BSH Clinic Audit

• Clinic Name

  Select

• Audit Date

  Date

• Auditor

Carpark & Entry

• Is carpark clean and tidy?

  Good

  Fair

  Poor

  N/A

• Are external gardens presented well?

  Good

  Fair

  Poor

  N/A

• Are lawns mown?

  Good

  Fair

  Poor

  N/A

• Is entryway neat and presented well?

  Good

  Fair

  Poor

  N/A

• Is all signage correct and neat?

  Good

  Fair

  Poor

  N/A

• Are all lights working correctly?

  Good

  Fair

  Poor

  N/A

Reception

• Are floors clean and free of any trip hazards?

  Good

  Fair

  Poor

  N/A

• Is the reception desk and associated areas clean and presentable?

  Good

  Fair

  Poor

  N/A

• Is a feedback box displayed?

  Good

  Fair

  Poor

  N/A
Office Spaces

• Are all office areas clean and tidy?

  Good

  Fair

  Poor

  N/A

Staff Rooms

• Is staff room neat and tidy?

  Good

  Fair

  Poor

  N/A

• Are all chemicals/food stored correctly?

  Good

  Fair

  Poor

  N/A

• Is fridge clean?

  Good

  Fair

  Poor

  N/A

Store Room

• Is room tidy, organised and free of hazards?

  Good

  Fair

  Poor

  N/A

• Is equipment in good condition?

  Good

  Fair

  Poor

  N/A

Clinic Rooms

• Are all rooms neat, tidy and organised?

  Good

  Fair

  Poor

  N/A

• Does each room have......

  Good

  Fair

  Poor

  N/A

• Is seating appropriate and comfortable?

  Good

  Fair

  Poor

  N/A
Bathrooms

• Is bathroom floor clean?

  Good

  Fair

  Poor

  N/A

• Is roof and ceiling fixtures clean and free of lint?

  Good

  Fair

  Poor

  N/A

• Are toilet bowls and surrounds clean?

  Good

  Fair

  Poor

  N/A

• Are hand basins & mirrors clean?

  Good

  Fair

  Poor

  N/A

• Are showers clean?

  Good

  Fair

  Poor

  N/A

• Are all dispensers, taps and bins in good order?

  Good

  Fair

  Poor

  N/A
Gym Floor

• Is room clean and presented well?

  Good

  Fair

  Poor

  N/A

• Are all windows and mirrors clean?

  Good

  Fair

  Poor

  N/A

• Is all equipment clean and in good condition?

  Good

  Fair

  Poor

  N/A

• Is all equipment stored appropriately and tidy - no trip hazards or clutter?

  Good

  Fair

  Poor

  N/A

Assets

• Is hoist and slings working and in good repair?

  Good

  Fair

  Poor

  N/A

• Is other equipment xxxxxx

  Good

  Fair

  Poor

  N/A

Signage

• Are all signs/ posters in date and branded correctly?

  Good

  Fair

  Poor

  N/A

• Are all frames displaying a poster?

  Good

  Fair

  Poor

  N/A

• Permanent signage is up to date with current Branding?

  Good

  Fair

  Poor

  N/A

Other Comments

• undefined

Incident Reporting

• Are all incidents reported and up to date?

  Safe

  At Risk

  N/A

• Have any hazards and risks been logged and actioned appropriately?

  Safe

  At Risk

  N/A

First Aid

• First aid boxes are stocked?

  Safe

  At Risk

  N/A

• Oxygen & Difibrilator are available and maintained?

  Safe

  At Risk

  N/A

Operations

• Operations procedures.......

  Safe

  At Risk

  N/A

• Is Safety Flip Chart up & available to staff?

  Safe

  At Risk

  N/A

Training

• Qualifications for staff are up to date?

  Safe

  At Risk

  N/A

• Training documents have been logged and signed by staff?

  Safe

  At Risk

  N/A

• Evacuation has been conducted and trained in the last 6 months?

  Safe

  At Risk

  N/A

Safe Systems of Work

• SSoW folder has all relevant site tasks and is up to date?

  Safe

  At Risk

  N/A

• SSoW are signed by all staff?

  Safe

  At Risk

  N/A

• Risk assessments are kept with SSoW or in an additional RA folder?

  Safe

  At Risk

  N/A

General

• Any other WH&S Risks noticed while on site?

  Safe

  At Risk

  N/A

• Extra Notes

• Date & Time

  Date

• Signature

  Sign