Information
Annual Safety Assessment
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Client / Site
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Conducted on
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Staff in Attendance
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Name of Safety and Wellbeing Assessor
Revised December 2014 Version Control V8.0
1.0 - RISK MANAGEMENT
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1.1 - Are staff involved in the identification of hazards and the risk assessment process?
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1.2 - Risks are assessed, controls are identified, implemented and monitored for effectiveness?<br>
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1.3 - Are unresolved risks escalated through the WHS Committee?
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Is a report page of a past quarterly inspection able to be viewed (where an issue was escalated to the committee)?
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1.4 - Is there regular attendance at WHS Committee meetings? Are the minutes communicated to all staff?<br>
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1.5 - Are staff aware of incident reporting and investigation responsibilities?<br>
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1.6 - Are quarterly inspections, incidents and risk assessments discussed with staff?
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1.7 - Is there a plan in place to manage non-BEMS contractors and suppliers, including communication to staff that contractors are on site?<br><br>
2.0 - WORK ENVIRONMENT
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2.1 - Is an ACM register readily available for staff at the workplace and compliant signage to major entries where required?
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2.2 - Health surveillance and environmental monitoring is conducted where required? (Radiation badge?)
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2.3 - Where required, has a laser safety officer been appointed and a radiation safety plan been put in place?
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2.4 - Are lighting and ventilation perceived as adequate?
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2.5 - Are evacuation routes, passageways and work areas free from obstructions?
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2.6 - Are slip and trip hazards identified, controlled and monitored?
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2.7 - Is there a step stool for duties requiring above the shoulder tasks?
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2.8 - Are items being stored appropriately?
3.0 - Emergency Response
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3.1 - Has fire safety training been undertaken in the last 12 months?
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3.2 - Has an evacuation exercise been run in the last 12 months?
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Date of last evacuation exercise?
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3.3 - Is a current copy of the building fire and evacuation plan available?
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3.4 - Are the evacuation diagrams correct?
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3.5 - Are the identities of emergency wardens displayed?
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3.6 - Does the unit have an appropriately maintained spills kit?
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Who is responsible to maintain the spills kit?
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3.7 - Are emergency showers and eye wash stations operating and regularly maintained?
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Date of last test?
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3.8 - Is the work unit compliant with the SCHHS first aid procedure?
4.0 - Noise
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4.1 - Can you confirm that noise is not a hazard in the workplace?
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4.1 - Are noise hazards identified and controlled?
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4.2 - Is hearing protection provided?
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4.3 - Is hearing protection worn?
5.0 - Patient Handling
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5.1 - Does the unit use patient handling equipment?
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5.2 - Is patient handling equipment regularly serviced?
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5.3 - Do slings and hoists have regular maintenance?
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5.4 - Are safe working limits visible on all slings and hoists?
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5.5 - Is all equipment appropriately maintained and tested as required?
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5.6 - Is the work unit complying with SCHHS equipment (clinical) maintenance repair and removal process?
6.0 - Electrical
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6.1 - Is all electrical equipment tested, tagged and in date?
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Items that require attention are:
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6.2 - Are body protected and cardiac protected areas tested, tagged and in date?
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6.3 - Is there a procedure to ensure patients or staff do not plug in non-tested equipment?
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6.4 - Are power boards and electrical boards clear and easily accessible?
7.0 - Hazchem
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7.1 - Are SDS available for all chemicals used within the workplace?
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7.2 - Have all relevant staff been trained to use ChemAlert?
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7.3 - Is the ChemAlert stockholding list accurate and maintained?
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Date of last ChemAlert stockholding audit?
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7.4 - Are appropriate amounts of hazardous chemicals being stored (corrosives and flammables)?
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7.5 - Are decanted substances contained in suitable containers and correctly labelled?
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7.6 - Are gas cylinders restrained and stored correctly?
8.0 - Ergonomics
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8.1 - Has a risk assessment been completed for hazardous manual tasks?
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8.2 - Have all staff completed manual handling training (note: this is different to patient handling trainings)
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8.3 - Have staff who use the computer for more than 66% of their day completed the computer workstation self assessment checklist?
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8.4 - Does the manager ensure compliance with patient and manual handling safe work procedures?
9.0 - Occupational Violence and Security
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9.1 - Is the VAMP (violence aggression mitigation prevention) assessment current? (re-assess every 2 years)
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9.2 - Has your VAMP been reviewed annually to ensure risk controls remain adequate?
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9.3 - Have duress alarms been tested recently?
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Date of last duress test
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9.4 - Do duress alarms show location of person activating alarm?
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9.5 - Are risk assessments conducted on patients before off-site attendance?
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9.6 - Are all staff trained in appropriate levels of OVP?
10.0 - Information, Instruction, Training and Supervision
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10.1 - Are the identities of HSRs displayed at the workplace?
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10.2 - Has the HSRS completed relevant training?
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10.3 - Is there a notice board for Health and Safety and is the current policy statement displayed?
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10.4 - Have the training needs of all staff been identified?
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10.5 - Has site orientation taken place and been documented for all staff including casuals?
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Is evidence of site orientation able to be viewed?
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10.6 - Do staff have access to Healthy Lifestyles information and programs?
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10.7 - Are staff aware of the sharps/bodily fluid exposure protocol?
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10.8 - Have all staff completed the driver safety awareness program?
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10.9 - Do staff have access to information regarding fatigue management?
Sign Off
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Manager's Name
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Sign off by Manager
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Health and Safety Rep's Name
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Sign off by Health and Safety Representative/s (if relevant)
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Assessor's Name
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Sign off by Assessor
