Audit-N

• Installation

  Al Wajba

  Al Rayyan

  Msheireb

• Conducted on

  Date

• Conducted by:

  Sign

• Conducted by:

  Sign

5.1 Clinic

• 5.1.1 Hospital space is clean and inventories are kept at proper operating level

  Yes

  No

  N/A

• 5.1.2 An oxygen unit is available and is properly maintained

  Yes

  No

  N/A

• 5.1.3 A stretcher is available with slings and flotation devices and is in good condition

  Yes

  No

  N/A

• 5.1.4 A spine board is available<br>

  Yes

  No

  N/A

• 5.1.5 A trained First-Aider is on each tour<br>

  Yes

  No

  N/A

• 5.1.6 Stairways are provided with handrails in good condition and free of obstructions

  Yes

  No

  N/A

• 5.1.7 Clinic Outlets and electrical wiring are in good order<br>

  Yes

  No

  N/A

• 5.1.8 Emergency lights are operable in clinic

  Yes

  No

  N/A

• 5.1.9 Access to medicine/drug cabinet controlled and keys are controlled.

  Yes

  No

  N/A

• 5.1.10 Clinic is equipped with sink, shower and toilet facilities.

  Yes

  No

  N/A

• 5.1.11 Clinic Surfaces are cleaned and disinfected.

  Yes

  No

  N/A

• 5.1.12 Floor areas are equipped with drains. A separate drain system is preferable.

  Yes

  No

  N/A

• 5.1.13 Doorways are a minimum of 36 inches.

  Yes

  No

  N/A

• 5.1.14 Clinic is equipped with Sprinklers.

  Yes

  No

  N/A

• 5.1.15 Ventilation is adequate and temperature is thermostatically controlled.

  Yes

  No

  N/A

• 5.1.16 Refrigerator facilities are readily available for specialized drug storage.

  Yes

  No

  N/A

• 5.1.17 Clinic is visibly marked on outside of doorways. Bi-lingual signs are used where needed.

  Yes

  No

  N/A

• 5.1.18 Clinic is equipped with desk, desk chair, filing cabinets, two patient chairs, wall mirror, desk lamp, and high intensity light.

  Yes

  No

  N/A

• 5.1.19 Clinic is equipped with phone jack and computer terminal tie-in.

  Yes

  No

  N/A

• 5.1.20 Clinic lighting is sufficient , with available emergency lighting inside the clinic.

  Yes

  No

  N/A

• 5.1.21 Automatic Defibrilator is available, batteries in date. Daily AED check register maintained?

  Yes

  No

  N/A

• 5.1.22 There is no evidence of insect or rodent infestation. Does contractor have a vermin & pest control program. View Certification.<br>

  Yes

  No

  N/A

• 5.1.23 Clinic is located for safe patient transport.<br>

  Yes

  No

  N/A

• 5.1.24 A bio hazard trash container is available.

  Yes

  No

  N/A

• 5.1.25 One first aid box per every ten POB

  Yes

  No

  N/A

• 5.1.26 Clinic is equipped with current pharmacology and emergency medicine references.

  Yes

  No

  N/A

• 5.1.27 Clinic maintains current MSDS

  Yes

  No

  N/A

5.2 Accommodation

• 5.2.1 Housekeeping is adequate

  Yes

  No

  N/A

• 5.2.2 Showers, sinks, and toilets work properly and are cleaned and disinfected daily

  Yes

  No

  N/A

• 5.2.3 Non-slip surfaces are provided in shower stalls and mats are provided at entrances

  Yes

  No

  N/A

• 5.2.4 Lighting is adequate and properly maintained in rooms and passageways

  Yes

  No

  N/A

• 5.2.5 Safety signs are posted and visible

  Yes

  No

  N/A

• 5.2.6 Exits are marked and unobstructed to insure quick evacuation

  Yes

  No

  N/A

• 5.2.7 HVAC units are kept clean and free of fire hazards

  Yes

  No

  N/A

• 5.2.8 Alarm bells can be heard at all locations in the quarters

  Yes

  No

  N/A

• 5.2.9 Ventilation is adequate in all areas in the quarters

  Yes

  No

  N/A

• 5.2.10 Fire fighting equipment is adequate and properly maintained. Sprinkler system installed.

  Yes

  No

  N/A

• 5.2.11 Stairways are provided with handrails in good condition and free of obstructions

  Yes

  No

  N/A

• 5.2.12 Outlets and electrical wiring are in good order.

  Yes

  No

  N/A

• 5.2.13 Emergency lights are operable.<br>

  Yes

  No

  N/A

• 5.2.14 Each State Room provided with Smoke Detectors.

  Yes

  No

  N/A

5.3 Galley

• 5.3.1 The following areas are sanitary: Milk box, Steam table, Stoves, Refrigerators and freezers, eating utensils

  Yes

  No

  N/A

• 5.3.2 Food is stored neat and orderly and stacked in a manner to prevent articles from falling from shelves<br>

  Yes

  No

  N/A

• 5.3.3 Meat is wrapped with freezer paper to prevent freezer burn<br>

  Yes

  No

  N/A

• 5.3.4 Refrigerated materials are picked up after meals<br>

  Yes

  No

  N/A

• 5.3.5 Ventilation is adequate<br>

  Yes

  No

  N/A

• 5.3.6 Fire fighting equipment is adequate and properly maintained<br>

  Yes

  No

  N/A

• 5.3.7 Lighting, electrical wiring and electrical receptacles are adequate and properly maintained<br>

  Yes

  No

  N/A

• 5.3.8 The vent hood system is functioning properly<br>

  Yes

  No

  N/A

• 5.3.9 The personal appearance of the galley personnel is adequate<br>

  Yes

  No

  N/A

• 5.3.10 Grease traps are cleaned on a regular basis<br>

  Yes

  No

  N/A

• 5.3.11 Housekeeping is adequate<br>

  Yes

  No

  N/A

• 5.3.12 The drainage system is clean<br>

  Yes

  No

  N/A

• 5.3.13 All food handlers have current Qatar Ministry of Health Medical Cards

  Yes

  No

  N/A

• 5.3.14 Sewage treatment, water treatment and waste disposal systems are in good working order

  Yes

  No

  N/A

• 5.3.15 Housekeeping is adequate. No signs of insect or rodent infestation.<br>

  Yes

  No

  N/A

• 5.3.16 The dishwasher is operating properly and at recommended temperatures?

  Yes

  No

  N/A

• 5.3.17 Washes Cycle - 60oC to 74oC <br>

  Yes

  No

  N/A

• 5.3.18 Rinse Cycle - 71oC to 82oC <br>

  Yes

  No

  N/A

• 5.3.19 Final Rinse - 76oC to 87oC <br>

  Yes

  No

  N/A

• 5.3.20 Pots, pans, and utensils which are washed manually are being disinfected with a chemical or bleach solution<br>

  Yes

  No

  N/A

• 5.3.21 Dishes are stored and dispensed in a hygienic manner on clean shelving.<br>

  Yes

  No

  N/A

• 5.3.22 Glasses and cups are stored upside down on clean shelves or in racks.<br>

  Yes

  No

  N/A

• 5.3.23 The dishwashing area is maintained in a clean and orderly manner.<br>

  Yes

  No

  N/A

• 5.3.24 Washed items are being air dried. The practice of using drying cloths is discouraged.<br>

  Yes

  No

  N/A

• 5.3.25 The dining and kitchen areas are posted as NO SMOKING. The rule is observed.<br>

  Yes

  No

  N/A

• 5.3.26 The dining area is clean and orderly, including tables, floors, walls, widows, etc. <br>

  Yes

  No

  N/A

• 5.3.27 Toilet facilities are clean.<br>

  Yes

  No

  N/A

• 5.3.28 Adequate soap and hot water are available in all toilet rooms.<br>

  Yes

  No

  N/A

• 5.3.29 Kitchen waste storage is clean, orderly, free of odor, and away from food preparation areas. Flies are controlled.

  Yes

  No

  N/A

• 5.3.30 Kitchen waste is removed daily and is properly disposed. Check disposal route / is macerator & garbage compactor available?<br>

  Yes

  No

  N/A

• 5.3.31 Foods are at proper serving temperatures? e.g. steam tables, display coolers, chiller trays. <br>

  Yes

  No

  N/A

• 5.3.32 Hot Foods > 60oC<br>

  Yes

  No

  N/A

• 5.3.33 Cold Foods < 5oC<br>

  Yes

  No

  N/A

• 5.3.34 Ice machines are self dispensing or are provided with an ice scoops, are connected to potable water, and are on a clean.<br>

  Yes

  No

  N/A

• 5.3.35 Drink dispensers are clean and disinfected.<br>

  Yes

  No

  N/A

• 5.3.36 Serving lines or areas are orderly and clean.<br>

  Yes

  No

  N/A

• 5.3.37 A hygienic means of controlling flying insects is in place (e.g. Fly Fans).<br>

  Yes

  No

  N/A

• 5.3.38 Walls, ceilings, and floors are clean and grease free.<br>

  Yes

  No

  N/A

• 5.3.39 All equipment surfaces are free of corrosion and are in good repair.<br>

  Yes

  No

  N/A

• 5.3.40 Colour coded cutting boards are in good repair, free of soil, scrapes, cracks, and are cleaned and disinfected after each use.<br>

  Yes

  No

  N/A

• 5.3.41 Frozen foods are being thawed properly (e.g. thawed in refrigerators, not at room temperatures).<br>

  Yes

  No

  N/A

• 5.3.42 Grease filters are clean.<br>

  Yes

  No

  N/A

• 5.3.43 There is a properly stocked first aid kit available and visible.<br>

  Yes

  No

  N/A

• 5.3.44 Cleaning agents are stored away from food storage.<br>

  Yes

  No

  N/A

• 5.3.45 Floors are clean.<br>

  Yes

  No

  N/A

• 5.3.46 Food storage areas and equipment are clean.<br>

  Yes

  No

  N/A

• 5.3.47 Refrigerators and freezers are at the proper temperatures.<br>

  Yes

  No

  N/A

• 5.3.48 Refrigerators 1oC to 4oC<br>

  Yes

  No

  N/A

• 5.3.49 Freezers -14oC to -18oC<br>

  Yes

  No

  N/A

• 5.3.50 Check with independent thermometer is recommended.<br>

  Yes

  No

  N/A

• 5.3.51 Shelves are free of residue and clean. Wood shelves are prohibited.<br>

  Yes

  No

  N/A

• 5.3.52 All unpackaged meats or food stuffs requiring refrigeration are stored in stainless steel or plastic trays.<br>

  Yes

  No

  N/A

• 5.3.53 All foods are stored in refrigerators or freezers are covered or wrapped.<br>

  Yes

  No

  N/A

• 5.3.54 Sanitary containers with tight fitting lids are used for flour, cereals, sugar, etc..<br>

  Yes

  No

  N/A

• 5.3.55 Canned goods storage is neat, orderly, and free from damaged or defective stocks.<br>

  Yes

  No

  N/A

• 5.3.56 A first-in/first-out inventory system is utilized to keep food stores rotated and within expiration or use-by dates.<br>

  Yes

  No

  N/A

5.4 Heat Related

• 5.4.1 Is the Air Temp / Humidity probe in good repair?

  Yes

  No

  N/A

• 5.4.2 Is there an adequate supply of bottled water?

  Yes

  No

  N/A

• 5.4.3 Are Isotonic drinks available?<br>

  Yes

  No

  N/A

• 5.4.4 Are workers aware of Heat Stress precautions?<br>

  Yes

  No

  N/A

• 5.4.5 Does the Rig induction include Heat Stress precautions.<br>

  Yes

  No

  N/A

• 5.4.6 Are the swamp coolers and bug blowers on the rig working? Are there enough for adequate coverage?<br>

  Yes

  No

  N/A

• 5.4.7 Are there Heat Stress signs in obvious places on the rig?<br>

  Yes

  No

  N/A

• 5.4.8 Are urine signs posted in the lavatories and are they multilingual?<br>

  Yes

  No

  N/A

• 5.4.9 Do the rig medics have all necessary equipment to treat heat related illnesses?<br>

  Yes

  No

  N/A

5.5 Training Room / Heli Admin Room

• 5.5.1 Housekeeping<br>

  Yes

  No

  N/A

• 5.5.2 Training equipment.<br>

  Yes

  No

  N/A

• 5.5.3 Training library<br>

  Yes

  No

  N/A

• 5.5.4 Training records available<br>

  Yes

  No

  N/A

• 5.5.5 Emergency lighting<br>

  Yes

  No

  N/A

• 5.5.6 Station Bill posted<br>

  Yes

  No

  N/A

• 5.5.7 Study area<br>

  Yes

  No

  N/A

5.6 Recreation Room

• 5.6.1 Housekeeping<br>

  Yes

  No

  N/A

• 5.6.2 Suitable entertainment<br>

  Yes

  No

  N/A

• 5.6.3 Alarm bell<br>

  Yes

  No

  N/A

• 5.6.4 Furniture in good condition.<br>

  Yes

  No

  N/A

5.7 Administration

• 5.7.1 All food handlers have current Qatar Ministry of Health Medical Cards<br>

  Yes

  No

  N/A

• 5.7.2 Vermin & pest control certificate<br>

  Yes

  No

  N/A

• 5.7.2 Vermin & pest control certificate<br>

  Yes

  No

  N/A