• Document No:

  • Site / Ward / Department:

  • Address:
  • Date / Time:

  • Conducted by:

  • Manager's Name:

Section 1 - General

QUICK WASH (Workplace Assessment Questionnaire)

Section 1 - General Health and Safety

  • 1.1 Is there an in-date WASH assessment for each Dept/Area?

  • 1.2 All staff are aware of the Trusts health and safety policy and know how to access it?

  • 1.3 Have suitable and sufficient health and safety risk assessments been completed and details recorded using the Trust Ulysses system?

  • 1.4 Is health and safety regularly discussed as a topic with staff and minutes are kept? (Health and Safety meetings or in HoDs meetings)

  • 1.5 All staff receive adequate information, training and supervision at department level to enable them to work safely?

  • 1.6 Is there an up to date Health and Safety Law poster displayed?

Section 2 - Lone Working Arrangements

  • 2.1 There is a system in place to maintain the traceability of all staff in your area of responsibility when they are visiting in the community?

Section 3 - Windows

  • 3.1 Are all windows restricted so they can only open to a maximum of 100mm?

  • 3.2 All window declarations / checks are up to date and copies are held in the department / unit / ward?

Section 4 - Lighting

  • 4.1 Do all areas have suitable and sufficient lighting?

Section 5 - Cleanliness and Waste

  • 5.1 All staff are aware of procedures to follow when dealing with hazardous spillages and suitable equipment is always available? (See COSHH section for more details? more details)?

Section 6 - Condition of Floors and Routes

  • 6.1 All floors are free from holes, uneven and slippery surfaces?

  • 6.2 All floors are free from loose or worn carpets?

  • 6.3 All floors and traffic routes (internal and external) are kept free from obstructions which may present a hazard or impede access?

  • 6.4 Handrails including those on staircases and slopes are secure and fault free?

Section 7 - Housekeeping

  • 7.1 is the general housekeeping in good order?

  • 7.2 Are all items stacked on appropriate shelves and at an appropriate height?

  • 7.3 Are all rooms containing sanitary conveniences and washing facilities are in good working order?

  • 7.4 Are all signs appropriate, in date, clear and unobstructed? (Hot water, wet floors, fire exits, staff only etc)

  • 7.5 Stepladders are checked every 3 - 6 months, depending on use?

Section 8 - Working Equipment, Devices and Systems

  • 8.1 Use of equipment is restricted to those who have been trained in its use?

  • 8.2 Equipment training records are kept and staff sign when they have received training?

  • 8.3 Defective equipment is taken out of use until repair or replacement?

  • 8.4 User manuals and instruction books are available to all staff at all times when work equipment is likely to be in use?

  • 8.5 Do all staff wear the required PPE as stated in the risk assessment?

  • 8.6 Portable Appliance Testing (PAT) is in date and has been completed in accordance with the Trust policy timescales?

Section 9 - Fire Precautions

  • 9.1 Are the nominated fire wardens and marshalls known by all staff?

  • 9.2 All fire extinguishers are safely mounted, easily accessible and not obstructed?

  • 9.3 All fire exits are unobstructed and clearly marked?

  • 9.4 All staff know and understand the procedure to follow upon discovering a fire and on hearing the fire alarm?

  • 9.5 Is there an emergency file / plan available for emergency services?

Section 10 - Display Screen Equipment

  • 10.1 DSE workstation assessments have been completed for all relevant members of staff?

Section 11 - Manual Handling

  • 11.1 There are sufficient manual handling aids available at all times, including trolleys ?

  • 11.2 All manual handling aids are in good working order, clean and damage free?

  • 11.3 All patients have a recorded manual handling risk assessment that is accessible to all staff requiring such information ?

  • 11.4 Patient handling assessments always acompany the patient especially when attending other departments?

  • 11.5 All manual handling tasks have been assessed and recorded as necessary?

  • 11.6 All equipment employed to carry loads (including patients) is fit for that purpose, eg wheels/castors on trolleys move freely, bed ends are always in place to assist posture when pushing / pulling, weight limits if applicable are observed etc?

Section 12 - Control of Substances Hazardous to Health (COSHH)

  • 12.1 All substances marked with a hazard warning sign have been assessed?

  • 12.2 All COSHH assessments are up to date and safety data sheets, along with safe working practices, are accessible to all staff at all times ?

  • 12.3 Are all substances and chemicals being stored correctly and in line with their COSHH assessments ?

  • 12.4 All substances are kept in their original containers and packaging?

  • 12.5 Are Latex free products in use?

Section 13 - Infection Control

  • 13.1 The infection control policies, including needlestick protocol, are available to all staff and staff know how and where to access them ?

  • 13.2 Boxes are less than two thirds full and have no sharps protruding ?

  • 13.3 Boxes are secured safely and kept off the floor?

Section 14 - Security

  • 14.1 Have all security concerns been addressed?

Section 15 - Asbestos

  • 15.1 Is the asbestos policy available to all staff?

  • 15.2 Is the site asbestos register available to contractors on site?

Section 16 - Contractors

  • 16.1 Is there a suitable system in place for identifying any contractors on site?

  • 16.2 Are all contractors given a site safety induction which includes any likely risks i.e Asbestos etc?

Section 17 - Legionella Awareness

  • 17.1 Checks and maintenance are completed as documented in the legionella policy (3 monthly shower head cleaning, and twice weekly flushing)

Section 18 - First Aid

  • 18.1 Has a First Aid risk assessment been completed?

  • 18.2 Where applicable, the first aid box is available and fully stocked?

Section 19 - Grounds

  • 19.1 Are footpaths and roadways in good repair?

  • 19.2 Is the car park fully accessible to emergency services?

  • 19.3 is there suitable pedestrian and vehicle separation?


The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.