1. Office set up - ergonomics

An adjustable height and back rest, ergonomic chair with a five base used

Feet’s and lower limbs are supported by floor or footrest

Keyboard height allows shoulders to be relaxed

There is adequate working space on desk

Monitor approximately arm’s length from operator and eyes approximately level with top third of screen

Monitor screen is free from glare

Frequently used items are within close reach

Postural change occurs every 25 - 30 minutes

Repetitive twisting / bending of neck or back is avoided


The temperature is adequate / comfortable

Lighting and ventilation is adequate for the tasks required

Good vision can be obtained at entry and exit points

Walkways / traffic areas are clear of clutter

Furniture and trolleys are arranged to minimise disruption to walkways

Work surfaces are at an appropriate height

Traffic flow in area does not cause risk of collision or injury

Noise levels are not excessive within the department

There is appropriate drainage to ensure water doesn’t pool on the floor

Floors are even and have an appropriate slip resistance

Floors are free from gaps / holes / cracks

Stairways have adequate handrails, are clear of clutter and in good repair

The workplace amenities used by the staff are adequate and in a clean condition

3. Electrical

Electrical appliances, cords, and equipment have been tested and tagged. Please check all items and advise when NEXT EXPIRY date is out of all of the items

Detail next expiry date

Electrical cords, extensions, plugs and switches are safely arranged and in good repair I.e. plastic covering intact

Electrical cords are secured to prevent trip injuries

Piggy back plugs (double adaptors) are NOT used in the department

Electrical equipment is not exposed to water

4. Personal Protective Equipment

PPE and disposable gloves, glasses, aprons and ear protection are available for use and in good condition

Staff are wearing the required PPE

Detail ONE item of PPE worn :

Staff are wearing appropriate footwear I.e. non - slip rubber soled shoes

5. Equipment / Machinery

Safety steps or step ladders are available to enable access to all storage areas

Ward trolleys, beds, commode chairs and other wheeled equipment neatly arranged wheels and brakes are adequate and in good repair, all chairs are in good repair - patients and visitor

Any damaged equipment has been removed from service until repair / replacement

All powered equipment and machinery is in good working order

Out of service or danger tags are available to place on faulty / damaged equipment

All machinery and equipment is maintained and serviced as per the manufacture’s or suppliers guidelines. Observe service records and detail when the last service date was out of all of the equipment / machinery

Correct machinery / equipment is used for required tasks

All self help poles (monkey bars) manufactured by MEDICRAFT have been removed from service and disposed of

Drip / monitor stands are easy to propel and do not over balance I.e. must have a 5 point base

Gazunda safety check including : emergency stop, charger, emergency backup bar & horn

6. Housekeeping

Wet floor signs are available and used

Equipment not in use is removed to storage or disposed of

The environment is free of trip / slip hazards

The floor is free from rubbish, debris and or spills

Adequate bins are provided to dispose of rubbish

7. Emergency

Fire extinguishers and a hose reel are in close proximity, clearly marked and have been tested within the last 6 months

Detail when the fire extinguisher was last tested (will be displayed on the metal tag on the neck of the extinguisher)

Emergency exit signs are lit and are clearly marked and visible

Fire and smoke doors are clearly signed

Exit doors open and close and are free from obstructions

Emergency procedures (code red - fire, code orange - evacuation, code brown - ext emergency) are contained in the fire box at the emergency assembly points and are in date

Emergency wall plans are in place clearly showing, exits and firefighting equipment

Emergency procedure flip books are located next tto o every staff telephone

Staff are aware of emergency procedures and how to raise the alarm - DIAL 55

Ask FIVE staff members 1. 2. 3. 4. 5.

Smoke / detectors are free from damage / obstruction

All emergency alarms have been tested I.e. duress alarm

First Aid kit is available and fully stocked

Staff have received basic fire extinguisher training

8. Storage

Items stored on shelves are not stored too high. I.e. items on top shelves should be one box high

Are items stored appropriately I.e. Frequently used items and heavy items stored between knee and shoulder height

Materials are stored securely to prevent falling

Shelves are secured to the walls / floors to prevent falling

Gas cylinders are stored upright and are within a racking system or non - abrasive chain

Storage rooms are neat and tidy to allow a clear walking path and are free from rubbish

9. Chemicals

Safety data sheet (SDS) book is stored with the chemicals in the chemical storage / cleaners room

CheMical containers are labeled with the manufacture / suppliers label

Spill kits are available to clean up chemical spills (in bulk chemical storage areas)

Appropriate PPE is worn by staff working with chemicals

All chemicals are stored to prevent unauthorised access and storage areas are locked I.e. cleaners room

All items containing mercury have been removed from service and returned to WHS department for disposal

10. Manual handling

Staff follow correct patient manual handling and materials manual tasks procedures

Staff have received patient and materials manual handling training within the last year

Staff are not required to undertake tasks lifting excessive weight

Manual handling aids are available on the ward to reduce the need for manual handling I.e. slide sheets, gazundas

11. Workplace Health and Safety Information

The below policies are displayed in the work area and signed by the hospital executive. * Work Health and Safety * Manual Handling. * Zero Tolerance - Aggression & Violence * Return to Work & Rehabilitation

Current Workplace Health and Safety Subcommittee Minutes are displayed in work area

Current monthly Safety reports are displayed in area

Injury Hotline poster displayed in work area

12. Policy and Procedure

Policy and Procedures are followed at all times and are up to date

Safe Operating Procedures (SOPs) are in place for all tasks and are up to date

13. Agency / Casual / Contractor Staff

All agency / casual / contractor staff have received the contractor orientation induction checklist and ward specific orientation handout

All agency / casual staff have signed the ward attendance register

All agency / casual staff are wearing appropriate ID badges

14. Security

Identity badges are visible and worn at all times, including agency, doctors, students and contractors

Designated areas are limited to authorised personnel at all times I.e. treatment rooms, storage areas etc

Aggression in the department is recognised, managed and coordinated in effective manner

The majority of the staff have had training in aggression management

Aggression management plans are in place as required and for frequent flyers with PMx of aggression

CCTV cameras are functioning and cover high risk areas and access points

Security personnel are available at all designated times in the department

Access / Entry to the department is controlled

Duress alarms are easy to locate and access in high risk areas

Staff carry pagers and respond to department duress calls

15. Waste management

All waste is contained and disposed of in appropriate waste stream I.e. general, clinical confidential, cytotoxic

Total Number of Corrective Actions

Completed by
Department Manager Name
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.