Information
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Department
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Location
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Conducted on
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Prepared by
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Personnel involved
Administration
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WHS notice board up to date with the latest information?
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WHS action plan updated for the current month?
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Are staff meeting regularly(at least once a month) and latest WHS Committee meeting minutes displayed?
General
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Do all staff have clean personal protective equipment?
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Lights are free of dust/bugs etc?
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Linen has no stains and/or tears?
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Air conditioning vent/ducts and Ceiling tiles in a good state of repair? (do random check)
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Electrical equipment tagged, tested (tested annually) and within date i.e. Vacuum, Carpet shampooers etc. (check 3 pieces of equipment)
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Electrical equipment and its components free of damage? (Leads, plugs etc.)
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Patient sinks and toilets are clean, soap and towels are available?
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Floors are clean, free of trash and boxes on floors?
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Housekeeping carts are not left unattended or out of sight?
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Chemicals removed from housekeeping carts at the end of shift when stored on wards?
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Patient privacy curtains are clean, hung properly and free of defects?
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Have waste products been identified and separated correctly i.e. correct waste streams?
Hazardous Material & Waste
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Clinical waste kept in yellow clinical waste bags or containers (purple for Cytotoxic or orange for Anatomical Waste)? (check three spots)
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Non Clinical and Clinical or related waste separated? (check 3 spots)
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Are clinical or related waste bins locked at the point of collect i.e. Loading dock or Waste Management holding room.
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Disposal of waste through licensed authorised waste disposal companies?
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Rubbish bins not over flowing?
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Rubbish bins are emptied regularly?
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Are chemicals decanted through a funnel or decanting mechanism i.e. dispenser?
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Do staff know what to do in the event of a Chemical Spill? (ask random HK person)
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Are spill kits located in close proximity of the chemical dispenser where a hazard substance is used and do staff know where its located.
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Are chemical room surrounds (walls, floors, dispensers) free from chemical residue and clean
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Do staff members know where and how to access Material Safety Data Sheets for the chemicals being used? (ask a random HK person)
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Are all chemicals labelled correctly? with warning signs and hazard classification and are labels clear and able to be read
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Are Safe Work Practices either accessible or on display for staff to refer too?
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Do staff know how to access ChemAlert?
Housekeeping Stores
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Housekeeping storerooms/carts are clean and chemicals emptied or securely stored properly at the end of each shift?
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Stores free of waste bags and unwanted items (furniture, hospital supplies and non-housekeeping equipment)?
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Stores locked when unattended?
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Floors are dry and disposal (linen or waste) chute doors are locked and undamaged / works properly?
Compactor
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Compactor operation switches are in good working order. (secured, no exposed wires)
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Compactor is in good working condition?
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Compactor cage in good repair (e.g. no gaps, no sharp edges)
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Signage 'Operated by trained and authorised Personnel Only' clearly displayed
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Safety mechanism operating properly?
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No trip hazards around both cage, upper dock or lower dock surrounding compactor or walkways
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Trolley available for transporting mobile bins or loose recyclables safely
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High Vis Vests are worn and available at all times.
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Additional Comments