City of Greater Geraldton Safety Inspection- Mullewa Medical Centre

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

• Personnel

Reception and waiting area

• Internal lighting functioning and adequate for the area

  Yes

  No

  N/A

• Emergency evacuation plan current and displayed

  Yes

  No

  N/A

• Emergency lighting and signage functioning correctly

  Yes

  No

  N/A

• Fire extinguishers fully charged and in date of last Inspection

  Yes

  No

  N/A

• Electrical appliances and cords tagged and in date of last Inspection

  Yes

  No

  N/A

• Flooring and carpet clean and in good condition

  Yes

  No

  N/A

• Ergonomics (Reception desk and waiting area)- clean , tidy , functional and in good condition

  Yes

  No

  N/A

• Air conditioning operating correctly and adequate

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Have all potential slips/ trips and fall hazards been identified in this area

  Yes

  No

  N/A

• Have all issues or hazards been recorded for this area

  Yes

  No

  N/A

Ammenities

• Internal lighting functioning and adequate for the area

  Yes

  No

  N/A

• Emergency lighting and signage functioning correctly

  Yes

  No

  N/A

• Access and egress clear

  Yes

  No

  N/A

• All handrails and supports clean and in good condition

  Yes

  No

  N/A

• Doors functioning / locking correctly

  Yes

  No

  N/A

• Flooring and tiles are clean and in good condition

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Have all potential slips/ trips and fall hazards been identified in this area

  Yes

  No

  N/A

• Have all issues or hazards been recorded for this area

  Yes

  No

  N/A

Medical consultation rooms

• Internal lighting functioning and adequate for the area

  Yes

  No

  N/A

• Emergency evacuation plan current and displayed

  Yes

  No

  N/A

• Emergency lighting functioning correctly

  Yes

  No

  N/A

• Flooring and carpet in good condition

  Yes

  No

  N/A

• Shelving and storage compartments are secure, stable and adequate

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Have all potential slips/ trips and fall hazards been identified in this area

  Yes

  No

  N/A

• Have all issues or hazards been recorded for this area

  Yes

  No

  N/A

Kitchen area

• Internal lighting functioning and adequate for the area

  Yes

  No

  N/A

• Fire extinguisher charged and in date of last Inspection

  Yes

  No

  N/A

• Access and egress clear

  Yes

  No

  N/A

• Electrical appliances and cords tagged and in date of last Inspection

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Have all potential slips/ trips and fall hazards been identified in this area

  Yes

  No

  N/A

• Have all issues or hazards been recorded for this area

  Yes

  No

  N/A

External Inspection

• External lighting functioning and adequate for the area

  Yes

  No

  N/A

• Access and egress clear

  Yes

  No

  N/A

• Emergency exits are clear and functioning correctly

  Yes

  No

  N/A

• Emergency muster point location clear with visible signage

  Yes

  No

  N/A

• Handrails and steps in good condition

  Yes

  No

  N/A

• There are no loose, raised or cracked pavers

  Yes

  No

  N/A

• Parking facilities in good condition

  Yes

  No

  N/A

• There is no graffiti present on exterior surfaces

  Yes

  No

  N/A

• Gardens and lawns clean and tidy

  Yes

  No

  N/A

• Biological hazard bins secured and locked in cage

  Yes

  No

  N/A

• Have all potential slips/ trips and fall hazards been identified in this area

  Yes

  No

  N/A

• Have all issues or hazards been recorded for this area

  Yes

  No

  N/A

Safety Sign off

• The Officer completing this Safety Inspection must ensure that the final report is sent through to Safety Service for recording of Hazards and required Follow up Actions

  Yes

  No

  N/A

• The Officer completing this Inspection Sign-off

  Sign

• The Area Safety Representative accepts the findings of this Workplace Inspection and if required shall ensure that any corrective actions identified during this Inspection shall be actioned immediately.

  Yes

  No

  N/A

• Area Safety Representative

  Sign