Title Page
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Document No.
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Department being inspected
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Conducted on
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Prepared by
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Hospital Location
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Personnel involved during inspection
Instructions
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1. Answer "Yes" or "No" 2. Add a photo by clicking on the camera icon 3. Add a comment or note by clicking on the "note" icon 4. Complete the inspection by providing your full name and a digital signature 5. Mark as complete, save and close 6. Enter any non-conformances into Riskman using the “Report It!” App, located on the iPad
Preventing Serious Incidents
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Are fire exits kept clear and exit signs well lit?<br>UPLOAD A PHOTO
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Add media
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Are fire extinguishers checked annually?
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Last checked:
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Is the Emergency Evacuation Plan posted?<br>Where is it posted?
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Are the exhaust/extraction hoods cleaned regularly?<br>How often are they cleaned?
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Have the microwaves been tested and tagged in the last 6 months?<br>What was the date of the last test?
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Are the plugs and cords on all electrical equipment in a good state of repair?
Communication and Expectations
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Do staff know who the fire warden is for their area?<br>
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Do staff understand how to report workplace injuries and when to report?
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Do staff know who their WHS Committee representative is?
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Do staff activity engage in and discuss safety at team meetings?
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Is the WHS Policy, Injury Management Flowchart, Injury Management Program Summary, current WHS Minutes and fire warden information current and clearly displayed on the staff noticeboard? Upload a photo of the noticeboard.
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Add media
Preventing Strains and Sprains (Soft-Tissue Injuries)
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Are trays are used to balance heavy loads.
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Have high reach been identified and appropriately equipped (for example, with footstools, steps at pass through, and ladders)?
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Are heavy items stored between waist and shoulder heights?
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Is "clean as you go" is practised by all staff?
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Are work areas clear and well organised?
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Are all spills wiped up immediately?
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Are "Wet Floor" signs are available and used?
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Are floor surfaces in good condition, ie not worn or torn etc?
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To staff wear appropriate footwear that is slip resistant, closed toe, and in good condition?
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Observe a staff member using a food trolley. Are they operating the trolley, as per the safe work practice?
Preventing Serious Cuts and Lacerations
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Are knives carried and handled safely and the procedures posted and practised?
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Are slicer gloves available and used appropriately by the relevant employees?
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Is the slicer blade guard in good order and used by employees?
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Is broken glass kept separate from other garbage and handled with care?
Hazardous Chemicals
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Are material safety data sheets (MSDSs) up-to-date and readily available? (Ask random staff member where to access MSDS)
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Are labels [used on chemicals] removed from their original containers and put on decanted items, so staff understand what is in the decanted items?
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Are eye wash bottles available?
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Are all chemicals stored correctly?
Preventing a Serious Burn Injury
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Are hot oil and disposal of hot oil procedures are posted?
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Are goggles and neoprene gloves available and used when handling hot oil?
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Are oven mitts used by staff handling hot objects?
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Are staff trained in and aware of when to use appropriate protective equipment?
First Aid
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Is an appropriate first aid kit accessible to all employees, kept clean, dry and fully stocked, according to Regulation standards.
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Is the first aid log book completed, up-to-date, and kept in the first aid kit?
Riskman
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Have all non conformances been added into Riskman?
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Name of person conduction the inspection