2 Fire assessment during construction
3 Inspection of fire detection and abatement
systems
4 Staff trained to participate in fire plan
5 Fire evacuation plan tested twice a year
6 Staff participate in one fire test per year
7 Smoking policies
FSE.5 Medical Equipment Maintenance
1 Program to test, maintain and keep inventory
of equipment
2 Qualified staff to manage medical equipment
3 Data for medical equipment management
program
IFC Self-Assessment Guide for Health Care Organizations 83