Title Page

  • Document No.

  • Department being inspected

  • Conducted on

  • Prepared by

  • Hospital Location
  • Personnel involved during inspection


  • 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

  • Are fire exits kept clear and exit signs well lit?<br>UPLOAD A PHOTO

  • Add media

  • Are fire extinguishers checked annually?

  • Last checked:

  • Is the Emergency Evacuation Plan posted?<br>Where is it posted?

  • Are the exhaust/extraction hoods cleaned regularly?<br>How often are they cleaned?

  • Have the microwaves been tested and tagged in the last 6 months?<br>What was the date of the last test?

  • Are the plugs and cords on all electrical equipment in a good state of repair?

Communication and Expectations

  • Do staff know who the fire warden is for their area?<br>

  • Do staff understand how to report workplace injuries and when to report?

  • Do staff know who their WHS Committee representative is?

  • Do staff activity engage in and discuss safety at team meetings?

  • 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.

  • Add media

Preventing Strains and Sprains (Soft-Tissue Injuries)

  • Are trays are used to balance heavy loads.

  • Have high reach been identified and appropriately equipped (for example, with footstools, steps at pass through, and ladders)?

  • Are heavy items stored between waist and shoulder heights?

  • Is "clean as you go" is practised by all staff?

  • Are work areas clear and well organised?

  • Are all spills wiped up immediately?

  • Are "Wet Floor" signs are available and used?

  • Are floor surfaces in good condition, ie not worn or torn etc?

  • To staff wear appropriate footwear that is slip resistant, closed toe, and in good condition?

  • Observe a staff member using a food trolley. Are they operating the trolley, as per the safe work practice?

Preventing Serious Cuts and Lacerations

  • Are knives carried and handled safely and the procedures posted and practised?

  • Are slicer gloves available and used appropriately by the relevant employees?

  • Is the slicer blade guard in good order and used by employees?

  • Is broken glass kept separate from other garbage and handled with care?

Hazardous Chemicals

  • Are material safety data sheets (MSDSs) up-to-date and readily available? (Ask random staff member where to access MSDS)

  • Are labels [used on chemicals] removed from their original containers and put on decanted items, so staff understand what is in the decanted items?

  • Are eye wash bottles available?

  • Are all chemicals stored correctly?

Preventing a Serious Burn Injury

  • Are hot oil and disposal of hot oil procedures are posted?

  • Are goggles and neoprene gloves available and used when handling hot oil?

  • Are oven mitts used by staff handling hot objects?

  • Are staff trained in and aware of when to use appropriate protective equipment?

First Aid

  • Is an appropriate first aid kit accessible to all employees, kept clean, dry and fully stocked, according to Regulation standards.

  • Is the first aid log book completed, up-to-date, and kept in the first aid kit?


  • Have all non conformances been added into Riskman?

  • Name of person conduction the inspection

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.