Information

  • Document No.

  • Location / Site

  • Location
  • Conducted on

  • Prepared by

  • External photo of building

Stakeholders

  • Is the building owned by the trust

  • Which divisions are based on site?

  • Who manages the building?

Vulnerability of the property or assets

  • Vulnerability of the property

Site profile

  • When is the building occupied?

  • Who is responsible for opening the building?

  • Describe the opening procedure for the building:

  • Who is responsible for closingthe building?

  • Describe the procedure for closing the building:

  • Is it an inpatient service

  • What is the building used for?

  • What clinics are held?

  • How many beds on site?

  • What type of patients/service users are seen?

Site security

  • How many buildings are on site?

  • How many entrances / exits are there for the building?

  • Is there an external perimeter fence

  • Can access to the perimeter of the site be restricted e.g gate or barrier

  • Can access to the buildings be restricted?

  • Is there external lighting?

  • Who or what neighbours the site?

  • Is there a back up generator on site? - if yes - where is it?

Security staff

  • Are portering staff employed on site - if so how many and at what times?

  • Are security staff employed on site?

  • What is the guard specification? What are there key duties?

Lone workers

  • Are there any lone workers?

  • Has a risk assessment been completed?

  • Date completed:

  • Date reviewed:

Access control

  • Is there access control in the building

  • If yes - what access control systems are there?

  • Is there access control on the main entrance?

  • Can the access control be overridden?

  • Access control images

  • Who holds the keys to the site?

Alarm

  • Is there an intruder alarm?

  • How is this monitored?

CCTV

  • Is there CCTV

  • How many CCTV cameras are there

  • How long is the footage stored from the CCTV system (days)

  • Is the CCTV monitored?

  • When was the last date the CCTV was serviced?

  • Who maintains the CCTV system?

  • How is the footage from the CCTV stored?

Critical assets

  • Are there any non physical assets - Patients, staff and visitors - provide details

  • Are there any physical assets - IT servers, patient records - provide details

  • What are the security arrangements in place?

  • What is the threat? State the perceived threat, the likely abilities of the attackers, the tools they may use and likely methods of attack.

  • What is the consequence of compromise?

Lockdown implementation

  • How can a lockdown be communicated to all staff in the building?

Staff property

  • Is there provision for the security of staff property

  • Are lockers provided.

  • Is there a staff room?

  • How is the door secured?

  • Was it secured at the time of the visit?

Patient property

  • Is patient property retained?

  • Do staff complete patient property checklists on admission

  • How often are they reviewed?

  • Do the patients have the ability to lock and secure there own items?

Staff ID

  • Are all staff wearing current BCHC identification?

  • How many staff are not wearing there ID

Documentation

  • Has a departmental risk assessment been completed?

  • Date it was completed:

  • Review date:

Other departments/areas

  • Findings from other departments/areas

  • Department
  • Department/area name:

  • Findings

  • Media

Additional comments

  • Are there any additional comments?

  • Comments:

  • Add media

  • Add drawing

Action plan

Action plan

  • Action plan

  • Action
  • Action title

  • Action description

  • Add media if required.

  • Who is responsible

  • By when

Staff informed of findings

Staff been informed of findings

  • Staff present during the assessment have been informed of the findings.

  • Staff
  • Staff Signature

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.