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Run: Negative-Pressure Room Verification

Daily AIIR negative-pressure verification for airborne isolation rooms, with room ID, pressure readings, airflow checks, and corrective action fields. Use it...

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Room Identification and Status

AIIR room identifier recorded

Document the room number, unit, or location being verified.

Room designated for airborne isolation use critical (required)

Confirm the room is currently assigned to airborne infection isolation use.

Yes No N/A

Current patient isolation indication documented

Record the reason for isolation, such as TB, COVID-19, or other airborne precaution.

Pressure Differential Verification

Negative pressure confirmed at room entry critical (required)

Verify airflow is inward from corridor to room using the facility-approved method.

Yes No N/A

Measured pressure differential recorded critical (required)

Record the pressure differential between the room and adjacent corridor or anteroom.

Note (optional)

Pressure monitoring device or indicator functioning critical (required)

Confirm the room pressure monitor, gauge, or visual indicator is operating and readable.

Yes No N/A

Pressure reading stable during observation period critical (required)

Confirm the negative pressure condition remains stable during the inspection observation period.

Yes No N/A

Air Handling and Containment

Door closed and self-closing function intact critical (required)

Verify the isolation room door is closed and the self-closing mechanism operates properly.

Yes No N/A

No obvious air leakage at door, pass-through, or penetrations critical (required)

Check for visible gaps, drafts, or other signs of air leakage that could compromise containment.

Yes No N/A

Exhaust and supply air system operating as intended critical (required)

Verify the room ventilation system is running and supporting negative-pressure containment.

Yes No N/A

Air changes per hour documented

Record the current air changes per hour if available from the facility monitoring system or engineering record.

Note (optional)

Documentation and Corrective Action

Deficiencies documented with immediate notification critical (required)

If any critical item failed, confirm the issue was documented and escalated to engineering, infection prevention, or the supervisor on duty.

Yes No N/A

Corrective action recorded for any non-conformance

Describe the corrective action taken or initiated for any deficiency, including who was notified and when.

Inspector signature critical (required)

Inspector attestation that the daily verification was completed.

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