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 3 times.

HVAC System

1 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

2 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

3 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

UPS (Uninterruptible Power Supply) Status

Notes on Electrical System Observations

Medical Gas Systems

4 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

5 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

6 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

7 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

Date of Last Generator Maintenance

Generator Load Test Passed?

Any Notes or Observations During Testing?

ATS (Automatic Transfer Switch) Operation Verified?

Fire Safety

8 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

9 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

10 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

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?