What is working well?

Staff to recognise

Source staff to be recognised from manager prior to round

Suggested improvements

Are there any areas where we could improve? Do you have any ideas / suggestions?

If there is one thing that could be improved, what would it be?

Tough questions / Other

Are there questions that have been asked but cannot be answered at this time?

Inform the staff that you will follow up and get back to them regarding the answer

What is the question that requires follow up?

Date response to be provided to staff
Emergency Preparedness

Fire doors and exit corridors are not blocked by carts, equipment, or materials or propped open?

Extinguishers clear of obstructions?

Fire Exit signs are illuminating and working properly?

Manual Handling

Appropriate manual handling equipment available (slide sheets, hoists, trolleys, sit to stand machine, etc.)?

All staff competent in practical manual handling practices?

General Workplace Health & Safety

All staff aware of their HSR?

Have recent hazards and risks been identified?

What has been done to manage the hazard or risk?

Are any processes, equipment, tasks or environmental / workplace factors causing delays, frustration or concern for staff?

What are the issues / concerns?

Have there been any injuries in the department?

What has been done to ensure that the cause of the injury does not happen again?

Are staff aware of the Safety Charter.

How many hours have been spent on WHS in the department?
(Minimum of 2 hours per month)

Number of hours

Additional Comments

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.