Standards › Standard 4 › Forms
Form · ACS-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee
Purpose
Records the quarterly walk of each patient route for handrails, lighting, floors and hazards.
How to complete
- Walk each route with the form.
- Record each finding and its location.
- Record the close date.
Record fields
| Route or room | Handrails continuous both sides (yes or no) | Lighting adequate, night lighting where needed (yes or no) | Trip hazard found (describe) | Action taken | Closed on |
|---|---|---|---|---|---|
Evidence
| Reference | Note |
|---|---|
| E-009 | ASF Expert Committee consensus. |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
- Slip, Trip & Fall Prevention (FALL-01)
- Safety & Emergency Preparedness (H-05)
- Emergency Preparedness and Fire Safety (T-10)
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)