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

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
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.