Work Place Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

• Work Place Inspection

Sheet1

• HEALTH & SAFETY WORKPLACE INSPECTION

  Yes

  No

  N/A

• Division

• Ward/Department

• Inspection Team (Must include Manager or staff member based in ward)

• Manager

• Staff Member

• Date of Inspection

  Date

• Date due of next inspection

  Date

• Ref

• Check List Workplace Comfort

  Yes

  No

  N/A

• Action Required

• Is the workplace free from draughts?

  Yes

  No

  N/A

• Is there appropriate heating? The workplace should not be too hot or too cold (workplace temperature should be at least 16 degrees Celsius)? Is there a thermometer sited in the workplace?

  Yes

  No

  N/A

• Can all windows be easily opened and are window dressings (e.g. blinds) in working order/undamaged?

  Yes

  No

  N/A

• Are the ventilation grills kept clean?

  Yes

  No

  N/A

• Is the seating suitable, does it take account of the tasks undertaken whilst used and any known weight, height or mobility difficulties amongst staff group using the seating?

  Yes

  No

  N/A

• Is there drinking water on site? Is there means of making a hot drink? Is there means of warming up food?

  Yes

  No

  N/A

• Are the staff toilets well maintained? (I.e. Can they be secured from the inside? Adequately ventilated? Well lit? Hot and cold running water? Toilet paper available? Soap and paper towels/hand dryer? Sanitary towel disposal units available? Hand hygiene poster displayed?)

  Yes

  No

  N/A

• If a staff room is provided, is there sufficient space and seats available?

  Yes

  No

  N/A

• Hazard Observed/Comment

• Action Required

• Workplace Cleaning

  Yes

  No

  N/A

• Are the floors cleaned as per cleaning schedule?

  Yes

  No

  N/A

• Are there sufficient bins available? Are these bins regularly emptied?

  Yes

  No

  N/A

• Are there clearly defined storage areas away from the work area?

• Are there bulky items (e.g. discarded furniture) awaiting collection/removal?

  Yes

  No

  N/A

• Are there readily accessible arrangements for cleaning up household spillages, paper towel, mop and bucket?

  Yes

  No

  N/A

• Is there a cleaning schedule that has been reviewed in the past 3 months and a record of underused outlets being completed?

  Yes

  No

  N/A

• Hazard Observed/Comment

• Action Required

• General Housekeeping

  Yes

  No

  N/A

• Do staff have PPE gloves aprons, eye protection, colour coded gloves?

  Yes

  No

  N/A

• Is all work equipment fit for purpose and maintained?

  Yes

  No

  N/A

• Are all floors, corridors and other main traffic routes free from holes, trip hazards, defects, steep slopes that could cause injury?

  Yes

  No

  N/A

• Are there any potential tripping hazards, including: trailing cables, broken floor boxes, etc.?

  Yes

  No

  N/A

• Are items being stored above shoulder height?

  Yes

  No

  N/A

• Are all lights are in working order?

  Yes

  No

  N/A

• Are window ledges and/or other ventilation points kept clear?

  Yes

  No

  N/A

• Is there any damaged or worn furniture (internal and garden furniture)?

  Yes

  No

  N/A

• Are work stations tidy/free of obstruction (work surface and underneath)? Is there sufficient space for all items (computer screen, keyboard, mouse, telephone, documents)? Is there sufficient room to move about, sufficient drawer space?

  Yes

  No

  N/A

• Do all staff using computers have an adjustable chair, i.e. height of seat, height and tilt of seat back?

  Yes

  No

  N/A

• Is there sufficient natural daylight in work rooms?

  Yes

  No

  N/A

• Is the workplace free from excessive noise or nuisance smells?

  Yes

  No

  N/A

• Display Screen Assessment

  Yes

  No

  N/A

• Have all staff in your area who use display screen equipment (e.g. computers, laptops, CCTV) as a significant part of their normal day to day work had a DSE assessment?

  Yes

  No

  N/A

• Hazard Observed/Comment

  Yes

  No

  N/A

• Action Required

  Yes

  No

  N/A

• First Aid Requirements

  Yes

  No

  N/A

• Are first aid boxes prominently sited and fixed to the wall?

  Yes

  No

  N/A

• Is there a sign placed in a prominent location identifying who is the first aider or appointed person* and how these people can be contacted? (An Appointed Person looks after the first aid equipment and ensure that first aid kits are always fully stocked, take charge when someone is injured or becomes ill, ensure that an ambulance or other professional medical help is summoned when appropriate)

  Yes

  No

  N/A

• Is the first aid box adequately stocked? Is there a preprinted list inside the box listing what should be stocked? Is there a record of monthly checks being carried out?

  Yes

  No

  N/A

• Hazard Observed/Comment

  Yes

  No

  N/A

• Action Required

  Yes

  No

  N/A

• Fire Safety

  Yes

  No

  N/A

• Do you have a Fire Safety Log book which holds the following information: fire alarm tests, fire equipment safety checks, fire evacuation drills, firerelated incidents, fire zone plans, fire risk assessments and action taken?

• Is the fire fighting equipment correctly located? (e.g. fire blanket located in the kitchen, have we got the correct extinguisher in the right location?

• Are emergency exits routes clear and unobstructed?

  Yes

  No

  N/A

• Is access to fire alarm call buttons clear and unobstructed?

  Yes

  No

  N/A

• Are all fire doors kept shut and not wedged open?

  Yes

  No

  N/A

• Are there sufficient fire wardens for the area?

• Are there ‘fire action’ notices posted next to each fire alarm call button?

  Yes

  No

  N/A

• Are these ‘fire action’ notices up to date and reflecting the correct evacuation point?

  Yes

  No

  N/A

• Is access to fire fighting equipment clear and unobstructed?

  Yes

  No

  N/A

• Hazard Observed/Comment

• Action Required

  Yes

  No

  N/A

• Clinical Waste

  Yes

  No

  N/A

• Is there a clinical waste bin available and being tagged correctly completing sharps bins labels (No clinical waste going in the general household bin!)

  Yes

  No

  N/A

• Are Trust Clinical Waste posters displayed and in date?

  Date

• Is there a sharps bin readily available? (The sharps bin should be no more than ¾ full!)

  Yes

  No

  N/A

• Sharps posters displayed Sharps injury – first aid – Bleed it, wash it, cover it, and report it?

  Yes

  No

  N/A

• Are there clearly defined arrangements to remove clinical waste from within the building that all staff are aware of?

  Yes

  No

  N/A

• Hazard Observed/Comment

  Yes

  No

  N/A

• Action Required

  Yes

  No

  N/A

• COSHH

  Yes

  No

  N/A

• Are staffs aware of the chemicals/substances in their area and the methods of control/treatment?

  Yes

  No

  N/A

• Are all chemicals and substances safely stored?

  Yes

  No

  N/A

• Is there a COSHH Assessment completed for each chemical/substance stored?

  Yes

  No

  N/A

• Does each chemical used have a clear label indicating how it should be safely used?

  Yes

  No

  N/A

• There is no evidence that chemicals are being decanted into unmarked bottles?

  Yes

  No

  N/A

• Hazard Observed/Comment

  Yes

  No

  N/A

• Action Required

  Yes

  No

  N/A

• Electrical Safety

  Yes

  No

  N/A

• Have all portable electrical appliances been checked within the last two years? And for computers its every four years?

  Yes

  No

  N/A

• Are there any electrical appliances being used that have obvious defects that could cause harm, e.g. bare conductors, cracked plugs, joints in the cable, signs of burning, broken casing

  Yes

  No

  N/A

• Hazard Observed/Comment

  Yes

  No

  N/A

• Action Required

  Yes

  No

  N/A

• Lifting Equipment

  Yes

  No

  N/A

• Is all lifting equipment (e.g. wheelchairs, lifting trollies –OHR) safely stored?

  Yes

  No

  N/A

• Are regular checks carried out on the lifting equipment?

  Yes

  No

  N/A

• Hazard Observed/Comment

  Yes

  No

  N/A

• Action Required

  Yes

  No

  N/A

• Exterior of the building

  Yes

  No

  N/A

• Is the exterior of the building (entrances, ward perimeters, gardens) free from pot holes, defects and other slipping hazards?

  Yes

  No

  N/A

• Is the exterior well lit?

  Yes

  No

  N/A

• Is the exterior of the building clean and free of waste and litter?

  Yes

  No

  N/A

• Hazard Observed/Comment

  Yes

  No

  N/A

• Action Required

  Yes

  No

  N/A

• Policies and Procedures

  Yes

  No

  N/A

• Do staffs know how to access the Trust policy set (via Trust website) and the Division’s policy set (via Share Point or Shared Document Template)?

  Yes

  No

  N/A

• Is there a Health and Safety Law poster displayed in the building?

  Yes

  No

  N/A

• Do you have access to risk assessments pertinent to your ward/departmental risks? And are they in date?

  Date

• Do you have a Health and Safety Log book which holds the department’s workplace inspections, minutes of the Division’s health and safety meetings?

  Yes

  No

  N/A

• Any queries regarding the completion of this form please contact: Trevor Duggan 07833436425

• Workplace Inspection Action Plan

  Yes

  No

  N/A

• Remember to prioritise the Hazards. Deal with those hazards that are highrisk and have serious consequesnces first

  Yes

  No

  N/A

• Ref

  Yes

  No

  N/A

Hazard Observed

• Repeat Item

  Yes

  No

  N/A

• Action required

• Person Responsible

• Details of Assistance sought

• Date referred

  Date

• Job No

• Target Date

  Date

• Estates

  Yes

  No

  N/A

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