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]?.
UPLOAD A PHOTO

1.2. In the storerooms, are materials stored securely and limited in height to prevent collapse and over reaching?
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?
UPLOAD A PHOTO

2.2. Are Safety Data Sheets readily available and accessible (in hard copy or electronically)?
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?
UPLOAD A PHOTO of the area leading up to the exit sign.

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?
Who is the fire warden?

10.2. Do staff know who they report workplace injuries to?
Who do they report to?

11.0 ADDITIONAL COMMENTS OR CONCERNS

Have all non-conformances been entered into Riskman?

Name of person conducting inspection

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.