JOB DESCRIPTION

Job Family: Healthcare Administration

Job Function: Operations
Job Title: Hospital Safety Officer
Pay Band: 7
FLSA Status: Exempt
General Description (Purpose and Function):
Responsible for overseeing management of the Physical Environment program, in order to maintain a safe
environment for patients, visitors and personnel.
Primary Duties and Responsibilities:
Ensures that all Joint Commission guidelines for the Physical Environment of Care standards at the hospitals
remain compliant. This includes annual review and completion of the Periodic Performance Review (PPR).
Coordinates activities of the management plans within the Environment of care for the hospital and serves as
the Safety Officer. Co-chairs Environment of Care Committee with the Director of Hospital Operations.
Provides guidance and support to the Executive Director of Hospital Operations, regarding safety
improvement efforts.
Ensures safety and facility quality control is in compliance with local, federal, state regulations and provide
consultations. This includes coordination with the Facility Director to ensure the hospital statement of
conditions (E-SOC) is continually updated.
Reviews and track data provided within the Environment of Care program to make ongoing improvements.
Participates in hospital committees as required by the Executive Director of Hospital Operations. This
includes community involvement regarding emergency preparedness and serve as consultant to other
departments.
Reviews and update policies regarding Life Safety, Emergency Management and Environment of Care.
Participates in performance improvement and information management activities. Coordinate a
multidisciplinary team to conduct ongoing safety tours of clinical and nonclinical areas.
Assists in the enforcement of interim life safety plans and infection control risk assessments.
Oversees all on-site inspections, assisting inspectors and surveyors in the performance of their duties;
provides report as required in follow-up to surveys, inspections and audits.
Maintains professional affiliations, attend as approved, outside conferences, seminars, etc. and confers with
other plant services directors.
Performs other duties as assigned.
Education Requirements (Essential Requirements):
Bachelor's degree in a related field required.
Work Experience Requirements (Essential Requirements):
One year safety (hospital) related experience.

Job descriptions are not intended, and should not be construed to be an exhaustive lists of all responsibilities, skills, and efforts or working conditions
associated with a job. Management reserves the right to revise duties as needed.