Quality Assurance Calendar Maintenance Responsible Party Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

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1 Generator fire up Generator 1 hour load test Generator 4 hour load test Fire extinguisher integrity checks Fire extinguisher certification Fire drills Fire door integrity Fire signage lighting Fire alarm system certification Sprinkler System Integrity (structurally sound and 18 inch spacing from storage and articles) Sprinkler certification Smoke wall barriers Weekly Monthly Whenever the fire-up or onehour load test results in a "wet stack test" Monthly Monthly so that there is one test on each shift during the quarter Monthly so that they are tested during fire drills Monthly and as and upon penetrations

2 Fire wall integrity Water temperature at the boiler or hot water tank point Water temperatures at patient sinks usage points Boiler certification Air handler filters Room filters Surgery air filters and upon penetration Weekly change as change as change as

3 Grease air handler and check belts Electric integrity checks for electric equipment Biomedical checks for clinical equipment Clean grease hood Refrigerator filters change as On purchase and annually (on safety tours) On purchase and annually and clean as change as

4 Elevator checks and maintenance service as every two months, Elevator certification Clean ceiling vents and clean as Dispose of biohazardous waste As at least every 90 days, Service contract review Service contract renewal or on term New chemical training Before use Secure MSDS and assure appropriate Before new precautions chemical use Employee right-to-know MSDS On orientation training before chemical use and annually Chemical labeling and storage Hazardous chemical storage

5 Cooling tower maintenance Bulk O2 tank integrity Medical gas integrity Medical vacuum integrity Exterior lighting Emergency lighting Emergency call system and service as needed and as recommended by manufacturer certify any time it is certify any time it is certify any time it is Weekly upon interruption upon interruption

6 Call Light and communication systems Water softners check Water integrity systems Ceiling integrity (tile and plaster integrity) Flooring integrity Baseboard integrity upon interruption Weekly and service as needed and as recommended by manufacturer Weekly and service as needed and as recommended by manufacturer upon breech or penetration upon breech, break or penetration upon breech

7 Surface washability Pest control Annual fire safety training Annual general safety training Annual infection control training Staff certifications for special equipment management and skills Annual policy and procedure review Employee training on new/revised policies and procedure training Ergonomics compliance PPE compliance Lock out-tag out compliance and upon breach Check high risk areas weekly and all other areas monthly with spraying as on recommended schedule, Before expiration On creation of or revision policy or procedure Continuous Continuous Working on electric or mechanical equipment

8 Electrical panel integrity and secure as opened Exposed wire control secure as Humidity integrity in operating room Check weekly Temperature control in operating room Humidity integrity in general building Temperature control in general building Air flow integrity Emergency response plan Emergency water supply plan Sharps box management Door alarms Portable tank control & security Security camera integrity and management Check daily Check weekly Check daily and address when and on continuously with disposal as at least quarterly and address as issues are identified Check daily Check daily

9 Heat pump maintenance Extension cord management Parking lot safety Handicap accessibility General safety inspections General trash management & disposal Lighting Safety (no exposed light bulbs and lighting fixtures) Light bulb replacement Outlet management in public areas Eye wash station integrity and service as needed and based on manufacturer recommendati ons Monthly and service as needed Ice maker integrity and clean/treat as at least quarterly Enhanced surveillance during Upon and construction throughout construction Notice of impact during construction Upon and throughout construction

10 HIPAA compliance QA Topic

Quality Assurance Calendar Laundry and Housekeeping Responsible Party Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

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