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

         CDC The Flu: What To Do If You Get Sick (Jan 2015) external link

         CDC The Pan Flu Scramble Exercise (Jan 2015) external link

         ECRI 2015 Top 10 Health Technology Hazards (Jan 2015) external link

  FDA Ultrasound Imaging (Jan 2015) external link

  HHS Incorporating Active Shooter Incident Planning into Health Care Facility Emergency (Jan 2015) external link

  NIOSH Preventing Worker Fatigue Among Ebola Healthcare Workers and Responders (Jan 2015) external link

 NIOSH Interim NIOSH Training for Emergency Responders: Reducing Risks Associated with Long Work Hours (Jan 2015) external link

  NIOSH What Works Best to Prevent Stress Among Healthcare Workers: Changing the Organization or Educating Staff? (Jan 2015) external link

  TJC 2015 National Patient Safety Goals Presentation (Jan 2015) external link

Bovie Smoke/Laser Plumes (COMING SOON)


 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

Business Fire Incident Response Evaluation Report

 Sample Fire and Smoke Barrier Penetration Policy

Sample Holiday Decoration Policy

Holiday Decoration Inspection Log

Fire Drill Observer's Report

Fire Drill Schedule FY11

 Fire Smoke Barrier Penetration Permit

Hospital Fire Incident Response Evaluation Report

 Sample Interim Life Safety Measure Policy

Interim Life Safety Measures Documentation Worksheet

Interim Life Safety Measures Selection Matrix

Medical Equipment

Medical Equipment Customer Evaluation

Utility Systems

 Sample Reporting Utility Problems and Failures Policy

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