Southern Health - Residential Inspection -

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Recommendations

Findings

Security / Safety Observations

• Are entrance and exit doors closed and secured?

  Yes

  No

  N/A

• Are the entrances free of trip hazards?

  Yes

  No

  N/A

• Is there clear access to the emergency exit routes and doors have free and clear access away from the buildings?

  Yes

  No

  N/A

• Is the emergency exit route well signed and understood by staff? (Inclusion in the staff induction package).

  Yes

  No

  N/A

• Is the line of site from the nurses station or observation area preserved as much as practicable to reduce ova risks?

  Yes

  No

  N/A

• Are visitor and family access arrangement controlled and monitored for ova risks to staff?

  Yes

  No

  N/A

General Safety Observations

• Are floors clean and in good repair?

  Yes

  No

  N/A

• Are corridors free of obstacles and clutter?

  Yes

  No

  N/A

• Lighting is adequate

  Yes

  No

  N/A

• Is the Air conditioning is working and effective?

  Yes

  No

  N/A

• Are the doors serviceable, in good repair and signed appropriately (eg fire or smoke doors, exit or staff only, chemical or gas storage areas)

  Yes

  No

  N/A

• Are the windows serviceable and in good repair?

  Yes

  No

  N/A

• Additional Comments

Health and Safety Notice Board

• Is the health and safety notice board up to date?

  Yes

  No

  N/A

• Is there a WorkCover (sling man) poster displayed?

  Yes

  No

  N/A

Asbestos

• Is there asbestos contained within your ward area?

  Yes

  No

  Unknown

  N/A

• Is the asbestos contained and is a safe condition.

  Yes

  No

  N/A

• Additional comments

OT Kitchen/ward kitchen and retherm trolleys

• Are the kitchen floors clean and not slippery?

  Yes

  No

  N/A

• Are there standard operating procedures for the plant or high risk equipment in the kitchen (eg industrial cold store or ovens?)

  Yes

  No

  N/A

• Are there fire extinguishers and fire blankets available?

  Yes

  No

  N/A

Cleaners room

• Does the cleaners room contain chemicals?

  Yes

  No

  N/A

• Is the cleaners room secured?

  Yes

  No

  N/A

Hazardous substances and chemicals on the ward

• Is there a chemical register for the ward?

  Yes

  No

  N/A

• Are Material Safety Data Sheets are available?

  Yes

  No

  N/A

• Are the Material Safety Data Sheets up to date (within three years of printing) ?

  Yes

  No

  N/A

• Do all containers containing chemicals have a label showing container contents?

  Yes

  No

  N/A

Medication Storage

• Is the Medication room or trolley tidy and locked?

  Yes

  No

  N/A

Patient Rooms including access to toilets and showers

• Have health and safety issues related to the residents rooms such as manual handling, slips trips and falls and OVA been controlled

  Yes

  No

  N/A

• Do you have adequate lifting equipment to control patient related manual handling risks?

  Yes

  No

  N/A

• Is your wheeled, biomedical and lifting equipment registered as part of the preventative maintenance schedule?

  Yes

  No

  N/A

Patient dining or lounge rooms

• Are the Common Rooms in good condition without OHS risks?

  Yes

  No

  N/A

OT Gym / Rehabilitation Facility

• Is the equipment in good repair?

  Yes

  No

  N/A

• Is there a schedule for rehabilitation equipment to be maintained?

  Yes

  No

  N/A

Electrical Safety

• Are all extension cords and power cords free from visible damage? <br>

  Yes

  No

  N/A

• Has tagging and testing been completed within the last 12 months?

  Yes

  No

  N/A

• Does the facility have residual current device protection

  Yes

  No

  N/A

Fire extinguishers

• They are tagged and tested within the last 6 months?

  Yes

  No

  N/A

Storage of gas cylinders

• Are O2 cylinders stored properly and secured?

  Yes

  No

  N/A

• Are storage areas for oxygen labelled as per dangerous goods requirements?

  Yes

  No

  N/A

• Is the area free from ignition sources? Not under power points?

  Yes

  No

  N/A

Personal Protective Equipment

• Do you have all the PPE that you require for your work area?

  Yes

  No

  N/A

• Are workers, including contractors, using appropriate PPE including mowing and spraying activities?

  Yes

  No

  N/A

Outstanding BIEMS Issues

• Have all BIEMS issues or reports been properly addressed?

  Yes

  No

  N/A

Audit Comments

• Additional Audit Comments