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


ECRI:  2015 List of Top 10 Patient Safety Concerns External Link (April 2015)

HFM:  Possible Emergency Power Code Revisions External Link (April 2015)

TJC:  Top Five Most Challenging Requirements for 2014 External Link (April 2015)

TJC:  Annual Equipment Performance Evaluations for Diagnostic Imaging Services External Link (April 2015)

TJC:  Sentinal Event Data External Link (April 2015)


OSHA: Updated Guidance for Protecting Healthcare and Social Service Workers from Workplace Violence External Link (April 2015)




 ASSE Risk Assessment Videos External Link


 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


 2015 TJC Survey Activities Guide for Healthcare Organizations External Link

 2015 TJC Survey Activities Guide for Ambulatory Care External Link


 EC Document Review Worksheet

 Preparation for the EC Interview Session