Healthcare • Inspections

Equipment Checklist

MaintainX

10/24/2021

Equipment Checklist

Please indicate the appropriate response. A “No” answer means that the hazards should be assessed and control measures considered where the assessment indicates it is necessary

Date of inspection:

Address of premises:

Vacuum cleaner

s the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Bucket/Mop

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Broom

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Washing machine

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Laundry trolley

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Clothes dryer

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Iron/ Ironing board

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Step ladder

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Food preparation facilities

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Hot water system

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Changing facilities/area

Is the item suitable and in good order for the task?

Yes
No
N / A

Is the equipment easy to use?

Yes
No
N / A

Is the item easily accessible?

Yes
No
N / A

Is the item easily transported?

Yes
No
N / A

Comments/hazard report completed

Bed

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Manual wheelchair

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Power wheelchair

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Shower chair/trolley

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Transfer devices

Slide Sheet

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Grab Rail/Foot Stool

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Hoist

Standing

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Ceiling

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Hydraulic Floor

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Electric Floor

Date of last service

Are there any defects, signs of wear or other problems?

Pass
Flag
Fail

Is the item being used correctly?

Yes
No
N / A

Electrical safety of equipment

Is there regular testing and tagging of the electrical equipment that is supplied by the organisation?

Yes
No
N / A

Is there an organisational procedure when faulty items are identified?

Yes
No
N / A

Have workers received training in electrical safety?

Yes
No
N / A

Is the safety switch tested and recorded every three months?

Yes
No
N / A

Source: Workplace Health and Safety Queensland (www.worksafe.qld.gov.au)