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Operating room fire safety checklist template

Operating room fire safety checklist template

Protect patients and staff with this fire safety checklist. It covers critical steps before, during, and after procedures to reduce risks.

Use this template
or download pdf
Operating room fire safety checklist template

Protect patients and staff with this fire safety checklist. It covers critical steps before, during, and after procedures to reduce risks.

Use this template
or download pdf

About the Operating room fire safety checklist template

Fire safety is an absolute necessity in the operating room, especially since it contains flammable materials. An operating room fire safety checklist is your tool for mitigating risks, aligning teams, and maintaining control in a high-stakes environment. It guides you through taking key precautions, from pre-procedure preparations to post-procedure wrap-ups. Accessible and comprehensive, it simplifies the process, making fire safety more practical and effective.

A step-by-step guide to using the operating room fire safety checklist

Implementing the checklist is straightforward:

  1. Customize the checklist to fit your workflow. Start by tailoring the checklist to your operating room’s specific needs. Adjust sections to reflect your team’s procedures, equipment, and safety protocols. Using Lumiform’s digital tools, you can create a version that matches your environment perfectly.
  2. Prepare the essentials before the procedure. Gather your team and review the checklist. Confirm that all flammable materials are removed from the surgical field and alcohol-based prep agents are completely dry. Double-check that the fire extinguisher is accessible and anesthesia gas supply is turned off when not in use.
  3. Guide your team during the procedure. Use the checklist to coordinate roles effectively. For example, remind staff to monitor for ignition sources like electrosurgical units and lasers, ensuring they’re kept away from flammable items. Highlight the need for proper ventilation to maintain safe oxygen levels in the room.
  4. Wrap up with a thorough post-procedure review. After the procedure, go through the checklist to confirm that all ignition sources are turned off and flammable materials are cleared. Conduct a final visual inspection of the surgical site to detect any overlooked hazards.
  5. Analyze and improve. Record any fire-related incidents or near misses in the checklist to maintain compliance and identify patterns. Use the data collection tools within the app to generate insights that refine your procedures and enhance overall safety.

When to use the operating room fire safety checklist

An operating room is a high-stakes environment where accuracy and safety are non-negotiable. Use the operating room fire safety checklist whenever surgical procedures are planned to proactively reduce fire risks at every phase—before, during, and after surgery.

This checklist is essential when dealing with flammable materials, oxygen-rich settings, or ignition sources like lasers or electrosurgical units. It ensures your team is on the same page, you’re minimizing hazards, and everyone knows their role in preventing incidents.

It’s also valuable in teaching hospitals or multi-specialty centers about safety protocols. By using a structured checklist, you create consistency in safety practices, protecting both patients and staff while fostering a culture of accountability.

Get started with Lumiform’s operating room fire safety checklist

This fire safety checklist simplifies complex protocols, helping you cover every critical step across pre-, during, and post-procedure phases of surgery. With clear, actionable fields, this checklist improves communication among your team and reduces risks. Whether for a single procedure or daily use, it makes your safety management smarter and more effective.

Related categories

  • Health and safety management templates
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Preview of the template
Page 1
Pre-Procedure Checklist
Fire extinguisher available and easily accessible
Anesthesia gas supply turned off when not in use
All flammable materials removed from surgical field
Alcohol-based skin preparation agents fully dry
Patient's non-flammable safety/monitoring equipment in place
During Procedure Checklist
Ensure ignition sources (e.g. electrosurgical unit, lasers) are not directed at flammable materials
Ensure adequate ventilation to avoid high oxygen concentrations
Monitor patient and surgical field closely for signs of fire
Have a fire response plan and ensure all staff are aware of roles
Post-Procedure Checklist
Ensure all ignition sources are turned off
Confirm flammable materials have been removed from the surgical field
Conduct a final visual inspection of the surgical site
Document any fire-related incidents or near misses

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

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Frequently asked questions

What makes the operating room a high-risk environment for fire?

Operating rooms combine three elements of the fire triangle: oxygen, heat, and fuel. Elevated oxygen levels, often used during procedures, make materials more flammable. Ignition sources like electrosurgical units, lasers, or cautery devices generate heat, while surgical drapes and alcohol-based prep solutions act as fuel.

How can we prevent fires in the operating room?

It’s important to dry alcohol-based antiseptics completely before draping, keep flammable materials away from heat sources, and maintain proper ventilation to disperse oxygen. Communication is key—team members should confirm roles in fire prevention and response. For added protection, use tools like non-flammable drapes and position equipment thoughtfully.

What are the most common causes of fires in operating rooms?

The leading causes of operating room fires include the improper use of electrosurgical equipment, the presence of undried alcohol-based prep agents, and oxygen-rich environments near ignition sources. Miscommunication or lack of training among staff can also contribute, as safety protocols might not always be consistently followed during procedures.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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