Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

  • Add signature

Members of staff

  • Have staff got any issues

General (fixtures & fittings)

  • All floor coverings in good repair <br>

  • All walls and ceilings in good repair

  • Are all curtains and fittings in good repair

  • Are all windows and glass door panels in good repair

  • Are all light fittings adequate and in good repair

  • Are all corridors and passage ways free from obstruction (slips,fall and trip hazards)

  • Are all areas sufficiently ventilated (fans windows)

  • Where areas are ventilated, is it working?

  • Is all furniture in good repair

  • Are all beds working correctly

  • Are all toilets sinks showers and baths in good repair

  • Are all doors and windows in good repair

First aid

  • Is the fist aid box fully stocked

  • Are staff all aware of who the registered or appointed person on duty is

Personal protective equipment

  • Are all staff wearing PPE

  • Is the PPE suitable /adequate for the task

  • Are the arrangements for disposing of contaminated PPE adequate

Manual handling

  • Are all manual handling mechanical aids in working order and in good repair

  • Are the mechanical aids sufficient and suitable for the task

  • Does the area have a key trainer in manual handling

  • Are lifting aids adequate and in good repair (slings)

Heating

  • Do all areas have a suitable working temperature after the first working hour

  • Is a temperature thermometer available to check the temperature

  • Does the surface temperature of radiators/pipes present a hazard to users of the area

Fire

  • Are emergency instructions clearly displayed

  • Are all relevant fire emergency direction signs kept clear and unobstruction

  • Are all exit routes kept clear and free from obstruction

  • Are all fire extinguishers, fire blankets easy accessible

  • Are all fire doors kept closed and not held open with wedges

  • Are all fire doors closed and working correctly

  • Are all fire extinguisher security tabs in place

  • Do any extinguishers need refilling

Equipment

  • Are drugs trolleys locked and in good repair

Waste management

  • Are waste handling instructions displayed

  • Are all bags/containers properly sealed and labelled

  • Are arrangements adequate for collection of the waste

  • Is waste stored in a suitable lockable area

Kitchen

  • Are there sufficient hand washing facilities (soap hot water hand towels)

  • Are the following clean and in good repair

  • Cupboard units

  • Work tops

  • Floors

  • Ceilings and walls

  • Windows

  • Light fittings

  • Is the following equipment clean and in good working repair

  • Geyser

  • Waste disposal unit

  • Dishwasher

  • Cooker

  • Microwave

  • Extractor

  • Fridge and seals

  • Freezer and seals

  • Have the following been carried out in the last seven days

  • Oxygen

  • Suction

  • Medic room fridge, have the temps been recorded?

  • Is the fridge in need of de-frosting

Sign Off

  • On site representative

  • Auditor's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.