SRHC Supervisor Safety Inspection Checklist_Updated V.1

• Site conducted

  Select

• Conducted on

  Date

• 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

• Did you submit you quarterly audit?

  Yes

  No

  N/A

• Tell me the top 3 hazards of your area?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are things stored on one side of the corridor?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Fire Extinguisher / Hose

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are stairwells steps visible and clear of any obstructions?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are storage areas tidy and free of tripping hazards?

  Yes

  No

  N/A

• Are all storage racks free from damage?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is eye protection worn in eye injury risk areas?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there adequate hand sanitizers and wash station available?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there adequate sharp containers available and not overfilled?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• There are no empty rooms that should be locked?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are needles and other sharps being disposed of correctly?

  Yes

  No

  N/A

• 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.

  Yes

  No

  N/A

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

  Yes

  No

  N/A