The NFPA 99 Equipment Risk Assessment Form is a specialized template designed for the inspection and maintenance of electrical and gas equipment within healthcare facilities. This form helps ensure compliance with NFPA 99, the National Fire Protection Association's standard for healthcare facility safety, by assessing the potential risks associated with critical life-safety equipment. It enables healthcare providers to identify and mitigate hazards related to electrical systems, medical gas supply systems, and other vital equipment to ensure patient safety and minimize operational disruptions. Customizable to meet the specific needs of healthcare facilities, the form includes sections for documenting inspection dates, equipment conditions, test results, and any corrective actions taken. It also allows for risk assessment ratings, helping prioritize equipment that requires immediate attention or ongoing monitoring. This structured approach ensures that all safety measures are in place, supporting the reliability and safety of equipment essential for patient care. The NFPA 99 Equipment Risk Assessment Form is available as a fillable PDF for desktop use or can be accessed through a mobile app on tablets and smartphones. The mobile version allows for on-site inspections, enabling real-time data entry and the immediate sharing of completed assessments. This form is an essential tool for healthcare facility managers, risk assessors, and maintenance teams, helping ensure that electrical and gas equipment remain safe, reliable, and compliant with NFPA 99 standards.