Medical Safety
Medical Safety Environment of Care (EC)/Physical Environment (PE) Risk Management Toolkit 


Safety is defined as freedom from unacceptable risks, and it is the cornerstone for the Joint Commission's EC/PE standards.

To manage risk within the EC, military treatment facilities must effectively plan and execute effective programs related to safety, security, hazardous materials and waste, fire safety, medical equipment and facilities/utilities management.

This toolkit provides practical information and guidance, templates, sample policies, work sheets, checklists and similar tools to improve compliance with the Joint Commission's EC/PE standards. 

Table of Contents

Hot Topics





Survey Preparation

Hot Topics

Current Topics in Safe Patient Handling and Mobility external link (Mar 2015)

ASHRAE: ASHRAE 188P, Fifth ISC Publication Public Review Draft Legionellosis: Risk Management for Building Water Systems external link.
The 30-Day Public Review Period is from March 13, 2015 - April 12, 2015. (Mar 2015)

ASSE:  Wellness Report external link (Mar 2015)

CMS:  Potential Adverse Impact of Lower Relative Humidity (RH) in Operation Rooms (ORs)  external link(Mar 2015)

CMS:  Categorical Waiver for Power Strips external link (Mar 2015)

ECRI Institute:  CRE and Duodenoscope Resource Center external link (Mar 2015)

EHS Today: Integrating EHS Functions: Doing More with More external link (Mar 2015)

EPA: Safer Choice Label external link (Mar 2015)

EPA:  EPA Pharmaceutical Waste Proposal Underway external link (Mar 2015)

FDA:  Final Guidance on Reprocessing of Reusable Medical Devices external link (Mar 2015)

HFM: How to Prepare for Water Outages external link (Mar 2015)

LSC: TJC Clarifies Requirements for Compressed Gas Storage external link (Mar 2015)

MGI Advisory Services: CMS and Joint Commission Minimum Requirements for Annual Load Tests-Some Confusion-10 March 2015 external link (Mar 2015)

NFPA:  Seeking Public Input for NFPA 99 and NFPA 101 for 2017 update external link (Mar 2015)

OSHA:  Infectious Disease Rulemaking external link (Mar 2015)

TJC:  Accelerating the Adoption of a Safety Culture external link (Mar 2015)

TJC:  E-Cigarettes external link (Mar 2015)

USP:  Revised Proposed USP 800 external link Open for public comments until 31 May 2015 (Mar 2015)


 Writing Your EC Management Plans (NEW)

 Evaluating Your EC Management Plans (NEW)

 Safe and Functional Environment (NEW)

Safety Program (COMING SOON)



  Product Notices and Recall Policy

 Safety Inspection Schedule 

Safety/EC Committees

 EC Safety Committee Report Tracker

 EC Safety Committee Minutes Template

EC Safety Committee Issues Tracking Log

 EC Safety Committee Self Evaluation Tool

Safe and Functional Environment

 Infection Control Risk Assessment Policy


 Sample Tobacco-Free Environment Policy


 Security Incident Response Evaluation

 Security Incident Summary Report

 Security Risk Assessment Form

Hazardous Materials and Waste

 Hazardous Chemical Inventory

Fire Safety

 Fire Smoke Barrier Penetration Policy

 Fire Smoke Barrier Penetration Permit

 Business Fire Incident Response Evaluation Report

 Hospital Fire Incident Response Evaluation Report

 Fire Drill Observer's Report

 Fire Drill Schedule

 Holiday Decoration Policy

 Holiday Decoration Inspection Log

 Interim Life Safety Measures Documentation Worksheet

 Interim Life Safety Measures Policy

 Interim Life Safety Measures Selection Matrix

Medical Equipment

 Medical Equipment Customer Service Evaluation

Emergency Management

 Emergency Codes and Staff Response

 Emergency Operations Annual Evaluation Outline - Hospital

 Emergency Operations Plan - Hospital        

 Global Risk Assessment Tool

 Hazard Vulnerability Analysis (Simple)

 Hazard Vulnerability Analysis (Detailed)

 Hazard Vulnerability Analysis Tool

 Utility System Failure and Staff Response Guide

Staff Roles and Responsibilities

 Staff Physical Environment Competency Assessment

 New Employee Safety Orientation

 Safety Orientation and Training Record

 Security Military Police Information Sheet

 Medical Maintenance Repairer Competency Assessment

 Utility Maintainer Competency Assessment


 Safety Tracer

 Security Tracer

 HAZMAT Waste Tracer

 Medical Equipment Tracer


Laboratory Inspection Checklist

Missing Patient Search Checklist

Security Program Checklist

 Fire Safety Inspection Checklist

 Holiday Decoration Checklist

Medical Equipment Clinical Alarm Audit

Survey Preparation

EC Document Review Worksheet 

 Preparation for the EC Interview Session