Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there any outstanding actions?

2.0 - Fire Prevention

  • 2.1 - Evacuation procedures displayed appropriately for staff and patients and visitors?

  • 2.2 - Evacuation procedures are discussed regularly and understood by staff? (2 times a year)

  • 2.3 - Extinguishers in place, clearly marked for type of fire?

  • 2.4 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - Extinguisher no more than 1200 mm max height & base not lower that 100 mm?

  • 2.7 - Indicator signs 2.1 m above floor level?

  • 2.8 - Adequate direction notices for fire exits?

  • 2.9 - Exit doors easily opened from inside?

  • 2.10 - Exits clear of obstructions?

  • 2.11 - Fire alarm system functioning correctly? (Checked by building owner)

3.0 - General Lighting

  • 3.1 - Good natural/artificial lighting?

  • 3.2 - Reflected light from walls & ceilings not causing glare to employees?

  • 3.3 - Light fittings clean and in good condition?

  • 3.4 - Emergency exit lighting operable?

4.0 - Building Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.2 - Entry and walkways kept clear?

  • 4.3 - Walkways adequately and clearly marked?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.6 - Are liquid spills removed quickly?

  • 4.7 - Are railings in good condition?

  • 4.8 - Are fall preventive measures in place and used when needed? (eg hand rails in disabled toilets)?

  • 4.9 - Walls clean and in good repair?

  • 4.10 - Windows are clean and free of cracks or breaks? (Frames an supports checked also)

  • 4.11 - Ceilings are clean, panels in good repair?

  • 4.12 - Furniture in sound condition? ( Doors, hinges, drawers, bench tops)

  • 4.13 Back entrances and loading area clean,tidy and clear of obstructions?

5.0 - Work Areas

  • 5.1 - Clear of rubbish?

  • 5.2 - Accessory equipment not <br>in use kept in place?

  • 5.5 - Work height correct for the type of work and the employee?

  • 5.6 - No sharp edges?

6.0 Accessory Equipment

  • 6.1 - Approved accessories are used?

  • 6.2 - Clean and in good condition?

7.0 - Rubbish Removal

  • 7.1 - Bins located at suitable points around site?

  • 7.2 - Bins emptied regularly?i

8.0 - Storage Facilities

  • 8.1 - Shelving, cupboards and other furniture are functional and in good repair?

  • 8.2 - Storage area is clear of obstructions and rubbish?

  • 8.3 Supplies are stored neatly and to provide ease of access?

  • 8.4 - Storage is planned to reduce manual tasks by being close to area of use?

  • 8.5 - Cylinders are stored with wall attachments to prevent falls?

9.0 - Medical Imaging Equipment

  • 9.1 - Equipment and controls are kept clean?

  • 9.2 - Are the floors around the machines kept clean?

  • 9.3 - Is the appropriate shielding in place and in good condition?

  • 9.4 - Is emergency stop button functional and easy to locate?

  • 9.5 - Adequate work space available?

  • 9.6 - Is lighting around the equipment and the control area adequate?

  • 9.7 - Noise levels controlled in the MRI area particularly?

  • 9.8 - Equipment is ergonomically designed to be adjusted for individual workers?

  • 9.9 Are Radiation Compliance certificates tests up to date?

  • 9.10 - Are lockout procedures implemented and followed?

10.0 - Electrical Safety

  • 10.1 - Safety switches installed?

  • 10.2 - Safety switches tested every 6 months and tests recorded?

  • 10.3 - No double adapters, piggy-backs or non-protected power boards used?

  • 10.4 - Portable equipment tested and tagged?

  • 10.5 - No broken plugs, sockets or switches?

  • 10.6 - No power leads across walkways?

  • 10.7 - No frayed or damaged leads?

  • 10.8 - No strained leads?

  • 10.10 - Where required are emergency shut-down procedures in place?

11.0 - Chemical Safety

  • 11.1 - Hazardous Substance Register complete and available?

  • 11.2 - Safety Data Sheets (SDS) available for all chemicals?

  • 11.3 - Risk assessments completed for hazardous substances?

  • 11.4 - All containers labelled correctly?

  • 11.5 - Unused substances disposed of?

  • 11.6 - Are there special storage conditions required and are the conditions followed?

  • 11.7 - Workers trained in the use of hazardous substances?

  • 11.8 - Is the required PPE available?

  • 11.9 - Are eye washes and showers easily accessed (particularly for radioactive spills)?

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiry date?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.8 - Are emergency numbers displayed?

13.0 - Office Hazards

  • 13.1 - Condition of office furniture and waiting room furniture?

  • 13.2 - Condition of chairs?

  • 13.3 - Workstations are ergonomically adjustable for different workers?

  • 13.4 - Screen Based Equipment positioned to reduce glare from windows etc?

  • 13.5 - Photocopiers and facsimiles equipment positioned to avoid fumes?

  • 13.6 - Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  • 13.7 - Air conditioning systems regularly maintained?

  • 13.8 - Stable non-slip floor coverings in good condition?

14.0 - Kitchen, Staff rooms and Toilets

  • 14.1 - Facilities kept clean by regular cleaning?

  • 14.2 - Clear of rubbish and obstructions?

  • 14.3 Sanitary disposal units are replaced at regular intervals?

  • 14.4 - Employees are aware of responsibility to maintain cleanliness of facilities?

15.0 - Off Work Areas (eg. Home Offices, Server Rooms)

  • 15.1 - Work area provides comparable equipment and furniture to what would used at a SCR office?

  • 15.2 - Work area is able to be accessed by I obstructed entry?

  • 15.3 - Electrical appliances are protected by a Safety Switch or are check by test and tag.

16.0 - Vehicle Condition

  • 16.1 - Schedule maintenance performed?

  • 16.2 - Condition of tyres are reported on at each service?

  • 16.3 - Brake and lights performance reported on each service ?

  • 16.4 - Condition of drivers seat and other seats?

  • 16.5 - First aid kit supplied and adequate?

17.0 - Ladders

  • 17.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 17.2 - Are ladders in good condition and used according to instructions?

  • 17.3 - If used for electrical work are they non conductive? (Wood or fibre glass.)

  • 17.5 - In MRI are ladders non-ferrous metal (eg. Aluminium) ?

18.0 - Documentation

  • 18.1 - Daily checklists have been completed and signed by supervisors?

  • 18.2 - Monthly checklists have been completed and signed by Managers?

  • 18.3 - Incidents and Corrective Action forms have been reviewed for any unresolved issues?

  • 18.4 - Employees are aware of reporting mechanisms for incidents and hazards?

Sign Off

  • On site representative was present for the inspection?

  • Auditor's signature and date:

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.