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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

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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