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

  • Is the exhaust system free of grease and cleaned weekly

  • Are pots and food containers, all in good repair - no sharp edges

  • 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

  • No heavy traffic is directed through hot work areas

  • 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

  • Heat resistant gloves / mitts are used when working with hot food / containers

5. Equipment / Machinery

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

  • Kitchen trolleys, and food trolleys are neatly arranged and wheels 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

  • All guards on machines are in place and functioning correctly, including Hobart Mixer

  • All seals are intact and preventing any leakages

  • Knives are stored in an appropriate location

  • If staff take knives home they are wrapped appropriately

  • All staff who use the motorised pallet jack have been trained how to use it

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

  • Routine detailing and floor cleaning is preformed and documented to HACCP standards

  • A broken glass / crockery bin is in place and used

  • FrEezer entry and floor is free from ice build up

7. Emergency

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

  • Staff have received basic fire extinguisher training

  • 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

  • Emergency eye wash station is functioning - test by operating the shower nozzle and the face wash

  • First aid kits accessible, checked and restocked

  • 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 cool room emergency release mechanisms and alarms have been tested, are functional and staff have been trained in their use

  • All cool room emergency signage is intact and clearly visible

  • All emergency alarms have been tested I.e. Duress alarms

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

  • Safety steps are available in the area

  • Storage rooms and fridges 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

10. 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

  • Equipment is available such as 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

  • 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

15. Waste management

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

  • Staff using the bin hoist and the general waste compactor have been trained to use

  • Total Number of Corrective Actions

  • Completed by

  • Department Manager Name

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