QAPI Program Utilization_Manual

SAFETY TRACKING LOG Total By Months JAN FEB MAR APR MAY JUNE JULY AUG SEPT OCT NOV DEC TOTAL% % % % % % % % % % % % % % % % % % % % % % % % % % Year______________ _ ITEM Infection Control/Exposure Plan & Safety training annually Annual assessment of TB rates. Staff Physical completed Staff follow infection control procedures, Influenza Vaccine training Disaster plan in place , submitted to DOH Annual disaster drill evaluation Staff are education on the Disaster Plan Routine Utility System Checks Heating/Cooling in the office Refrigeration Water Supply Telephone, computer systems Illuminated exit signs Alarm systems if applicable Emergency communication systems Posted escaped routes No smoking signs - smoking prohibited Smoke detectors in place, battery checked Fire extinguishers in appropriate areas Visual inspection of fire extinguisher Fire extinguisher serviced annually Annual fire drill & evaluation Safe handling, storage disposal of hazardous chemicals or materials MSDA available Appropriate PPE available (gloves, masks, CPR shell, etc) Maintenance Logs for equipment used for waived tests Other Agency requirement (complete if applicable) % 125