General Handypersons - Equipment audit Tool

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

Room Number

• Room Number

• Is the bed in good condition?

  Compliant

  Non-Compliant

  N/A

• Are all 4 wheels working

  Compliant

  Non-Compliant

  N/A

• Are all 4 brakes working

  Compliant

  Non-Compliant

  N/A

• Any splits or damage to the woodwork?

  Compliant

  Non-Compliant

  N/A

• Is there any damage to the metal frame?

  Yes

  No

  N/A

• Bumpers in good condition?

  Yes

  No

  N/A

• Bed rails in good condition

  Yes

  No

  N/A
Mattress audit

Room Number

• Is there a pressure mattress in situ?

  Yes

  No

  N/A

• Make and Model?

• Assessed pressure setting?

  Yes

  No

  N/A

• is it set at the correct pressure?

  Yes

  No

  N/A

• Is it free from rips or tears?

  Yes

  No

  N/A

• Is the mattress clean?

  Yes

  No

  N/A

• Is it the correct pump?

  Yes

  No

  N/A

• Is the pump in good condition?

  Yes

  No

  N/A

• If any issues has this been added to register

  Yes

  No

  N/A
Pressure Cushion

• Pressure Cushion Audit Revised July 2021

  Yes

  No

  N/A

Pressure Cushion ID Number

• Make and Model?

• Is the cushion in good condition?

  Yes

  No

  N/A

• Is it free from rips or tears?

  Yes

  No

  N/A

• Is the mattress clean?

  Yes

  No

  N/A

• Is there a pump for the cushion

  Yes

  No

  N/A

• Is it the correct pump?

  Yes

  No

  N/A

• Is the pump in good condition?

  Yes

  No

  N/A

• If any issues has this been added to register

  Yes

  No

  N/A
wheelchair audit

• Wheelchair Audit July 2021

  Yes

  No

  N/A

Serial Number

• Make and Model?

• Is the chair in good working order?

  Yes

  No

  N/A

• Are the wheels in good condition?

  Yes

  No

  N/A

• Do the brakes work correctly?

  Yes

  No

  N/A

• Is the chair clean and the wheels free from dirt?

  Yes

  No

  N/A

• Are there any rips or tears in the chair?

  Yes

  No

  N/A

• Are the foot rests in situ?

  Yes

  No

  N/A

• If a cushion is present is it in good condition?

  Yes

  No

  N/A

• If any issues has this been added to register

  Yes

  No

  N/A
Hoist standaid audit

Hoist Standaid Serial Number

• Make and Model?

• Is the hoist in good working order?

  Yes

  No

  N/A

• Are the wheels in good condition?

  Yes

  No

  N/A

• Do the brakes work correctly?

  Yes

  No

  N/A

• Is the hoist clean and the wheels free from dirt?

  Yes

  No

  N/A

• Is the frame free from rust?

  Yes

  No

  N/A

• Is the handset and charger in good condition?

  Yes

  No

  N/A

• Is the hoist lifting and lowering correctly?

  Yes

  No

  N/A

• If any issues has this been added to register

  Yes

  No

  N/A
Slings

• Sling/Harness Audit Revised July 2021

  Yes

  No

  N/A

Sling/ Harness Serial Number

• Make and Model?

• Is the sling in good condition?

  Yes

  No

  N/A

• Are there any signs of fraying or rips, tears etc.,?

  Yes

  No

  N/A

• Have the LOLER checks been carried out in the last 6 months?

  Yes

  No

  N/A

• Is the sling clean and free from dirt or stains?

  Yes

  No

  N/A

• If any issues has this been added to register

  Yes

  No

  N/A

• Have the lifts been serviced in the last 6 months

  Yes

  No

  N/A

• Date of the last service

  Date

• Are all the boilers working in the home?

  Yes

  No

  N/A

• Are they all in good working order

  Yes

  No

  N/A

• Is the temperature consistently recording between 21 and 24C

  Yes

  No

  N/A

• Please state what the temperature is dropping to and why?

  Yes

  No

  N/A

• Are there any leaks on the system?

  Yes

  No

  N/A

• If yes where are these?

• Have you notified head of maintenance

  Yes

  No

  N/A

• Yes

  No

  N/A