Information
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Department / Location
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Site / Campus
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Fitzroy
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East Melbourne
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Kew
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Offsite
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Document No.
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Conducted on
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Conducted by
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Department Manager / Supervisor
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are there outstanding actions?
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What is being done to address the required action?
2.0 - Emergency Preparedness
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2.1 - Fire doors are not blocked by carts, equipment, or materials or propped open?
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2.2 - Extinguishers clear of obstructions?
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2.3 - Fire Exit signs are illuminating and working properly?
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2.4 - Emergency Exit Corridors / Doors are clear?
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2.5 - Do staff know the location of fire exits?
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2.6 - Do staff know where to locate the Emergency Procedures Manual?
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2.7 - Do staff know who the Fire Warden is?
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2.8 - Helmet, vest and torch all in working order and kept centrally?
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2.9 - Floor plans are displayed and are accurate?
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2.10 - All staff are aware of local code procedures?
3.0 - Manual handling
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3.1 - Have hazardous manual handling tasks been identified?
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3.2 - If yes, have risk assessments been completed and controls identified and implemented?
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3.3 - Are the implemented controls effective?<br>I.e. do they manage the risk?
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3.4 - Has a work station assessment been performed for all work stations (desks)?
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3.5 - Do you need assistance from the Manual Handling Coordinator?
4.0 - General
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4.1 - All staff aware of their HSR?
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4.2 - Have recent hazards and risks been identified?
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What has been done to manage the hazard or risk?
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4.3 - Are any processes, equipment, tasks or environmental / workplace factors causing delays, frustration or concern for staff?
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What are the issues / concerns?
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4.4 - Have there been any injuries in the department?
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What has been identified and implemented to ensure that the cause of the injury does not happen again?
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4.5 - Are staff aware of the Safety Charter.
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4.6 - How many hours have been spent on WHS in the department? <br>(Minimum of 2 hours per month)
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4.7 - Storage / utility rooms clean and orderly?
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4.8 - Desks, chairs, furniture in safe condition?
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4.9 - Linen slings in place and skips not overloaded?
5.0 - Training & Competence
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5.1 - Have all staff attended orientation and been inducted into the department?
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5.2 - Are staff trained and competent in all safe work practices (SWP's)?
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5.3 - Are there CAREwise Champions in the department?
6.0 - Hazardous Substances & Dangerous Goods
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6.1 - Do staff know how to access and obtain an MSDS?
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6.2 - Is the department chemical register up to date?
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6.3 - Is PPE available for use when working with chemicals?
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6.4 - Medical gas cylinders are restrained properly in bins, racks or hand carts?
7.0 - Electrical equipment and devices
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7.1 - All electrical devices and leads have been tested and tagged?
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7.2 - Are double adapters used?
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7.3 - Are any electrical leads showing signs of wear?
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If yes, remove from service immediately and notify engineering
8.0 - Surfaces (slips, trips & falls)
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8.1 - All floor surfaces are clean and free of cracks, holes or lifting?
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8.2 - Have staff reported any slippery floor surfaces (or near misses, slips, etc)?
9.0 - Waste Management
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9.1 - Sharps boxes / bins are no more than 3/4 full; syringe disposed of correctly?
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9.2 - Biohazard containers / bins are stored properly?
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9.3 - Linen and rubbish chutes working and sign posted?
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9.4 - Waste bins are only 3/4 full and not overfilled?
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9.5 - Cytotoxic bins are labelled and have correct PPE available?
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9.6 - Cytotoxic products and wastes are handled as per hospital procedures?
10.0 - Equipment Maintenance
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10.1 - All equipment is in good order and not requiring repair / attention?
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10.2 - Does the bed transport equipment have instructions available for staff to read?
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10.3 - Are all wheelchairs, shower and commode chairs in good working order?
Comments
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Additional Comments
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Signature
