Title Page
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Site conducted
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Conducted on
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Next inspection
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Inspector & participants
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Department
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Division
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Department Manager
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Matron or senior manager
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Briefly describe the work activity including the areas in terms of function, size, number of floors, number of people. For example: All ward departments, various square metres with up to 10 people.
Slips, trips and falls and Working at Height<br>
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Flooring surface even and undamaged including where appropriate external<br>
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Flooring free from trip hazards and obstructions<br>
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Where appropriate external entrance free from slip hazards
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Lighting is adequate including entrance lighting
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Stairways in good condition with visible edging
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Stair handrails in place and in good, stable condition
Staff Welfare Regulations
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There is an appropriate location where staff can sit and take a break
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There are adequate resources for staff to prepare and store their own drinks and food (Hot and Cold)
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Kitchens and rest areas are clean and free from clutter with soap and hand-towels in situ
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There are appropriate facilities for staff to wash their hands (Hot and Cold Water)
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Toilet / sanitary facilities sufficient, clean and adequate
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Soap, hand towels and toilet paper in all conveniences
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Temperature in department within legal requirements
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Lighting is comfortable and supports safe completion of work activities
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There is sufficent accommodation for changing and storage of coats, clothing etc
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Walls, windows, doors and fixtures & fittings free from damage (easily accessible)
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Seating is sufficient, safe, stable and free from damage
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There are arrangements in place for nursing / pregnant staff to rest & if required express milk
Specific Hazards and Safety Signage
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Any damaged structures, e.g. broken glass, falling masonry which presents a hazard
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Signage in place to indicate location of service, cut-off switches and valves
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Are switch rooms, plant/boiler, lift motor rooms locked with signage "Authorised Personnel Only"
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Is the "powerfail" telephone identifiable and understood by staff (red)
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Medical gas cylinders stored correctly (see separate audit tool)
Loading Bays / Receipt and Distribution areas
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Has a risk assessment been carried out to comply with HSE Guidance HSG136
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Actions outstanding from the risk assessment
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SOPs rules in place
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Observe if rules being followed.
Tool and equipment
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Are tools or medical instruments in good condition
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Are steps/stools in good condition (Tagged where appropriate)
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Lifting equipment is adequately maintained and inspected (In date service and inspection)
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If Extension leads are used are they free form damage and acceptable standard (Plug, case, cable etc.)
Ventilation
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Can windows be accessed easily
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Can windows be opened closed easily (Kept open if fresh air is required)
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If there is no adequate natural ventilation is there adequate mechanical ventilation
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If applicable are AC fans and grills clean and free from Dust
Building management
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Asbestos survey held and asbesto materials identified and managed
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All Asbestos in safe and undamaged condition
Finding and corrective actions
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Inspection findings
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Corrective Actions
Summary
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Summary of inspection