Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 Previous Inspections
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1.1 - Has the previous inspection been reviewed?
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1.2 Have all the previous outstanding faults and issues been resolved?
2.0 Building and Internal Structures
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2.1 Floor Surfaces even and uncluttered?
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2.2 Entry and Walkways kept clear?
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2.3 Walkways adequately size and clearly marked
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2.4 Intersections kept clear of obstructions (boxes,trolleys and equipment)?
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2.5 Stairs and risers kept clear and in good repair?
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2.6 Railings are solid, stable and in good repair?
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2.7 Are fall preventative measures in place and in good repair (eg hand rails in toilets)?
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2.8 Liquid spills are removed quickly?
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2.9 Walls are clean and in good repair?
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2.10 Windows are clean and free of cracks?
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2.11 Ceilings are clean and panels in good repair?
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2.12 Back entrances and loading areas clean, tidy and free of obstructions?
3.0 Accessory Equipment
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3.1 Approved accessories are used?
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3.2 Accessories are clean and in good condition?
4.0 Chemicals and Dangerous Goods
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4.1 Hazardous Substances Register is up to date and available?
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4.2 Safety Data Sheets (SDS) available for all chemicals?
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4.3 Risk assessments completed for hazardous substances?
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4.4 All containers are labelled correctly?
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4.5 Unused substances are disposed of at the end of the day or at expiry?
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4.6 Staff have been instructed in the use of all chemicals?
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4.7 Is the correct Personal Protective Equipment (PPE) available and in good working condition?
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4.8 Are eye washes and showers easily accessed for spills?
5.0 Documentation
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5.1 Daily checklists have been completed and signed by supervisors?
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5.2 Monthly checklists completed and submitted to manager for review?
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5.3 Incident and Corrective Action forms have been reviewed for any unresolved issues?
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5.4 Staff are aware of reporting mechanisms for incidents, injuries and hazards?
6.0 Electrical Safety
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6.1 Are Safety Switches installed to all areas?
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6.2 Where fitted Safety Switches are tested every 6 months and recorded?
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6.3 Leads, power boards and appliances not protected by Safety Switches are tested and tagged at appropriate intervals?
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6.4 Portable equipment is tested and tagged annually?
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6.5 No broken plugs, sockets or switches, no frayed or damaged cords and no strained leads?
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6.6 No leads across walkways or in areas where that can be run over or caught by equipment of staff?
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6.7 Where required are emergency shutdown procedures in place?
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6.8 Air conditioning systems are maintained regularly?
7.0 Fire Prevention and Emergency Procedures
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7.1 Evacuation procedures are displayed appropriately for staff, patients and visitors?
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7.2 Staff are trained in evacuation procedures at regular intervals?
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7.3 Fire extinguishers are located correctly and are clearly marked for type of fired to be used for?
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7.4 Extinguishers are checked regularly and serviced?
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7.5 Extinguishers are kept clear of obstructions?
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7.6 Extinguishers are correctly affixed to walls and labelled for easy identification?
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7.7 Adequate direction notices are in place for fire exits?
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7.8 Exit doors open easily from the inside?
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7.9 Exits and exit doors are clear of obstructions?
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7.10 Fire alarm system is checked for correct functioning (By building owner)?
8.0 First Aid Facilities
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8.1 Are cabinets and contents clean and orderly?
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8.2 Contents are checked regularly for expired items and to restock after use?
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8.3 Cabinets are clearly labelled?
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8.4 There is easy access to the cabinet?
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8.5 Staff are aware of location and contents of first aid cabinets?
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8.6 Emergency numbers are clearly displayed in each area of the branch?
9.0 General Lighting
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9.1 Good natural / artificial lighting?
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9.2 Reflected light from walls, ceilings not causing glare for staff?
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9.3 Light fittings clean and in good condition?
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9.4 Emergency exit lighting is operable?
10.0 Kitchen and Staff room Facilities
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10.0 Facilities are kept clean by regular cleaning?
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10.2 Facilities are clear of rubbish and obstructions?
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10.3 Sanitary disposal units are replaced at regular intervals?
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10.4 Employees are aware of responsibly to maintain cleanliness of facilities?
11.0 Ladders and Tools
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11.1 Ladders are less than 2 metres in height?
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11.2 Ladders are in good condition and used according to instructions?
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17.3 If used for electrical work are made of on conductive material?
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17.4 In MRI ladders are made of non-ferrous material?
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17.5 Tools are in good working order and stored appropriately?
12.0 Medical Imaging Equipment
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12.1 Equipment and controls are kept clear?
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12.2 The floors around the equipment are kept clear?
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12.3 Is the appropriate shielding in place and in good condition?
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12.4 The emergency stop button is functional and easy to locate?
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12.5 There is adequate work space around the equipment?
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12.6 There is adequate lighting around the equipment and the controls?
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12.7 Noise levels are controlled in the MRI environment?
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12.8 The noise protection is clean and easily accessible to the MRI scan room?
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12.9 Equipment is ergonomic ally designed to be adjusted to individual workers?
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12.10 Radiation Compliance stickers are up to date?
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12.11 Staff are aware of lockout procedures and how to implement them in cases of breakdowns?
13.0 Office Equipment and Furniture?
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13.1 Office and waiting room furniture are in good condition?
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13.2 Office and waiting room chairs are in good , condition?
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13.3 Workstations are ergonomically adjustable for different workers?
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13.4 Monitors and other screens are positioned to reduce glare from lighting?
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13.5 Photocopiers and facsimile equipment are positioned to avoid fumes near staff?
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13.6 Tasks are designed to prevent Occupational<br> Overuse Syndrome?
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13.7 Stable non-slip floor coverings are in good condition?
14.0 Off site Facilities
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14.1 Work area provides comparable equipment and furniture to what is used at a SCR office?
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14.2 Work area is able to be accessed by an unobstructed entry?
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14.3 Electrical appliances are protected by a Safety Switch or are tested and tagged appropriately?
15.0 Rubbish Disposal
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15.1 Rubbish bins are positioned at suitable points around the site?
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15.2 Regular emptying of bins occurs ?
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15.3 Staff are aware of their responsibility to ensure rubbish collection from their area is performed?
16.0 Storage Facilities
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16.1 Shelving,cupboards and other furniture are functional and in good repaire?
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16.2 Storage area is clear of obstructions and rubbish?
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16.3 Supplies are stored neatly to provide ease of access?
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16.4 Storage is planned to reduce manual tasks by being close to the area of use?
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16.5 Cylinders are stored with wall attachments to prevent falls?
17.0 Vehicle Checks
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17.1 Scheduled maintenance performed?
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17.2 Condition of brakes and lights reported at each service?
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17.3 Condition of tyres reported at each service?
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17.4 First aid kit supplied and checked every year or after use?
18.0 Work Areas and Benches
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18.1 Clear of rubbish?
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18.2 Accessory equipment not in use, stored correctly?
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5.3 Work bench height correct for type of work and staff able adjust to height?
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5.4 No sharp edges or pointy corners?
19.0 Sign Off
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On site Representative
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Inspector
