ChecklistGuro logo ChecklistGuro Solutions Industries Resources Pricing
Request Demo
ChecklistGuro logo ChecklistGuro

Operating Room Readiness Checklist

Ensure peak OR performance & patient safety! Our comprehensive Operating Room Readiness Checklist for Facility Management guarantees a flawlessly prepared surgical environment. Download now & streamline your facility's readiness protocols.

This Template was installed 0 times.

HVAC System

NaN of 10

Verification of Heating, Ventilation, and Air Conditioning system functionality and environmental control.

Room Temperature (degrees Celsius)

Relative Humidity (%)

Air Changes per Hour (ACH)

Filter Status

Supply Air Pressure (Positive/Negative)

Last Filter Replacement Date

Notes / Deviations from Standard

Lighting

NaN of 10

Assessment of operating room lighting systems for adequate intensity and functionality.

Ambient Light Level (Lux)

Surgical Light Footcandle Level (at surgical field)

Surgical Light Focus Functionality

Emergency Backup Lighting Status

Dimming Functionality - Satisfactory?

Notes/Observations Regarding Lighting

Electrical Systems

NaN of 10

Evaluation of power supply, backup generators, and electrical safety.

Main Power Voltage (VAC)

Emergency Generator Voltage (VAC)

Main Power Voltage Stability (RMS deviation)

Automatic Transfer Switch (ATS) Status

Last ATS Test Date

Time of Last ATS Test

0:00
0:15
0:30
0:45
1:00
1:15
1:30
1:45
2:00
2:15
2:30
2:45
3:00
3:15
3:30
3:45
4:00
4:15
4:30
4:45
5:00
5:15
5:30
5:45
6:00
6:15
6:30
6:45
7:00
7:15
7:30
7:45
8:00
8:15
8:30
8:45
9:00
9:15
9:30
9:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45

UPS (Uninterruptible Power Supply) Status

Notes on Electrical System Observations

Medical Gas Systems

NaN of 10

Confirmation of medical gas supply, pressure, and leak detection.

Oxygen Cylinder Pressure (PSI)

Nitrous Oxide Cylinder Pressure (PSI)

Medical Air System Pressure (PSI)

Vacuum System Pressure (inHg)

Gas Cylinder Valve Condition

Gas Manifold Pressure Gauges

Last Medical Gas System Inspection Date

Water Supply & Drainage

NaN of 10

Inspection of water supply, hot water temperature, drainage functionality, and backflow prevention.

Hot Water Temperature (at OR sink)

Water Pressure (at OR sink - PSI)

Backflow Prevention Device Status

Sink Drain Functionality

Eye Wash Station Functionality

Last Water Quality Test Date

Comments/Notes Regarding Water Systems

Air Quality & Ventilation

NaN of 10

Assessment of air filtration, positive/negative pressure differentials, and air exchange rates.

Positive/Negative Pressure Differential (Pa)

Air Changes per Hour (ACH)

HEPA Filter Status (All Filters)

Supply Air Temperature (Operating Room)

Air Quality Concerns Observed?

Last Ventilation System Maintenance

Comments/Observations Regarding Ventilation System

Emergency Power Systems

NaN of 10

Testing and verification of emergency generators and transfer switches.

Generator Runtime Hours (Last Test)

Generator Voltage (During Test)

Transfer Switch Contact Resistance (Ohms)

Last Generator Test Start Time

0:00
0:15
0:30
0:45
1:00
1:15
1:30
1:45
2:00
2:15
2:30
2:45
3:00
3:15
3:30
3:45
4:00
4:15
4:30
4:45
5:00
5:15
5:30
5:45
6:00
6:15
6:30
6:45
7:00
7:15
7:30
7:45
8:00
8:15
8:30
8:45
9:00
9:15
9:30
9:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45

Date of Last Generator Maintenance

Generator Load Test Passed?

Any Notes or Observations During Testing?

ATS (Automatic Transfer Switch) Operation Verified?

Fire Safety

NaN of 10

Confirmation of fire suppression systems, smoke detectors, and emergency exit accessibility.

Last Fire Extinguisher Inspection Date

Fire Extinguisher Pressure (PSI)

Fire Suppression System Status

Smoke Detector Status

Emergency Exit Lighting Status

Location of Fire Control Panel

Any Observations/Comments Regarding Fire Safety

Cleanliness and Infection Control

NaN of 10

Evaluation of surface cleanliness, waste management, and overall hygiene standards.

Surface ATP Readings (Average)

Visible Soil/Residue Present?

Describe Any Visible Soil/Residue (if applicable)

Waste Receptacle Liners Present?

Spill Kit Readily Available?

Photographic Evidence (if issues observed)

Last Deep Cleaning Date

Equipment Infrastructure

NaN of 10

Verification of infrastructure supporting operating room equipment (e.g., power outlets, data ports, compressed air).

Outlet Voltage (Volts)

Outlet Frequency (Hz)

Dedicated Circuit Amperage (Amps)

Data Port Functionality (Ethernet, Fiber)

Compressed Air Line Pressure (if applicable)

Notes/Observations Regarding Infrastructure

Download as PDF Download as Excel (.xlsx) Download as CSV (.csv)
Excel vs ChecklistGuro Comparison Paper vs ChecklistGuro Comparison
Facility Management More about our this Template

Found this Checklist Template helpful?

Facility Management Solution

Managing facilities can be overwhelming. ChecklistGuro's Work OS platform offers a complete solution for streamlining maintenance, tracking assets, and improving efficiency. From preventative maintenance to work order management, we're here to simplify your facility operations. Learn how ChecklistGuro can transform your facility management!

Facility Management Features

Related Checklist Templates

undefined

Lease Renewal Checklist

undefined

Maintenance Request Checklist

undefined

Resident Communication Checklist

undefined

Capital Improvement Planning Checklist

undefined

Office Opening/Closing Checklist

undefined

Elevator Maintenance & Safety Checklist

undefined

Compressed Air System Inspection Checklist

undefined

Swimming Pool & Spa Maintenance Checklist

All Facility Management Checklist Templates

We can do it Together

Need help with Checklists?

Have a question? We're here to help. Please submit your inquiry, and we'll respond promptly.

Email Address
How can we help?
Solutions ERP - Enterprise Resource Planning CRM - Customer Relationship Management WMS - Warehouse Management System SCM - Supply Chain Management MRP - Material Requirements Planning BOM - Bill of Materials Management HRM - Human Resources Management Project Management Task Management Case Management Facility Management Maintenance Management Inventory Management Support Management Audit/Inspection Management Farm Management Waste Management Mining Management Auto Repair Shop Management Flower Shop Management Dental Management Event Planning Management Public Transport Management Survey Management
Industries Manufacturing Automotive Construction Agriculture Logistics Energy Insurance Retail Hospitality Real Estate Healthcare Pharmaceutical
Resources Who are We? Contact Us Pricing ROI Calculator Affiliate Program Documentation Templates Blog Industries Solutions
Terms of ServicePrivacy Policy
© Copyright checklistguro.com