Information
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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 inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there any outstanding actions?
2.0 - Fire Prevention
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2.1 - Evacuation procedures displayed appropriately for staff and patients and visitors?
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2.2 - Evacuation procedures are discussed regularly and understood by staff? (2 times a year)
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2.3 - Extinguishers in place, clearly marked for type of fire?
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2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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2.5 - Extinguishers clear of obstructions?
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2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?
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2.7 - Indicator signs 2.1 m above floor level?
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2.8 - Adequate direction notices for fire exits?
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2.9 - Exit doors easily opened from inside?
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2.10 - Exits clear of obstructions?
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2.11 - Fire alarm system functioning correctly? (Checked by building owner)
3.0 - General Lighting
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3.1 - Good natural/artificial lighting?
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3.2 - Reflected light from walls & ceilings not causing glare to employees?
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3.3 - Light fittings clean and in good condition?
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3.4 - Emergency exit lighting operable?
4.0 - Building Safety
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4.1 - Floor surfaces even and uncluttered?
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4.2 - Entry and walkways kept clear?
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4.3 - Walkways adequately and clearly marked?
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4.4 - Intersections kept clear of boxes etc?
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4.5 - Stair and risers kept clear?
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4.6 - Are liquid spills removed quickly?
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4.7 - Are railings in good condition?
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4.8 - Are fall preventive measures in place and used when needed? (eg hand rails in disabled toilets)?
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4.9 - Walls clean and in good repair?
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4.10 - Windows are clean and free of cracks or breaks? (Frames an supports checked also)
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4.11 - Ceilings are clean, panels in good repair?
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4.12 - Furniture in sound condition? ( Doors, hinges, drawers, bench tops)
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4.13 Back entrances and loading area clean,tidy and clear of obstructions?
5.0 - Work Areas
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5.1 - Clear of rubbish?
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5.2 - Accessory equipment not <br>in use kept in place?
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5.5 - Work height correct for the type of work and the employee?
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5.6 - No sharp edges?
6.0 Accessory Equipment
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6.1 - Approved accessories are used?
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6.2 - Clean and in good condition?
7.0 - Rubbish Removal
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7.1 - Bins located at suitable points around site?
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7.2 - Bins emptied regularly?i
8.0 - Storage Facilities
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8.1 - Shelving, cupboards and other furniture are functional and in good repair?
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8.2 - Storage area is clear of obstructions and rubbish?
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8.3 Supplies are stored neatly and to provide ease of access?
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8.4 - Storage is planned to reduce manual tasks by being close to area of use?
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8.5 - Cylinders are stored with wall attachments to prevent falls?
9.0 - Medical Imaging Equipment
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9.1 - Equipment and controls are kept clean?
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9.2 - Are the floors around the machines kept clean?
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9.3 - Is the appropriate shielding in place and in good condition?
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9.4 - Is emergency stop button functional and easy to locate?
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9.5 - Adequate work space available?
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9.6 - Is lighting around the equipment and the control area adequate?
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9.7 - Noise levels controlled in the MRI area particularly?
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9.8 - Equipment is ergonomically designed to be adjusted for individual workers?
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9.9 Are Radiation Compliance certificates tests up to date?
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9.10 - Are lockout procedures implemented and followed?
10.0 - Electrical Safety
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10.1 - Safety switches installed?
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10.2 - Safety switches tested every 6 months and tests recorded?
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10.3 - No double adapters, piggy-backs or non-protected power boards used?
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10.4 - Portable equipment tested and tagged?
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10.5 - No broken plugs, sockets or switches?
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10.6 - No power leads across walkways?
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10.7 - No frayed or damaged leads?
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10.8 - No strained leads?
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10.10 - Where required are emergency shut-down procedures in place?
11.0 - Chemical Safety
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11.1 - Hazardous Substance Register complete and available?
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11.2 - Safety Data Sheets (SDS) available for all chemicals?
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11.3 - Risk assessments completed for hazardous substances?
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11.4 - All containers labelled correctly?
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11.5 - Unused substances disposed of?
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11.6 - Are there special storage conditions required and are the conditions followed?
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11.7 - Workers trained in the use of hazardous substances?
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11.8 - Is the required PPE available?
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11.9 - Are eye washes and showers easily accessed (particularly for radioactive spills)?
12.0 - First Aid Facilities
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12.1 - Are cabinets and contents clean and orderly?
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12.2 - Are contents regularly checked?
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12.3 - No contents past their expiry date?
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12.4 - Cabinets clearly labelled?
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12.5 - Is there easy access to cabinets?
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12.6 - Employees aware of location of first aid cabinet?
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12.8 - Are emergency numbers displayed?
13.0 - Office Hazards
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13.1 - Condition of office furniture and waiting room furniture?
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13.2 - Condition of chairs?
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13.3 - Workstations are ergonomically adjustable for different workers?
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13.4 - Screen Based Equipment positioned to reduce glare from windows etc?
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13.5 - Photocopiers and facsimiles equipment positioned to avoid fumes?
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13.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)
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13.7 - Air conditioning systems regularly maintained?
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13.8 - Stable non-slip floor coverings in good condition?
14.0 - Kitchen, Staff rooms and Toilets
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14.1 - Facilities kept clean by regular cleaning?
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14.2 - Clear of rubbish and obstructions?
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14.3 Sanitary disposal units are replaced at regular intervals?
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14.4 - Employees are aware of responsibility to maintain cleanliness of facilities?
15.0 - Off Work Areas (eg. Home Offices, Server Rooms)
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15.1 - Work area provides comparable equipment and furniture to what would used at a SCR office?
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15.2 - Work area is able to be accessed by I obstructed entry?
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15.3 - Electrical appliances are protected by a Safety Switch or are check by test and tag.
16.0 - Vehicle Condition
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16.1 - Schedule maintenance performed?
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16.2 - Condition of tyres are reported on at each service?
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16.3 - Brake and lights performance reported on each service ?
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16.4 - Condition of drivers seat and other seats?
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16.5 - First aid kit supplied and adequate?
17.0 - Ladders
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17.1 - Are all ladders Industrial strength? (Non Household rated, check label.)
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17.2 - Are ladders in good condition and used according to instructions?
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17.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)
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17.5 - In MRI are ladders non-ferrous metal (eg. Aluminium) ?
18.0 - Documentation
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18.1 - Daily checklists have been completed and signed by supervisors?
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18.2 - Monthly checklists have been completed and signed by Managers?
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18.3 - Incidents and Corrective Action forms have been reviewed for any unresolved issues?
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18.4 - Employees are aware of reporting mechanisms for incidents and hazards?
Sign Off
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On site representative was present for the inspection?
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Auditor's signature and date: