Run Annual Emergency Preparedness Plan Review — Free

Inspection Details

Review date recorded critical (required)

Facility / department scope identified critical (required)

Reviewer name and title documented critical (required)

Plan version or revision date documented critical (required)

Applicable regulatory basis identified

All-Hazards Risk Assessment

Risk assessment reviewed and updated for current hazards critical (required)

Yes No N/A

Facility-specific hazards identified and documented critical (required)

Note (optional)

Likelihood and impact reviewed for each major hazard

Note (optional)

Mitigation actions updated with owners and due dates critical (required)

Yes No N/A

Changes in occupancy, services, equipment, or layout considered critical (required)

Yes No N/A

External hazard information reviewed

Yes No N/A

Emergency Communication Plan

Emergency contact list reviewed and updated critical (required)

Yes No N/A

Primary and backup communication methods documented critical (required)

Note (optional)

Communication plan includes staff, patients, residents, and families as applicable critical (required)

Yes No N/A

After-hours and weekend notification process documented

Yes No N/A

Alternate communication method tested within the review period critical (required)

Yes No N/A

Training, Drills, and Exercises

Staff emergency preparedness training completed critical (required)

Yes No N/A

Drill or exercise records available for the review period critical (required)

Yes No N/A

At least one drill or exercise included evaluation of communication procedures critical (required)

Yes No N/A

Lessons learned documented and assigned for follow-up

Yes No N/A

Competent person or designated leader reviewed drill outcomes

Yes No N/A

Plan Accessibility and Resources

Current plan is accessible to staff in the work area critical (required)

Yes No N/A

Emergency roles and responsibilities are assigned critical (required)

Yes No N/A

Evacuation, shelter-in-place, and relocation procedures are current critical (required)

Yes No N/A

Emergency supplies and backup resources reviewed

Yes No N/A

Mutual aid, vendor, or alternate site agreements reviewed if applicable

Yes No N/A

Findings, Corrective Actions, and Approval

Deficiencies or non-conformances documented

Corrective action owners and due dates assigned

Final review approved by leadership critical (required)

Note (optional)

Supporting documentation attached

Yes No N/A

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Run: Annual Emergency Preparedness Plan Review

Inspection Details

All-Hazards Risk Assessment

Emergency Communication Plan

Training, Drills, and Exercises

Plan Accessibility and Resources

Findings, Corrective Actions, and Approval

Get your results