Title Page

  • Conducted on

  • Prepared by

  • Location

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

2.Environment

  • The temperature is adequate / comfortable

  • Lighting and ventilation is adequate for the tasks required

  • Walkways / traffic areas are clear of clutter

  • Work surfaces are at an appropriate height

  • Noise levels are not excessive within the department

  • Floors are free from gaps / holes / cracks

  • 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

  • Hand gels, moisturisers, detergent wipes readily available

  • 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

  • All equipment, including office chairs and machinery is in good working order

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

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

  • Trolleys and other wheeled equipment are neatly arranged and wheels are in good repair

6. Housekeeping

  • Keyboards, computer screens, printers and telephones are cleaned on a regular basis

  • 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 marked and visible

  • Emergency wall plans are in place clearly showing, exits and firefighting 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 1. 2. 3. 4. 5.

  • 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

  • Shelves are secured to the walls / floors to prevent falling

  • Steps are available in all storage areas

  • 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

  • Appropriate PPE is worn by staff working with chemicals

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

  • Equipment is available (e.g. trolleys) to reduce the need for manual handling

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

  • 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. finance, executive, HIS etc

15. Waste management

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

  • Total Number of Corrective Actions

  • Completed by

  • Department Manager Name

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