Professional Documents
Culture Documents
DATE:
Yes
No
N/A
Remarks /
Suggestions
Yes
No
N/A
Remarks /
Suggestions
Action Taken:
.
Action Taken:
XXX Hospital
Yes
No
N/A
Remarks /
Suggestions
Yes
No
N/A
Remarks /
Suggestions
Yes
No
N/A
Remarks /
Suggestions
Gaps:
Action Taken:
CHEMICAL, DRUG AND SUBSTANCE HAZARDS
1. All chemical containers are clearly labelled.
2. Material Safety Data Sheets are available and displayed at the point of
use of the chemical.
3. Dangerous or harmful substances are stored appropriately.
4. Necessary protective equipment available and used.
5. Emergency spill management procedures displayed.
6. Oxygen stored securely and safety signs displayed.
Gaps:
Action Taken:
XXX Hospital
Yes
No
N/A
Remarks /
Suggestions
Yes
No
N/A
Remarks /
Suggestions
Yes
No
N/A
Remarks /
Suggestions
1. Known Infection risks have been identified and proper notices are in
place.
2. Protective equipment is available and used. (gloves, mask, goggles,
gown etc)
3. Sufficient number of sharps containers is available?
4. The sharps containers arent overfilled.
5. Waste is segregated properly.
Gaps:
Action Taken:
Medical Gas
1.
2.
3.
4.
5.
Gaps:
Action Taken:
Violence
1. There are adequate facilities (e.g. No. Of chairs) and space in
dayrooms
2. Adequate privacy is maintained for the patient.
3. Only authorised people are present (there is no over-crowding due to
the persons without passes/ id cards)
4. Staff is aware of the procedure to follow is such situation arise.
Action Taken:
OBSERVER SIGN
Maintenance Incharge
Quality Representative
APPROVAL AUTHORITY
Medical Administrator