Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Personnel
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Personnel
Visit Category
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What type of visit is this?
- Safety
- Facilities & Assets
- Other
Access / Egress
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1 - Is it safe to park the vehicle on the road/car park?
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2 - Where a gate is fitted, is the gate easy to open and close?
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3 - Is the pathway from vehicle to the property safe? e.g. lighting, overgrown trees/grass, trip hazards etc. If No, please create an action.
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4 - Where pets are present are they restrained and/or non-threatening?
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5 - Are verandahs or decks in good repairs and are steps/handrails safe? If No, please create an action
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6 - Are doorways clear and free from obstruction and easy to close?
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Security
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1 - Are all locks at the property in good working order both external and internal?
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2 - Is the lock box outside the property damage free and are the keys secure?
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3 - Do the SW's know the codes for the lock box, or know where they can find them?
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4 - Are all workers aware of the lock up process when leaving the property?
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5 - Is there a visitors register in use?
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Fire & Emergency
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1 - Are evacuation diagrams clearly displayed, detailing all exit points?
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2 - Are fire extinguishers and fire blankets available and stored in their correct locations free from obstruction?
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3 - Is the fire alarm system (where installed) operational?
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4 - Are fire exits clearly marked and free of obstructions?
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5 - Are exit doors easy to open?
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6 - Emergency lighting (where installed) is operational and serviced every 6 months?
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7 - Emergency drills are conducted every 6 months?
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8 - Is a copy of the emergency procedures readily available?
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9 - Where there is an Emergency Control Organisation for the property this should be clearly displayed?
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10 - All workers in the building are aware of the emergency procedure for the workplace?
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11 - Emergency kit is fully stocked and in date?
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9 - Comments:
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First Aid
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1 - The first aid kit is clearly marked and accessible?
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2 - Are workers aware of the first aid kit location?
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3 - A list of first aider's is displayed in close vicinity to the first aid kit?
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4 - The first aid kit is clean and contents are in date?
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5 - The first aid kit is adequately stocked?
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6 - Emergency phone numbers are displayed?
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7 - Are workers aware of how to report an incident?
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11 - Comments:
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Electrical
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1 - Safety switches installed and tested?
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2 - Plugs, sockets and switches are in good condition (check for cracks, signs of burn damage, securely fixed to wall).
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3 - Electrical cords in good condition (turn off power to appliance and check for frayed and damaged leads)?
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4 - Are leads kept tidy and not a trip hazard?
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5 - Are power boards used (no double adaptors)?
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6 - Are portable equipment and leads tested and tagged where applicable?
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13 - Comments:
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Gas
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1 - Gas Bottles where applicable are: (all should be ticked for a pass)
- Yes
- No
- N/A
Environment
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1 - Is the temperature suitable for the physicality of the job (20-26°C)
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2 - Lighting is installed and operational with adequate means of controlling glare?
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3 - Are ventilation/air conditioning systems installed and operational?
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4 - Are air conditioning units serviced regularly?
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5 - Check the flooring for slip, trip and or spill hazards?
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6 - Are all walkways kept clear of obstructions?
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7 - Are filing cabinets and draws closed when not in use?
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8 - WHS Cabinet is set up according to the work instruction?
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9 - Is the work area free of sharp edges or surfaces that could cause injury in the course of routine workplace activity?
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10 - Are items stored safely so they are secure and not at risk of falling?
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11 - Is the area around photocopiers and printers ventilated?
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12 - Is the working environment free of distracting or loud noises )internal and external?
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Ergonomics
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1 - Position and design of furniture allows aces and correct support?
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2 - Space around the bed is sufficient for providing support and takes into consideration access / egress?
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3 - Access to shower and or bath is adequate for providing support?
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4 - Is the work space both on and under the desk free from clutter?
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5 - Have workers been made aware of how to set up their work station?
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Manual Handling
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1 - Mechanical lifting aids are available and used where necessary?
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2 - Mechanical lifting aids are serviced and the date is displayed on the equipment? Record the date where applicable:
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3 - Workers are trained in manual handling who have manual handling duties?
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4 - Manual handling risk assessments and safe lift procedures are in place?
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5 - Are all heavy items stored at waist height or below?
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6 - Are frequently used items stored between knee and shoulder height?
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Hygeine
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1 - Hand soap, paper towels and toilet paper are available?
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2 - Property is cleaned regularly?
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3 - Food preparation areas are clean and hygenic?
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4 - Bathrooms are clean and Hygenic?
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5 - Is there a system in place for adequate waste disposal?
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Hazardous Substances
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1 - All hazardous substances are locked away in WHSO cabinet?
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2 - All hazardous substances have a safety data sheets which is in date (5 years from date of issue)
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3 - All hazardous substances are correctly labelled?
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Information displayed on poisons hotline is present and legible?
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Medication
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1 - Medication is locked in the WHSO cabinet at the residential property?
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2 - Medication is clearly labelled?
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3 - Are workers aware of the correct method of disposal of sharps?
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4 - Where needles are used is there a sharps container for disposal (usually kept inside the first aid kit)?
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5 - Monthly Medication Checks have been carried out?
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Psychosocial
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1 - Have all workers been inducted into the workplace?
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2 - Do all workers have a clear understanding and expectations of their roles?
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3 - Do all employees know how to report workplace bullying harassment, violence or other inappropriate behaviour?
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4 - staff have the knowledge of how to access EAP (Employee Assistance Program) and are aware of its purpose?
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Client & Communication
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1 - Communication book is signed by all relevant staff an comments are appropriate?
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2 - Client Authority forms are signed?
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3 - Physical space adequate for client/s?
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4 - Data stored correctly?
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5 - Pictures of client/s achievements are on display?
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6 - Staff hold appropriate blue/yellow card during shifts?
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7 - Are client/s TIM's available in the residence?
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8 - Is there a signed Individual Support Plan (ISP) in place? What date is on this as last reviewed?
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9 - ISP - Are goals clear to all?
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Which Risk Assessments are necessary for the client/s?
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10 - Are all of the Risk Assessments up to date?
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11 - Where there is transport protocol, is this up to date?
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12 - Client/s activity roster is present?
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13 - Is there a housing agreement (contract)?
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14 - Is the system in place around expenditure clear and accountable?
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15 - Was the SW satisfied that no referrals need to be made?
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16 - If Restrictive Practices are in use, are they understood?
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17 - Are restricted objects safety secured?
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18 - Are healthy food options available?
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19 - Client was satisfied and didn't raise any concerns?
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20 - Are the staff present, aware of what Positive Behaviour Support means?
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21 - Is the SW aware of the Case Management & Planning Policy?
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Other:
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Completed By
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Select date
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Review By: