Information
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Department / Audit Title
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Conducted on
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Prepared by(person doing inspection)
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Location (Facility address)
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Name of Unit Manager
1. Building and Internal Structures
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1.1 Floor Surfaces even and uncluttered?
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1.2 Entry and Walkways kept clear?
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1.3 Intersections kept clear of obstructions (boxes,trolleys and equipment)?
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1.4 Stairs and risers kept clear and in good repair?
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1.5 Liquid spills are removed quickly?
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1.6 Ceilings are clean and panels in good repair?
2. Chemicals and Dangerous Goods
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2.1 Hazardous Substances Register is up to date and available?
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2.2 Safety Data Sheets (SDS) available for all chemicals?
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2.3 All containers are labelled correctly?
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2.4 Is the correct Personal Protective Equipment (PPE) available and in good working condition?
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2.5 Are eye washes and showers easily accessed for spills?
3. Documentation
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3.1 Safety notice boards contain latest information?
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3.2 Department action plan reviewed monthly?
4. Electrical Safety
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4.1 Safety Switches are tested and tagged?
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4.2 No broken plugs, sockets or switches, no frayed or damaged cords and no strained leads?
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4.3 No leads across walkways or in areas where that can be run over or caught by equipment of staff?
5. Fire Prevention and Emergency Procedures
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5.1 Evacuation procedures are displayed appropriately for staff, patients and visitors?
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5.2 Fire extinguishers are located correctly and are clearly marked for type of fired to be used for?
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5.3 Extinguishers are checked regularly and serviced? (6 monthly)
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5.4 Extinguishers are kept clear of obstructions?
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5.5 Exit doors open easily from the inside?
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5.6 Exits and exit doors are clear of obstructions?
6. First Aid Facilities
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6.1 Are cabinets and contents clean and orderly?
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6.2 Contents are checked regularly for expired items and to restock after use?
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6.3 Cabinets are clearly labelled?
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6.4 Staff are aware of location and contents of first aid cabinets?
7. General Lighting
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7.1 Good natural / artificial lighting?
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7.2 Light fittings clean and in good condition?
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7.3 Emergency exit lighting is operable?
8. Medical Imaging Equipment
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8.1 Equipment and controls are kept clear?
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8.2 The floors around the equipment are kept clear?
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8.3 Is the appropriate shielding in place and in good condition?
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8.4 Emergency stop button is functional and easy to locate?
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8.5 There is adequate work space around the equipment?
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8.6 There is adequate lighting around the equipment and the controls?
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8.7 Noise levels are controlled in the MRI environment?
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8.8 The noise protection is clean and easily accessible to the MRI scan room?
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8.9 Radiation Compliance stickers are up to date?
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8.10 Staff are aware of lockout procedures and how to implement them in cases of breakdowns?
9. Office Equipment and Furniture?
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9.1 Office and waiting room furniture are in good condition?
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9.2 Workstations are ergonomically adjustable for different workers?
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9.3 Monitors and other screens are positioned to reduce glare from lighting?
10. Rubbish Disposal
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10.1 Rubbish bins are positioned at suitable points around the site?
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10.2 Regular emptying of bins occurs ?
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10.3 Staff are aware of their responsibility to ensure rubbish collection from their area is performed?
Storage Facilities
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11.1 Storage area is clear of obstructions and rubbish?
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11.2 Supplies are stored neatly to provide ease of access?
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11.3 Cylinders are stored with wall attachments to prevent falls?
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Additional comments
