GFCI Testing Data Collection Form

We at ASHE want to add value to our members experience, and feel like many of our activities here are a joint venture. This form is intended to support the ASHE advocacy team in their efforts to explore failure rates of GFCI devices over the last three years. This data will be used for ASHE advocacy efforts and the results can be made available upon request.

How many GFCI's are currently installed in your facility?*

How many GFCI's installed in your facility are self-testing GFCI's?*

How many of the GFCI's in your facility are tamper resistant GFCI's?*

At what frequency do you test the GFCI's installed in your facility?*

What was the total number of tests performed on GFCI receptacles in 2017?*

What was the total number of failed GFCI receptacles in 2017?*

What is the total number of staffing hours that were used to complete all GFCI tests in 2017?*

Please insert 0 if your testing is contracted out

What was the total number of tests performed on GFCI receptacles in 2018??*

What was the total number of failed GFCI receptacles in 2018?*

What is the total number of staffing hours that were used to complete all GFCI tests in 2018?*

Please insert 0 if your testing is contracted out

What was the total number of tests performed on GFCI receptacles in 2019?*

What was the total number of failed GFCI receptacles in 2019?*

What is the total number of staffing hours that were used to complete all GFCI tests in 2019?*

Please insert 0 if your testing is contracted out

What is the average hourly rate of the staff completing the GFCI tests?*

Please insert 0 if your testing is contracted out

If you contract out GFCI tests, how much is the annual contract cost?*

If you do not contract out GFCI tests, please just enter 0

Is there anything else that you would like to share with us about GFCI testing? Specifically, any thoughts on how the frequency of tests may influence costs, patient safety, or patient satisfaction?

Name

Given this collaborative spirit - Would you like to receive an emailed report of this survey's results when everything is finished? If yes, simply place your name and email information below. Once the project has been concluded, and the data analyzed, we will update you. If no - simply leave these fields blank.

Company

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