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

Nightlights are checked and working

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

All staff are wearing HI Vis clothing

5. Equipment / Machinery

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

Pallet jacks, trolleys and materials transporting equipment are in good repair

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

Knives / scissors are stored in an appropriate location

Equipment register is available and up to date in the department

Staff are trained in the use of all equipment

Staff are licensed as required I.e. forklift use - must sight license of a forklift operators
The forklift / walker stacker have the daily restart checklists completed - must sight 1/12 records and verify

All machinery and equipment is maintained and serviced, as per the manufactures or suppliers guidelines

Detail last service date

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

Ward is generally clean I.e. free from dust

7. Emergency

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

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 / heat detectors are free from damage / obstruction

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

Emergency eye wash station and shower - test by operating the shower and the face wash

First Aid kit is available and fully stocked

Staff have received basic fire extinguisher training

8. Storage

Materials are stored securely to prevent falling and can be accessed by the forklift / pallet jack with ease I.e. not stored out of reach and or obstructing access to other materials

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

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

Chemicals are stored appropriately I.e. bunded and stored in locked chemical room

All chemicals are stored to prevent unauthorised access and storage areas are locked

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

A laminated patient mobility guide and risk assessment tool is located in the bedside patient care folder and in prominent locations in the clinical work areas (verify in patient files)

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

No unauthorised staff can access the stores or back dock area.

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.