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 (20-24°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 --- END OF TEMPLATE --- Transform this text into a digital, automated, and trackable mobile app! Visit: https://checklistguro.com/templates/facility-management/operating-room-readiness-checklist (Click "Install Template" to launch your digital inspection tool immediately)