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

 EOC Plans & Templates  
 Survey Preparation  

Environment of Care Management Plans & Annual Evaluation Templates

  • The environment of care management plans and annual evaluations are the Joint Commission surveyors' first impression of your military treatment facility (MTF).
  • These documents must quickly convey to readers important information on the ways you manage risk, keep people safe, and the general status of your program.
  • The APHC management plan and annual evaluation templates are easily understood, yet they are complete and concise.
  • In addition, the templates are simple to modify so they accurately reflect your local policies, procedures, and work practices.

***MTFs must have a written management plan for safety, security, hazardous materials and waste, fire safety, medical equipment, and utility systems and evaluate these plans annually.***

Plans & Templates

 2015 Annual Evaluation of the EC Management Plans

2015 Environment of Care Management Plans for Hospitals

2015 Environment of Care Management Plans for Ambulatory Care

2015 Environment of Care Management Plans for Business Occupancies



  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

     Security Risk Analysis 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

    2015 Emergency Management Plan Annual Evaluation

     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


     2015 TJC Survey Activities Guide for Healthcare Organizations 

     2015 TJC Survey Activities Guide for Ambulatory Care 


     EC Document Review Worksheet

    2015 Environment of Care Key Staff

     Preparation for the EC Interview Session