OPERATING ROOM READINESS CHECKLIST

Created by ChecklistGuro (https://checklistguro.com)

--- HVAC SYSTEM ---
[ ] Room Temperature (degrees Celsius)
[ ] Relative Humidity (%)
[ ] Air Changes per Hour (ACH)
[ ] Filter Status (Clean, Needs Replacement, Dirty)
[ ] Supply Air Pressure (Positive/Negative) (Positive, Negative, As Per Protocol)
[ ] Last Filter Replacement Date
[ ] Notes / Deviations from Standard

--- LIGHTING ---
[ ] Ambient Light Level (Lux)
[ ] Surgical Light Footcandle Level (at surgical field)
[ ] Surgical Light Focus Functionality (Working, Malfunctioning, Needs Repair)
[ ] Emergency Backup Lighting Status (Operational, Needs Testing, Out of Service)
[ ] Dimming Functionality - Satisfactory? (Yes, No)
[ ] Notes/Observations Regarding Lighting

--- ELECTRICAL SYSTEMS ---
[ ] Main Power Voltage (VAC)
[ ] Emergency Generator Voltage (VAC)
[ ] Main Power Voltage Stability (RMS deviation)
[ ] Automatic Transfer Switch (ATS) Status (Operational, Needs Maintenance, Failed)
[ ] Last ATS Test Date
[ ] Time of Last ATS Test
[ ] UPS (Uninterruptible Power Supply) Status (Operational, Needs Maintenance, Failed)
[ ] Notes on Electrical System Observations

--- MEDICAL GAS SYSTEMS ---
[ ] Oxygen Cylinder Pressure (PSI)
[ ] Nitrous Oxide Cylinder Pressure (PSI)
[ ] Medical Air System Pressure (PSI)
[ ] Vacuum System Pressure (inHg)
[ ] Gas Cylinder Valve Condition (Good, Leaking, Damaged, Needs Lubrication)
[ ] Gas Manifold Pressure Gauges (Reading within Range, Reading Outside Range, Damaged, Missing)
[ ] Last Medical Gas System Inspection Date

--- WATER SUPPLY & DRAINAGE ---
[ ] Hot Water Temperature (at OR sink)
[ ] Water Pressure (at OR sink - PSI)
[ ] Backflow Prevention Device Status (Operational, Needs Maintenance, Out of Service)
[ ] Sink Drain Functionality (Draining Properly, Slow Drain, Blocked Drain)
[ ] Eye Wash Station Functionality (Functional, Needs Maintenance, Out of Service)
[ ] Last Water Quality Test Date
[ ] Comments/Notes Regarding Water Systems

--- AIR QUALITY & VENTILATION ---
[ ] Positive/Negative Pressure Differential (Pa)
[ ] Air Changes per Hour (ACH)
[ ] HEPA Filter Status (All Filters) (OK - Within Expiration, Replace Soon (Within 3 Months), Replace Immediately)
[ ] Supply Air Temperature (Operating Room) (Within Range (20-24Â°C), Outside Range - Corrective Action Needed)
[ ] Air Quality Concerns Observed? (Dust, Odors, Visible Particulates, None Observed)
[ ] Last Ventilation System Maintenance
[ ] Comments/Observations Regarding Ventilation System

--- EMERGENCY POWER SYSTEMS ---
[ ] Generator Runtime Hours (Last Test)
[ ] Generator Voltage (During Test)
[ ] Transfer Switch Contact Resistance (Ohms)
[ ] Last Generator Test Start Time
[ ] Date of Last Generator Maintenance
[ ] Generator Load Test Passed? (Yes, No, N/A)
[ ] Any Notes or Observations During Testing?
[ ] ATS (Automatic Transfer Switch) Operation Verified? (Yes, No, N/A)

--- FIRE SAFETY ---
[ ] Last Fire Extinguisher Inspection Date
[ ] Fire Extinguisher Pressure (PSI)
[ ] Fire Suppression System Status (Functional, Needs Repair, Out of Service)
[ ] Smoke Detector Status (Operational, Needs Maintenance, Faulty)
[ ] Emergency Exit Lighting Status (Functional, Dim, Not Working)
[ ] Location of Fire Control Panel
[ ] Any Observations/Comments Regarding Fire Safety

--- CLEANLINESS AND INFECTION CONTROL ---
[ ] Surface ATP Readings (Average)
[ ] Visible Soil/Residue Present? (Yes, No, Unsure)
[ ] Describe Any Visible Soil/Residue (if applicable)
[ ] Waste Receptacle Liners Present? (Yes, No)
[ ] Spill Kit Readily Available? (Yes, No)
[ ] Photographic Evidence (if issues observed)
[ ] Last Deep Cleaning Date

--- EQUIPMENT INFRASTRUCTURE ---
[ ] Outlet Voltage (Volts)
[ ] Outlet Frequency (Hz)
[ ] Dedicated Circuit Amperage (Amps)
[ ] Data Port Functionality (Ethernet, Fiber) (Ethernet - Verified, Fiber - Verified, Ethernet - Not Tested, Fiber - Not Tested, Data Port Unavailable)
[ ] Compressed Air Line Pressure (if applicable) (Within Specified Range, Outside Specified Range, Not Applicable)
[ ] Notes/Observations Regarding Infrastructure

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