Page 1 of 1

☀️ Health Assessment Room - Opening Checklist

This form is for logging all opening, closing, and periodic maintenance procedures for the functional testing room.

What is the date of this log?

What is your name?

Please check off each item as it is completed.

Daily Opening Procedures

Completed
Not Completed
Issue Identified
Emergency Equipment AED checked + green light is flashing / operational.
Emergency Bag in accessible location
Clinical Equipment Checked: Blood pressure cuff, Dynamometer, Treadmill on and functioning, clinical dashboard working.
Check Pathology Stock: Is it less than half full? If so -> add action to place order.

Opening Procedures Notes

Please note any issues, damages, or supplies needed, and remember to submit these as an incident.

Room Temperature (oC)

Low

High