Templates › Inspections › SEO page

Run: Code Cart Lock & Tamper Check

Use this code cart lock and tamper check template to verify cart integrity, access, and labeling in non-clinical units before an emergency. It helps you docu...

Fill this out, get a PDF emailed to you. No account required. Want to run it with your team and track results? Sign up free →

Cart Identification

Cart ID or location is recorded

Enter the cart identifier, unit name, or exact location being inspected.

Inspection date and time recorded critical (required)

Document when the tamper check was completed.

Lock and Tamper Integrity

Cart is secured with an intact lock or seal critical (required)

Verify the cart is closed and secured with the expected lock, seal, or tamper-evident device.

Yes No N/A

Seal number matches the documented expected seal number critical (required)

Record the seal number and confirm it matches the prior documented number, if applicable.

No evidence of tampering or unauthorized access critical (required)

Check for broken seals, pry marks, open drawers, missing lock components, or other signs of unauthorized access.

Yes No N/A

All external drawers, doors, and latches are fully closed critical (required)

Confirm every visible compartment is closed and latched as designed.

Yes No N/A

External Condition and Accessibility

Cart is clean, dry, and free of visible damage

Inspect the exterior for contamination, spills, corrosion, broken casters, or structural damage that could affect readiness.

Yes No N/A

Cart is immediately accessible and not blocked critical (required)

Verify the cart can be reached quickly and is not obstructed by furniture, supplies, or equipment.

Yes No N/A

Emergency labeling is visible and legible

Confirm the cart is clearly identifiable as a code/emergency cart and labels are readable from normal approach distance.

Yes No N/A

Exceptions and Corrective Action

Any deficiency or non-conformance documented critical (required)

Record any issue found during the check, including broken seals, missing lock, damage, or access obstruction.

Yes No N/A

Corrective action initiated or escalation completed

Describe the action taken, such as notifying charge staff, replacing the seal, removing the cart from service, or escalating to the AHJ or unit leadership.

Inspector signature critical (required)

Signature of the person completing the inspection.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Generated with MangoApps Templates — browse 250+ free