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Run: Behavioral Health Environment Risk Audit

Use this Behavioral Health Environment Risk Audit template to document ligature, elopement, and environmental safety risks in inpatient behavioral health uni...

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Unit Access, Doors, and Egress

Verify patient-access doors, staff-only doors, and perimeter access points latch and lock as intended.
Check corridors, exits, and exit access routes for carts, furniture, equipment, or stored items that could delay evacuation.
Inspect door handles, hinges, strike plates, closers, and gaps for patient self-harm or entrapment risks.
Confirm window assemblies, cords, and hardware do not present ligature, breakage, or climb risks.
Verify emergency release hardware, alarms, and staff override functions operate as designed and are known to staff.

Patient Rooms and Bathrooms

Inspect exposed hooks, rails, sprinkler escutcheons, vents, grab bars, and other anchor points in patient-accessible areas.
Check sinks, faucets, toilets, shower controls, mirrors, and dispensers for breakaway, removable, or ligature-capable components.
Verify exposed pipes, traps, valves, and access panels are secured and do not create ligature, concealment, or contraband opportunities.
Inspect bed frames, chairs, tables, and storage units for tie-off points, sharp edges, removable parts, or heavy movable items that increase risk.
Verify curtains, cords, tracks, and privacy hardware are designed to reduce ligature risk and are maintained in safe condition.

Common Areas, Observation, and Activity Spaces

Confirm observation stations and sightlines support required monitoring without blind spots created by walls, furniture, or equipment.
Inspect cameras, speakers, clocks, TVs, and other mounted items for tamper resistance and safe installation.
Verify furniture arrangement allows supervision, safe movement, and rapid response without creating hidden areas or blocked paths.
Check for glass, metal utensils, unsecured tools, cords, batteries, and other items requiring restricted access or inventory control.
Verify art supplies, games, and therapeutic tools are selected and stored according to unit risk level and patient acuity.

Environmental Fixtures, Utilities, and Safety Systems

Inspect outlet covers, cord length, charging stations, and device storage for tampering, ligature, or shock hazards.
Verify surface guards, temperature controls, and clearances prevent burns or concealment of contraband.
Check for damage, tampering, blocked coverage, or attachments that could compromise fire protection.
Confirm patient-accessible glazing and mirrors are appropriate for the unit and not easily shattered into hazardous fragments.
Document any areas with excessive heat, cold, or moisture that could affect patient safety or fixture integrity.

Staff Controls, Documentation, and Corrective Actions

Verify a current, unit-specific environmental risk assessment is on file and reflects recent renovations, repairs, or incidents.
Interview available staff to confirm awareness of observation requirements, restricted items, and escalation procedures.
Record each non-conformance with precise location, observed condition, interim controls, and responsible owner.
Ensure remediation timelines are documented and appropriate to the risk level, with escalation for critical items.
Provide a concise summary of the unit's condition, including any critical items requiring urgent escalation.

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