1.Environment

The temperature is adequate / comfortable

Lighting and ventilation is adequate for the task required

Nightlights are checked and working

Good vision can be obtained at the entry and exit points

Walkways / traffic areas are clear of clutter

Furniture and trolleys are arranged to minimise disruptions to walkways

Work surfaces are at an appropriate height

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

Noise levels are not excessive within the department.

There is appropriate drainage to to ensure doesn’t pool on 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

2. Electrical

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

Electrical cords, extension, 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

3.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

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

High visibility clothing is worn at all times

4. Equipment / Machinery

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

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

Correct machinery / equipment is used for required tasks

All ladders are electrically safe and in good repair

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

5. Housekeeping

Wet floor signs are available and used

Equipment not in use is removed to storage or disposed of

Theee environment is free of trip / slip hazards

The floor is free from rubbish, debris and or spills

The plant rooms are clear and clean

6. Emergency

Fire extinguishers and 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 easily and are free from any obstructions

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

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

Emergency procedure flip books are located next to every staff telephone

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

Ask FIVE staff members

Smoke / heat detectors are free from damage / obstructions

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

First aid kit is available and fully stocked

Emergency eye wash station and chemical shower is in place and functioning - test by operating the shower nozzle and the face wash - and weekly testing has been completed

Staff have received basic fire extinguisher training

7. 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 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

8. Chemicals

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

Chemical containers are labelled with the manufacturer / suppliers label

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

Appropiate PPE is worn by staff working with chemicals

All chemicals are stored to prevent unauthorised access and storage areas are locked I.e. flammable goods cabinet

An asbestos register is in place and asbestos hazards are labelled in the workplace

9. Manual Handling

Staff follow correct materials manual tasks procedures

Staff have received materials manual handling training within the last year

Staff are not required to undertake tasks lifting excessive weight

Manual handling aids are avavilable on the ward to reduce the need for manual handling I.e. trolleys

10. 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 the work area

Current monthly Safety reports are displayed in the area

Injury Hotline poster displayed in work area

11. Policy And Procedure

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

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

12. Agency/ Casual/ Contractor Staff

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

All contractors have signed the contractor register when on site

Permits to work are issued for all, hot works, working at heights and general works - Verify contractor log

Contractor non - compliance is reported, documented and actioned

All agency / Casual / contractor staff are wearing appropriate ID badges

13. Security

Identity badges / contractor stickers are visible and worn at all times

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

A key register is kept for all service keys issued

No staff member is working alone

There is a means of communication, roving phone two way radio at all times

14. Waste Management

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

No rubbish is left in any plant rooms, work areas or roof spaces

15. External Grounds Inspections

15.1 Vegegtation

Is. Vegetation no closer than 3 - 5 meters of buildings or emergency exits

The vegetation does not pose a fire hazard I.e. leaf litter etc.

The vegetation does not pose a security hazard I.e. person hiding etc

Vegetation is not obscuring signage

15.2 Vehicle Access

Directional signage is highly visible

The directions are easy to read and concise

Speed signs are in place and adhered to

15.3 Pedestrian Access

Pedestrian access is visible and easy to use

Are there any blind spots or obstructions

There is disabled access to the facility

There is signage appropriate for Pedestrian awareness

Surfaces are free from slip / trip hazards

Is there a risk of collision between Pedestrians and cars

15.4 Lighting

Is Lighting of grounds adequate for staff and visitors including night time

Is the lighting functional at the time of inspection

Vegetation is not obscuring the lighting at night

15.5 Storage Sheds / Areas

Material storage areas are secure from unauthorised access

Stored material is secured to prevent it from shifting or falling

Chemicals are stored as per SDS requirements

Rubbish bins on grounds are emptied regularly

15.6 External doors

All doors are secured from the outside

Doors are in good repair

Doors with swipe card access are closed

Fire doors are free from any obstruction

emergency exit doors are signed “Emergency Exit DO NOT OBSTRUCT “

15.7 signage

Areas of restricted access are signed

External emergency assembly points are clearly marked

Mobile plant and equipment is highly visible

15.8 Personal Protective Equipment (PPE)

Staff are wearing high visibility clothing whilst working outside

Sun protection is provided and worn, hat, sunscreen, sunglasses

Staff are wearing appropriate PPE ; gloves, face shields, glasses, ear protection for the task

Fall arrest Harness are in compliance test

Please specify next test date

Staff using fall arrest systems are currently certified to use them and included in department training register

All harness anchor points are in compliance test date

Please specify next test date
15.9 Traffic Management

A facility wide traffic management plan is documented, in place and in date to ensure the safe movement of pedestrian and vehicle traffic around the facility

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Total number of corrective actions

Completed by
Department manager name

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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.