Information

  • Department / Location

  • Site / Campus

  • Fitzroy

  • East Melbourne

  • Kew

  • Offsite

  • Document No.

  • Conducted on

  • Conducted by

  • Department Manager / Supervisor

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there outstanding actions?

  • What is being done to address the required action?

2.0 - Emergency Preparedness

  • 2.1 - Fire doors are not blocked by carts, equipment, or materials or propped open?

  • 2.2 - Extinguishers clear of obstructions?

  • 2.3 - Fire Exit signs are illuminating and working properly?

  • 2.4 - Emergency Exit Corridors / Doors are clear?

  • 2.5 - Do staff know the location of fire exits?

  • 2.6 - Do staff know where to locate the Emergency Procedures Manual?

  • 2.7 - Do staff know who the Fire Warden is?

  • 2.8 - Helmet, vest and torch all in working order and kept centrally?

  • 2.9 - Floor plans are displayed and are accurate?

  • 2.10 - All staff are aware of local code procedures?

3.0 - Manual handling

  • 3.1 - Have hazardous manual handling tasks been identified?

  • 3.2 - If yes, have risk assessments been completed and controls identified and implemented?

  • 3.3 - Are the implemented controls effective?<br>I.e. do they manage the risk?

  • 3.4 - Has a work station assessment been performed for all work stations (desks)?

  • 3.5 - Do you need assistance from the Manual Handling Coordinator?

4.0 - General

  • 4.1 - All staff aware of their HSR?

  • 4.2 - Have recent hazards and risks been identified?

  • What has been done to manage the hazard or risk?

  • 4.3 - Are any processes, equipment, tasks or environmental / workplace factors causing delays, frustration or concern for staff?

  • What are the issues / concerns?

  • 4.4 - Have there been any injuries in the department?

  • What has been identified and implemented to ensure that the cause of the injury does not happen again?

  • 4.5 - Are staff aware of the Safety Charter.

  • 4.6 - How many hours have been spent on WHS in the department? <br>(Minimum of 2 hours per month)

  • Number of hours

  • 4.7 - Storage / utility rooms clean and orderly?

  • 4.8 - Desks, chairs, furniture in safe condition?

  • 4.9 - Linen slings in place and skips not overloaded?

5.0 - Training & Competence

  • 5.1 - Have all staff attended orientation and been inducted into the department?

  • 5.2 - Are staff trained and competent in all safe work practices (SWP's)?

  • 5.3 - Are there CAREwise Champions in the department?

  • No. CAREwise Champions

  • 5.4 - Number of staff who have completed manual handling training this year

  • 5.5 - Number of staff who have completed fire and emergency training this year

  • 5.6 - Number of staff in the department

6.0 - Hazardous Substances & Dangerous Goods

  • 6.1 - Do staff know how to access and obtain an MSDS?

  • 6.2 - Is the department chemical register up to date?

  • 6.3 - Is PPE available for use when working with chemicals?

  • 6.4 - Medical gas cylinders are restrained properly in bins, racks or hand carts?

7.0 - Electrical equipment and devices

  • 7.1 - All electrical devices and leads have been tested and tagged?

  • 7.2 - Are double adapters used?

  • 7.3 - Are any electrical leads showing signs of wear?

  • If yes, remove from service immediately and notify engineering

8.0 - Surfaces (slips, trips & falls)

  • 8.1 - All floor surfaces are clean and free of cracks, holes or lifting?

  • 8.2 - Have staff reported any slippery floor surfaces (or near misses, slips, etc)?

9.0 - Waste Management

  • 9.1 - Sharps boxes / bins are no more than 3/4 full; syringe disposed of correctly?

  • 9.2 - Biohazard containers / bins are stored properly?

  • 9.3 - Linen and rubbish chutes working and sign posted?

  • 9.4 - Waste bins are only 3/4 full and not overfilled?

  • 9.5 - Cytotoxic bins are labelled and have correct PPE available?

  • 9.6 - Cytotoxic products and wastes are handled as per hospital procedures?

10.0 - Equipment Maintenance

  • 10.1 - All equipment is in good order and not requiring repair / attention?

  • 10.2 - Does the bed transport equipment have instructions available for staff to read?

  • 10.3 - Are all wheelchairs, shower and commode chairs in good working order?

Comments

  • Additional Comments

  • Signature

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