Title Page

  • Site conducted

  • Conducted on

  • Inspector 1

  • Inspector 2

  • Location

Inspection Process and Tips:

  • 1. Remember always to have constant contact with a variety of staff during the inspection (s) Remember always to have constant contact with a variety of staff during the inspection (s)

  • 2. Inspect all hazardous equipment/machinery.

  • 3. Conduct inspections the first week of every month.

  • 4. All hazards are to be documented on the “Recording Form” and hazards classified

  • 5. All repeat items should be priorities

General Mandatory Questions:

  • Did you submit you quarterly audit?

  • Tell me the top 3 hazards of your area?

General Housekeeping and Work Environment/Station

  • Is the area maintained in a clean and tidy manner?

  • Are things stored on one side of the corridor?

  • Does electric panels, fire extinguishers/cabinets have 3 feet of clearance? i.e. nothing stored in front of them?

  • Are the waste/recycling and linen bins emptied regularly and not overflowing?

  • Is the staff break areas clean and tidy, including fridges and cupboards?

  • Is all the furniture in good condition and free of any visible damage/ hazards?

  • Are the desk and worktop area spaces sufficient for the jobs performed in the area?

  • Is equipment (i.e. photocopiers, printers) at a convenient height for all staff to access?

  • Are most frequently used items stored between thigh and shoulder height?

  • Are workstations set up so that a worker is not required to work in an awkward/unsafe position?

  • Are caution/safety signs used to warn against potential hazards?

  • There is no food, drink, tobacco or cosmetics consumed, applied or kept in areas where infectious materials, hazardous chemicals, or hazardous drugs are used, handled or stored?

Emergency Equipment / Fire Prevention / Life Safety

  • Is emergency equipment clearly marked / identified and placed in visible accessible / unobstructed locations?

  • Fire Extinguisher / Hose

  • Do the Eye Wash stations have a clear access? Are the monthly checks completed?

  • Is there an Emergency Preparedness Board up (contains immediate action drills, dept. emergency plan, code forms pkg., and additional dept. specific information as required)?

  • Emergency Kit containing (fire/emergency warden vest, first aid kit, bleeding control kit and headlamps/flashlight x2 - check batteries)

Access / Egress / Exits

  • Are exit doors / directions clearly marked with visible / illuminated signs?

  • Are exits/service doors kept free of obstructions, with sufficient space for emergency egress?

  • Are doorways / walkways uncongested and accessible for emergency egress?

  • Are exits doors / routes well lit and equipped with emergency lighting?

  • Are stairwells steps visible and clear of any obstructions?

Floor and Walkways

  • Is there a safe clearance (approx. 3 ft. wide clearance) for walking in aisles where equipment is handed?

  • Are work / walking surfaces kept dry and/or appropriate means in place for walking surfaces to prevent slip hazards ( floor markings/signs, mop, etc.)?

  • Are walking surfaces free of tripping/fall hazards (e.g. damaged carpet, broken tiles, uneven surfaces, loose debris, chipped sidewalk, floor openings)?

Material Handling / Storage / Physical Hazards

  • Is material/ equipment stored that sharp projections will not interfere or harm a person?

  • Is material / equipment stored in a stable/secure manner that will not tip, collapse, or fall (i.e. O2 tanks)?

  • Is material / equipment stored in designated areas when not in use?

  • Are storage areas tidy and free of tripping hazards?

  • Are all storage racks free from damage?

  • Is a safety step stools or ladders provided for access to any high shelves?

  • Are ladders / step stools in good condition (no visual damage), and stored in a secure manner?

Electrical and Machine Safety

  • Are electrical/ telephone cords from computers/machines, tidy/untangled/secure in such a way that they do not cross walkways causing a tripping hazards?

  • Are electrical equipment / outlets well maintained (e.g. not overloaded / blocked, fully plugged into sources)?

  • Are electrical panel boxes closed, labeled, and accessible only to authorized persons?

  • Are all electrical equipment/cords in good condition and free of any visible damage/hazards?

  • Are moving equipment and projecting parts properly guarded and labeled?

  • Is machinery set up that the operator is not required to work in an awkward position?

  • Are lockout procedures being followed during maintenance/ repairs/ cleaning?

Lifting and Moving Devices / Equipment

  • Is the lifting assistance equipment in good condition and free of any visual damage/hazards (i.e. slings)?

  • Are proper lifting/moving devices available, maintained and used where necessary? Is there a current inspection tag on the equipment?

  • Do staff have the necessary equipment to reduce the risk of a musculoskeletal injury occurring? i.e. patient lift equipment, non-patient care lifting devices such as pump trucks, etc

Personal Protective Equipment (PPE) (i.e. Head, Lungs, Hearing, Hand, Foot)

  • Are staff wearing the appropriate closed toe non-slip footwear?

  • Is safety footwear worn in high-risk areas for foot injuries?

  • Is eye protection worn in eye injury risk areas?

  • Are staff protected from harm with the current controls in place?

  • Are cautions signs used to warn against potential hazards or exposures?

Infection Prevention and Control

  • Are there adequate hand sanitizers and wash station available?

  • Are the appropriate Infection Control Precaution signage in place and PPE available?

  • Are bio-hazardous present, identified, and controlled?

  • Are there adequate sharp containers available and not overfilled?

Chemical Hazard and Containers: (Lab, Pharmacy, Environmental Services, Facilities, Food Services, DI)

  • Are WHMIS/chemical warning labels present/ readable on all containers and in good condition?

  • There is no evidence of leaking, damaged, or corroding container?

  • There is no evidence of spilled material in any trenches or on the floor?

Workplace Violence Controls

  • Is there designated meeting rooms that will allow staff to be visible, and able to call for assistance immediately?

  • Are meeting/common or work areas free of objects that could be used as weapons?

  • There are no empty rooms that should be locked?

  • Is furniture in meeting, waiting / work areas arranged to prevent employees from becoming trapped?

  • Is there a panic button/ alarm/ controls in area where a worker can be trapped or alone?

Questions for Staff:

  • Have you checked that your versus pendant battery is current?

  • Are restraints properly stored and easily accessible? Do you know where restraints are stored within your department?

  • Are needles and other sharps being disposed of correctly?

  • Is hospital equipment such as restraints, stretchers, commodes, wheelchairs, beds, pumps, patient/handling transfer devices and IV poles in good working order? If not, please tag and submit work orders.

  • Where are patient transfer slings located? Are they being used within your department?

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