Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Hazardous Substances
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Are all hazardous substances stored in locked areas?
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Are patient rooms free from cleaning chemicals?
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Are all substances recorded on the COSHH Register and have they been risk assessed?
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Are all COSHH Risk Assessments accessible to staff?
Fire & Evacuation
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Are day shift staff on the Inpatient Unit aware of the evacuation procedures? (Ask minimum of 3 staff)
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Are day therapies staff aware of the evacuation procedures? (Ask minimum of 2 staff)
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Are staff in the complementary therapies area aware of the evacuation procedures?
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Are night shift staff on the Inpatient Unit aware of the evacuation procedures? (Ask all staff)
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What is the condition of the fire doors?
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Are all fire doors free from obstructions and not wedged open?
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Are all self closing devices in working order?
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Is there evidence that AFD has been serviced within the last 6 months?
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Is there evidence that the fire alarm test is being carried every week?
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Is there evidence that all emergency lighting has been serviced in the last year?
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Is there evidence that emergency lighting flick testing is being carried out monthly?
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Is the fire alarm panel free from faults?
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Is there adequate fire exit signage in place?
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Are refuge areas clearly signed?
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Is there adequate fire alarm instruction and information for visitors?
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Are oxygen cylinders stored internally secured to the walls?
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Is there a limited amount of internally stored oxygen?
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Are housekeeping employees aware of the procedures for safely using a tumble dryer?
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Are additional oxygen cylinders stored externally in a designated location?
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Are flammable materials kept to a minimum and stored away from ignition sources?
Patient Rooms
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Are all patient rooms free from trip hazards?
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Are oxygen concentrators and cylinders in use correctly secured and in a safe location?
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Is there procedures in place for checking oxygen concentrators and cylinders when in use? (Ask 2 employees)
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Is electrical equipment in good condition?
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Is there adequate storage available?
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Has all equipment and furniture in the patient rooms been serviced?
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Is all equipment and furniture in patient rooms in good, safe condition?
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Is there evidence that the shower heads and hoses have been replaced within the last 4 weeks?
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Is there any equipment or furniture which may cause entrapment of a patient?
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Is there evidence that flushing of outlets has been carried out?
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Are patient rooms free from sharps containers and sharp instruments?
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Are patient bed rails in safe working condition?
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What is the overall risk of harm to patients from hazards in the rooms?
Patient Lifting Equipment
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Has all lifting equipment been serviced within the last 6 months?
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Can certification be provided to prove this has taken place?
Sharps
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Is there an adequate amount of sharps containers?
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Are in use containers not overfilled?
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Are filled sharps containers correctly labelled and dated?
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Do the sharps in use/in stores have a mechanical safety cover?
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Is there adequate and visible signage/guidance for dealing with sharps injuries?
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Are clinical staff aware of sharps injuries procedures? (Including reporting and first aid etc)
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Are sharps containers stored in a safe location?
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Are employees aware of when a sharps injury is RIDDOR reportable? (Ask 1-2 employees)
Risk Management & Reporting
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Do all employees know where to access risk assessments and safe systems of work? (Ask 2 employees)
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Are employees aware of reporting procedures? (Ask 2 employees)
- Yes
- No
- N/A
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Do employees know when to report serious and imminent dangers? And who to? (Ask 2 employees)
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Do employees know where to access health and safety policies? (Ask 2 employees)
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Are employees aware of health and safety procedures associated with new and expectant mothers and women of child bearing age?
Training
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Is there evidence that all clinical staff who assist patients have carried out clinical manual handling training within the last year?
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Have all housekeeping staff been sufficiently trained in the safe use of hazardous substances?
Equipment & PPE
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Has all electrical equipment been PAT tested in the last 12 months?
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Is all equipment clean and in good condition? (Including wiring and plugs etc)
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Is all equipment stored in a safe location?
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Is there evidence that all cleaning equipment has been checked in the past week?
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Are employees wearing the correct PPE when carrying out cleaning tasks? (Ask 1 employee)
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Are employees wearing the correct PPE when mixing and using hazardous cleaning chemicals?
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Is there evidence that PPE is being checked weekly to ensure it is still safe and suitable for the task it is meant for?
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Is PPE stored in a designated, safe location?
Walkways & Flooring
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Are all walkways free from trip hazards?
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Are all walkways free from obstructions? (Ensuring safe movement of patients)
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Is all flooring in good condition?
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Is the lighting on all walkways suitable and sufficient?