Audit

Section A - Risk Assessment Demographics

Select date

Entity

Unit / Area

Division

Section B - Identify the HAZARD & Assessing the Risk

Needles/Sharps

Analytical /Actions

TB Exposure

Analytical /Actions

Chemical Exposure

Analytical /Actions

Laser

Analytical /Actions

Workplace Violence

Analytical /Actions

Blood/Fluid Exposure

Analytical /Actions

Lifting patients

Analytical /Actions

Lifting Material

Analytical /Actions

Theft

Analytical /Actions

Patient Falls

Analytical /Actions

Employee Falls

Analytical /Actions

Electrical

Analytical /Actions

Asbestos

Analytical /Actions

Radiation

Analytical /Actions

Elopement

Analytical /Actions

Power Tools

Analytical /Actions

Overhead tasks

Analytical /Actions

Driver Safety

Analytical /Actions

Burns / thermal exposure

Analytical /Actions

Ergonomics

Analytical /Actions

Fire

Analytical /Actions

Gas / Vapor / Fume

Analytical /Actions

Weather impact

Analytical /Actions
Section C- Documentation
Photos

Corrective Action Plan

Section D - Validation
Safety Officer Signature
Department Manager Signature
Section E - Communication
Forward to
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.