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Veterinary Hospital Inspection Checklist

Use this Vet Hospital Inspection Form to ensure that your hospital complies with the government's standards and requirements. This will also help you make sure that your hospital is clean and safe for both your animals and employees.
MaintainX
07/26/2022

Veterinary Hospital Inspection Checklist

62 steps
Use this Vet Hospital Inspection Form to ensure that your hospital complies with the government's standards and requirements. This will also help you make sure that your hospital is clean and safe for both your animals and employees.
  • Date of Inspection

  • Hospital Name

  • DBA, if applicable:

  • Address:

  • City:

  • List all Owners:

  • Responsible Veterinarian:

  • Other licensees:

  • Reception Area

  • Licenses displayed

    • Pass
    • Flag
    • Fail
  • 24-hour notice

    • Pass
    • Flag
    • Fail
  • Clean, orderly & odor controlled

    • Pass
    • Flag
    • Fail
  • Examination Room

  • Clean & sanitary

    • Pass
    • Flag
    • Fail
  • Instruments clean and sanitary

    • Pass
    • Flag
    • Fail
  • Lighting adequate

    • Pass
    • Flag
    • Fail
  • Sharps & surgical instruments properly disposed

    • Pass
    • Flag
    • Fail
  • Surgery/Treatment

  • Clean & sanitary

    • Pass
    • Flag
    • Fail
  • Sterilization equipment

    • Pass
    • Flag
    • Fail
  • Instruments, linens, gowns clean & sanitary

    • Pass
    • Flag
    • Fail
  • Scrub sink

    • Pass
    • Flag
    • Fail
  • Lighting adequate

    • Pass
    • Flag
    • Fail
  • Positive Pressure Oxygen Delivery System

    • Pass
    • Flag
    • Fail
  • Sharps & surgical Instruments properly disposed

    • Pass
    • Flag
    • Fail
  • Controlled Dangerous Substance

  • CDS Log Reviewed

    • Pass
    • Flag
    • Fail
  • Drugs & pharmacy adequate

    • Pass
    • Flag
    • Fail
  • Narcotics locked

    • Pass
    • Flag
    • Fail
  • Expired medications removed

    • Pass
    • Flag
    • Fail
  • Expiration dates on pharmacy labels

    • Pass
    • Flag
    • Fail
  • Proper labeling of secondary containers

    • Pass
    • Flag
    • Fail
  • Housing & Care

  • Clean and sanitary

    • Pass
    • Flag
    • Fail
  • Cages, runs, and pens impervious & in good condition

    • Pass
    • Flag
    • Fail
  • Animals comfortable

    • Pass
    • Flag
    • Fail
  • Animals compatible

    • Pass
    • Flag
    • Fail
  • Exercise area

    • Pass
    • Flag
    • Fail
  • Lighting & ventilation

    • Pass
    • Flag
    • Fail
  • Temperature

    • Pass
    • Flag
    • Fail
  • Food & water

    • Pass
    • Flag
    • Fail
  • Odors controlled

    • Pass
    • Flag
    • Fail
  • Waste containers maintained and sanitary

    • Pass
    • Flag
    • Fail
  • Medical waste properly disposed

    • Pass
    • Flag
    • Fail
  • Vermin free

    • Pass
    • Flag
    • Fail
  • Storage

  • Food & bedding

    • Pass
    • Flag
    • Fail
  • Refuse stored properly

    • Pass
    • Flag
    • Fail
  • Adequate for carcass

    • Pass
    • Flag
    • Fail
  • Facility

  • Floors smooth and non-absorbent

    • Pass
    • Flag
    • Fail
  • Floor-wall junctions adequate

    • Pass
    • Flag
    • Fail
  • Walls smooth and non-absorbent

    • Pass
    • Flag
    • Fail
  • Ceiling in good condition

    • Pass
    • Flag
    • Fail
  • Windows & lighting adequate

    • Pass
    • Flag
    • Fail
  • Adequate space

    • Pass
    • Flag
    • Fail
  • Floor drainage sanitary

    • Pass
    • Flag
    • Fail
  • Ventilation

    • Pass
    • Flag
    • Fail
  • Temperature

    • Pass
    • Flag
    • Fail
  • Humidity

    • Pass
    • Flag
    • Fail
  • Fire alarm system

    • Pass
    • Flag
    • Fail
  • Emergency lighting

    • Pass
    • Flag
    • Fail
  • Comments:

  • ORDERS TO CORRECT VIOLATION(S)

    • Yes
    • No
    • N / A
  • Total number of days

  • APPROVED / DISAPPROVED

    • Pass
    • Flag
    • Fail
  • Inspector:

  • Acknowledgment of Receipt:

  • “I have received this inspection report and I understand the fi ndings of this inspection.”

  • Veterinarian/Staff:

    Click here to sign
  • Printed:

Source: MaintainX (Community Member)

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