Front Page

  • Site:

  • Date:

  • Auditor:

  • Location:

Safety & Wellbeing Assurance Check

  • The purpose of this document is to outline items to be considered for the updated S&W assurance check to replace the SMP Implementation Tracker.

  • Risk Compliance checks* = 70% overall score, score 290

Preventative Management-General

  • 1. Legal Obligations understood – Team meetings with standing HSE agenda– What is the standard for minimum frequency of meetings? How often are your meetings held?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 2. Progress Notes – Evidence of consistency and quality re details. (Sample – previous week – eg. 3 progress notes per day per 24/7 site) (Have the notes been checked by a manager?)

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 3. Progress notes review policy (HM, DSL and ROM) - What is the review process? Are progress notes reviewed by a manager daily for early identification of issues.

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 4. Written Shift Handover – What is the house policy?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 5. Is there effective communication systems in place? Eg Duress Alarm/Staysafe App/Mobile Phone/Teams Chat (If applicable) – If so, what are the instructions? Has the policy been communicated to staff? (Risk Assessment)

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 6. Lone Worker Policy/Procedure – What policy or controls are in place?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 7. Environmental scan – observations for hazards and non-compliant standards (eg. Broken window, mould, interaction dynamics between staff and client).

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 8. Are the HM and DSL aware of the CNSP and HRRP risk resolution process? Are the terms of reference accessible in the HSE folder or online?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 9. When was the last time a manager visited the home

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

Occupational Violence- Client Related ( Mental Stress)

  • 10. Has the client got a PBSP and/ or ICSP & date of expiry – Is it up to date? Does it reflect current client behaviours? (Verbal discussion during audit)

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 11. Reflective practice/Incident debrief policy – What is the process for conducting these? Frequency and understanding of debriefs.

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 12. De-escalation (DMH- Needs basis according to PBSP) / TCI training (CYF)

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 13. Training in clients PBSP (DMH-CPE) - Recorded on tracker and available.

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

MTS- Muscular Stress/Manual Handling

  • 14. MTS - Has the client got a TRAM Plan? In date?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 15. Practical manual handling training (?) Where is this located? How do we obtain records?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 16. MTS - Has the client got equipment suitable for their needs?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 17. MTS - Is the client equipment on a register and equipment serviced?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 18. MTS - Can staff on site (this could mean 1 or 2 staff on shift during audit) (verbal discussion rather than physical demonstration – client dignity and human rights) demonstrate competence and compliance to the TRAM Plan, work instructions and equipment. (Are they trained? Training records?)

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

Slip, Trips and falls

  • 19. Following a visual inspection are any slip, trip or fall hazards present?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 20. Do staff have the correct footwear?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 21. Is the lighting adequate?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

Mental Health – Self care (do staff use the plan?) /work life balance/non-client related

  • 22. Has a psychosocial risk assessment been completed?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 23. Do you know about the Mental Health First Aider Network? Do you know where to find a support person?

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 24. Proactive use of Converge – Eg: group or individual counselling – Is the process known and understood? Has the EAP Toolbox Talk been conducted.

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • *In the final audit document these will need to be asked for each client N/A will remove the question from total and scoring

Training Compliance checks

  • Training Compliance checks = 10% overall score* Score 80

Training Compliance checks

  • 1. Safety Induction

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 2. My Learning Emergency management

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 3. My Learning Intro to MTS

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 4. My Learning Occupational Violence

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

Safety Management Plan Compliance checks

  • Safety Management Plan Compliance checks = 20% overall score, Score 120

    Item no. 6 to be sourced from RRU
    Items no. 7-12 from Property Folder

Safety Management Plan Compliance checks

  • 1. Site Famil Induction+ Emergency Response Plan

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 2. First Aid Kit

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 3. Site Risk Register

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 4. Hazardous Substance Register

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 5. Quarterly Workplace inspection

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 6. Extreme Weather Event Plan

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 7. Evacuation Diagram

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 8. Asbestos Register

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 9. Electrical test and tag

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 10. Fixed RCD testing

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 11. Fire servicing

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

  • 12. TMV installed and serviced

  • Prompts:

  • Evidence Required:

  • Corrective Actions:

  • Responsible:

Sign Off

  • Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.