Title Page
-
Document No.
-
Department / Audit Title
-
Hospital Facility
-
Conducted on
-
Prepared by
-
Location
-
Name of Nursing Unit Manager
0. Instructions
-
1. Answer "Yes" or "No" 2. Add a photo by clicking on the camera icon 3. Add a comment or note by clicking on the "note" icon 4. Complete the inspection by providing your full name and a digital signature 5. Mark as complete, save and close 6. Enter any non-conformances into Riskman using the “Report It!” App, located on the iPad
1.0. GENERAL HOUSEKEEPING IN WARDS
-
1.1. Are corridors/walkways and passages free of obstruction [eg wheelchairs, chairs, equipment, walking aids, beds and trolleys etc]?. <br>UPLOAD A PHOTO <br>
-
1.2. In the storerooms, are materials stored securely and limited in height to prevent collapse and over reaching?<br>UPLOAD A PHOTO
-
1.3. Are floor surfaces dry and free of slip hazards?
2.0. CHEMICAL SAFETY
-
2.1. Are all hazardous materials, chemicals and drugs stored appropriately and labelled properly?<br>UPLOAD A PHOTO
-
2.2. Are Safety Data Sheets readily available and accessible (in hard copy or electronically)? <br>Where are they available?
-
2.3. Is a spill kit available and accessible? Where is it stored?
-
2.4. Where required, is appropriate personal protective equipment and clothing available and are staff wearing it?
3.0. EMERGENCY SYSTEM
-
3.1. Are emergency exit signs in proper working order and lit ?
-
3.2. Are emergency exit maps posted and clearly marked ?
-
3.3. Are emergency exits free from obstructions?<br>UPLOAD A PHOTO of the area leading up to the exit sign. <br>
-
3.4. Do self-closing devices on stairway doors work properly? Please test
4.0. FIRE PREVENTION
-
4.1. Extinguishers free of obstruction ?
-
4.2. Is there any combustible material [paper / cardboard etc] stored near electricity or heat source?
6.0 ELECTRICAL SAFETY
-
6.2. Are there any broken plugs, sockets or switches?
-
6.4. Are there any frayed or damaged leads?
8.0. MEDICAL GASES
-
8.3. Are all oxygen tanks secured properly, ie chained or in bed holders?
9.0. ENVIRONMENT – WARDS/ROOMS
-
9.1. Are walls and air vents free of dust ?
-
9.2. Is there any visible damage to vent ducts? Are the vent ducts securely clipped in place? Do a visual inspection in a random area
-
9.3. Are privacy curtains clean and unsoiled ?
10.0. General - Wards/Rooms
-
10.1. Do staff know who the fire warden is for their area?<br>Who is the fire warden?<br>
-
10.2. Do staff know who they report workplace injuries to?<br>Who do they report to?<br>
11.0 ADDITIONAL COMMENTS OR CONCERNS
-
Have all non-conformances been entered into Riskman?
-
Name of person conducting inspection
