1.Environment

The temperature is adequate / comfortable

Lighting and ventilation is adequate for the task required

Walkways / traffic areas are clear of clutter

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

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

Detail next expiry date

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 (e.g. hi vis vests when going into back dock area)

Detail ONE item of PPE worn

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

4. Equipment / Machinery

Compactors are maintained and serviced as per the manufacturers or suppliers guidelines

Detail next expiry date

Compactors are in good condition I.e. no leaks from hoses, no sharp edges and functioning as normal

All equipment and machinery cords have been tested and tagged I.e. compactor and scrubbers

Compactor cage is in good condition I.e. flashing lights are operational and interlock systems are functioning correctly

Radiation detector is calibrated and functioning

Safety signage is in place for machinery. That exposes workers to hazards I.e. pinch points

5. Housekeeping

Wet floor signs are available and used

Hey gone is routinely cleaned

The environment is free of trip / slip hazards

The floor is free from rubbish, debris and or spills

6. Chemical

SpIll kits are available to clean up oil spills, are stocked and sealed

Chemicals are within expiry and being stored correctly I.e. not with incompatible substances and bunded

7. 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

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 walls / floors to prevent falling

Clinical waste storage room is locked at all times

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

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

10. Workplace Health And Safety Information

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

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

13. Security

Doors that lead to the eastern end of back dock are closed at all times

Compactor access is restricted to authorised personnel only

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

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

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.