Security of medical gas cylinders Part 2: Physical security and storage checklist Tackling fraud and managing security Physical security and storage Yes No N/A 1. Are risk assessments undertaken in consultation with the Chief Pharmacist prior to any provision or implementation of a security system or security hardware? Risk assessments 2. Are risk assessments undertaken in conjunction with the LSMS or equivalent prior to any provision or implementation of a security system or security hardware? 3. Are risk assessments undertaken to establish what security measures are needed at the main medical gas storage facility? 4. Are risk assessments undertaken to establish what security measures are needed in local medical gas storage areas (wards/theatres/departments)? 5. Are risk assessments undertaken to establish what security measures are needed for the MGPS? 6. Are risk assessments undertaken to establish what security measures are needed in external areas where the VIE is located? 7. Are risk assessments undertaken to determine CCTV requirements for all medical gas storage facilities? 8. Is access to the main medical gas storage facility controlled? Access and key management 9. Are access control systems auditable where they are used to restrict access to medical gas storage facilities? 10. Where keys are used: are they securely stored? are they restricted to authorised staff only? (where master keys are used to provide access to storage areas) are there measures in place to restrict key holding responsibility to authorised staff only? is a regular inventory undertaken of the number of keys in circulation that provide access to medical gas storage facilities? is there a protocol for reporting lost or missing keys providing access to medical gas storage facilities? Alarms Vehicles 11. Where numeric key pads are used, are codes changed monthly? 12. Have measures been put in place to prevent unauthorised vehicle access to external medical gas storage and VIE areas? 13. Where alarms are in use in medical gas storage facilities, is there a SOP for the response when the alarm is activated? 1 CCTV 14. Where CCTV is in use: does it monitor access points to all of the storage facilities and areas for medical gas cylinders, MGPSs and VIEs? is it automatically linked to pan to any alarm/motion detection activation? are the cameras placed to allow the identification of individuals accessing medical gas storage facilities? are the cameras placed to allow the identification of number plates on vehicles accessing the vicinity? 15. Is lighting in the medical gas storage and MGPS areas motion-activated to support CCTV coverage when there is activity in the area? 16. Are security measures (such as CCTV, alarms, access control etc) applied to the following areas: main medical gas storage facility Other local medical gas storage areas (wards/theatres/departments) MGPS VIE 17. Do all physical security measures comply with relevant standards (e.g. British and Loss Prevention Standards)? 18. Is the LSMS consulted for security input on new builds and refurbishments of medical gas storage facilities? General: Use this area to report on any other areas of security risk and to provide further information on any of the numbered responses. Assessment carried out by Job title Date of assessment 2