Run Group Therapy Room Safety Check — Free

Inspection Details

Inspection timing recorded critical (required)

Document whether this is a pre-group or post-group safety check and record the date/time.

Note (optional)

Group room identified critical (required)

Confirm the correct therapy room or group space is being inspected.

Inspector name

Name of staff member completing the safety check.

Sharps and Contraband Count

Sharps present in room critical (required)

Count any sharps found in the room, including broken plastic, metal fragments, needles, razors, or other sharp objects.

Contraband-prone items present in room critical (required)

Count items that can be concealed, broken, or repurposed as contraband, such as loose batteries, lighters, cords, clips, pens, or small detachable parts.

Items removed or secured before group critical (required)

Document the number of items removed from the room or secured prior to the session.

Post-group count matches pre-group count critical (required)

Verify that the post-group count of sharps, cords, and contraband-prone items matches the pre-group count, or document and escalate any discrepancy.

Yes No N/A

Cords, Cables, and Ligature-Prone Items

Loose cords or cables present critical (required)

Count visible loose cords, charging cables, extension cords, or device cables in the room.

Cords secured or removed from patient access critical (required)

Confirm any necessary cords are secured, shortened, or removed from patient access per unit procedure.

Yes No N/A

Ligature-prone accessories removed critical (required)

Confirm that items such as lanyards, ropes, straps, or other ligature-prone accessories are not present in the room.

Yes No N/A

Charging devices or power strips controlled critical (required)

Verify that any charging devices, power strips, or adapters are secured, supervised, or removed according to policy.

Yes No N/A

Room Environment and Furnishings

Seating and furniture stable critical (required)

Confirm chairs, tables, and other furnishings are stable, intact, and free of sharp edges or broken components.

Yes No N/A

Floor clear of debris and trip hazards critical (required)

Confirm the floor is clear of debris, loose items, spills, and trip hazards.

Yes No N/A

Doors, exits, and staff access unobstructed critical (required)

Confirm staff can access the room exit without obstruction and that egress paths are clear.

Yes No N/A

Potentially harmful wall-mounted or portable items removed critical (required)

Confirm any easily detachable or breakable items that could be used as contraband or for self-harm have been removed or secured.

Yes No N/A

Findings and Corrective Actions

Deficiencies documented

Record any unsafe condition, missing item, discrepancy, or non-conformance identified during the check.

Corrective action completed or escalated critical (required)

Describe the action taken to resolve the issue, including notification to the charge nurse, supervisor, or other responsible staff if needed.

Room cleared for group use critical (required)

Confirm the room is safe and ready for group therapy, or document why it remains out of service.

Yes No N/A

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)

Run: Group Therapy Room Safety Check

Inspection Details

Sharps and Contraband Count

Cords, Cables, and Ligature-Prone Items

Room Environment and Furnishings

Findings and Corrective Actions

Get your results