This paper describes a systematic tracking approach for conducting on-site inspections at two medical facilities and assessing their institutional environments and infrastructure. The assessment centers on the management of environmental and fire risks, including overseeing fire safety facilities and equipment. The comprehensiveness of the fire zoning of individual buildings and the planning of and guidance to evacuation routes are evaluated. Also assessed are the safe use of medical gases, the management (including storage, use, and leakage) of hazardous substances, electrical safety, environmental safety in rooms with heavy machinery, disaster response, and emergency management. The primary objective is to scrutinize the safety vulnerabilities of the facilities and to critically evaluate the general environmental conditions at the two medical institutions, providing management teams with insights to enhance the safety of the health-care environment.