safety & security audit tool - cranaplus · completing the audit will provide individuals and...

SafetyandSecurity Flowcharts

©CRANAplus Inc. Created: 04/07/2017 Introduction to the Use of Safety Flow Charts

CRANAplus PO BOX 7410

Unit 2 Wallamura Towers 189 Abbott Street CAIRNS QLD 4870

SAFETY&SECURITYAUDITTOOL

Introduction

The purpose of this audit is to identify significant issues contributing to your safety. Whencommencinganew job, employerorientationandworkplace safety guidelines shouldprovide thebasic information required for you to commencework safely. This Safety& SecurityAudit canbeusedas a checklist to review safety. Completing theauditwill provide individuals andworkplaceswith the basic information required to promote practical safety quality improvements in theworkplace.Thisaudit isabridge linkingorientation,workplacesafetyguidelines,andWorkHealthandSafetyrequirements.

Theauditidentifiesbroadissuesthatcontributetopersonal&teamsafety,security,wellbeing,andtheprovisionofsafe,effectivehealthservices.Notall itemslistedwillberelevantforall locations.Using the audit tool provides a guide for improving remote health workforce safety. It is not acompletelistofallissuesrelevanttoSafetyandSecurityinalllocations.

HowtousetheSafety&SecurityAudittool

TheAudit lists six differentheadings:HealthCentre; safety systemsandOn-Call; accommodation;transport;communication;andcommunity&culturalsafetyeducation.Whilethereissomeoverlap,thedifferentheadingsprovideagoodbasisforcompletingtheaudit.

It’snotonlytheauditcontentthatcontributestosafetyandsecurity.Completingtheauditgetsstaffoutandaboutinthecommunity,lookingatsafetyissuesandmeetingthepeoplewhowillbeabletoprovide assistance if needed. Completing the audit ensures staff think ahead about safety andsecurity issues.Don’t justhandyour completedauditdocumentover to incoming staff. They’llbesaferifthey’vecompletedtheirown!

BeforecompletingtheAudit…You’llgetmoreoutofcompletingtheauditifyouhaveparticipatedinworkplaceorientationandreaduponyourlocalhealthservicesafetyguidelines.

To furtherpromoteyoursafetyandsecurity, itwillalsobevaluable foryouto familiariseyourselfwith other resources produced as part of the CRANAplus Remote Health Workforce Safety &SecurityProject.TheseincludetheWorkingSafeinRemoteHealthHandbook,RapidRiskAssessmentTool,andSafetyFlow-Charts.

These documents are all available on the CRANAplus website. You can also access Safety andSecurity informationontheCRANAplusApp.Usethefollowing linkformore information:Safety&SecurityinRemoteHealthcare|CRANAplus





1 HEALTHCENTRE

No. Item Notes

1.1 Cliniclayout.Locationofemergencyexits,secureinternaldoors,saferoom,phones,duressalarms,smokealarms,fireextinguishers.Askabouthigh-riskareasandsituationstobeavoided.

1.2 Externaldoorsandwindowssecureandareabletobelocked.Doublelockingifwarranted(especiallyslidingdoors/windowse.g.lockonslidingwindowplustimber/otherbarrierinplacetostopwindowslidingbackifthefittedlockissprung.*Checkoutsidethebuilding-aroundallwindowsanddoorsforevidenceofattemptedbreak-inandpossibleriskoffurtherbreak-ine.g.securitymeshbent/removed,framesdamaged&locksexposed/damaged)**Doesbuildingdesignorvegetationprovidelocationsforpeopletohidenearentrances,orallowthemtoattemptentryun-observed?

1.3 Internal&Externallightingoperationalandadequate,abletobeoperatedfrominsidethebuilding.Sensorlightsfunctioning.

1.4 Historyofpastbreak-ins–Havepastproblemsbeenidentifiedandfixed?

1.5 Whohasaccesstokeys?Havelocksbeenchangedifkeyslost/stolen?Iffitted,arekeypadcodeschangedregularly?

1.6 SafeRoom–Isthereasecureroomforstaffthathasalarmandphoneinside?

1.7 Emergencycontactinformationandafterhourssupportroleslistede.g.secondoncall,backup,generalassistance,driver.

1.8 Safetyissuesrelatedtoclinicalprogramsidentified:Highriskpatientregister(ifused);Out-Stationsupport;Medicationdelivery;andotherissuesE.g.MandatoryReporting,Workrelatedtravelaloneinoroutsidethecommunity.





2 SAFETYSYSTEMS&ONCALLSAFETYGUIDELINESNo. Audititem Notes

2.1 Arehealthservicesafety&securityguidelinesavailable,resourced,andimplemented?Areguidelinessupportedbymanagementandclinicians?

2.2 AreNotAlone/AlwaysAccompaniedguidelinesavailableandoperationalinthecommunity?Havecommunityrepresentativesandhealthservicemanagementdiscussedandagreedtosafetyprocedures?

2.3 Haveincomingstaffcompletedhealthserviceandcommunity(local)orientationcompletedpriortobeingallocatedafterhoursoron-callresponsibilities?

2.4 Haveincomingstaffhadtheopportunitytoshadowon-callstaffbeforebeingrosteredasprimaryon-callclinician?

2.5 Dostaffhavesafevehicleaccess(physicallysecureoraccompanied)after-hoursandwhenon-call

2.6 Doesregularmonitoring&reviewofsafety&securitysystems,criticalevents&near-missesoccur?Isthereasysteminplaceforde-briefingandsupporttostaffafteranevent?

2.7 Isthereaprocessfortimelynotificationtocommunityandemployerbystaffwhensafetyguidelinescannotbecompletedandserviceprovisionislimited?

2.8 Arestafftrained,practicedandcompetentintheuseofserviceelectronicalarmse.g.PersonalLocatorBeacons,Localduress/safetyalarmsystems,othersafety/alarmsystems?

2.9 Havepasteventsknowntobearisktosafetybeenidentifiedandrespondedto,&lessonslearnedpartoflocalorientation?

2.10 Shortterm(Agency)staff:Arethereanyconflictsbetweenworkplace&NurseRecruitmentAgencyrolesandsafetyguidelinesthatneedtobeclarifiedorresolved?

2.11 AreyoubeingexpectedtoworkoutsidesafetyguidelinesE.g.workingasasoloclinicianpendingstaffrecruitmentorwhileotherstaffareonleave?Aresafetysystemsinplacetomanagesuchevents?

2.12 Isthereasysteminplaceforloggingafterhourscallouts,activitiesandlocation?Howwillothersknowifsomethinghasgonewrongandyouneedassistance?

2.13 Ison-callallocationequitable?Ispotentialforfatiguemanagedbyensuringstaffhaveregularaccesstoleaveentitlements,includingprofessionaldevelopmentleave?





3 ACCOMMODATIONNo. Audititem Notes

3.1 Externaldoorsandwindowssecureandareabletobelocked.Doublelockingifwarranted(especiallyslidingdoors/windowse.g.lockonslidingwindowplustimber/otherbarrierinplacetostopwindowslidingbackiflockissprung.*Checkoutsidethebuilding-aroundallwindows/doorsforevidenceofattemptedbreak-inandpossibleriskoffurtherbreak-ine.g.securitymeshbent/removed,framesdamaged&lockexposed/damaged)**Doesbuildingdesignorvegetationprovidelocationsforpeopletohidenearentrances,orallowthemtoattemptentryun-observed?

3.2 Youcansafelyseeandrespondtovisitorscomingtoyouraccommodationwithoutcompromisingpersonalsecurity(E.g.Safetyscreenmesh,secureveranda,securitysensorlights,securitycamera.

3.3 Historyofpastbreak-ins–Havepastproblemsbeenidentifiedandresolved?

3.4 Whohasaccesstoaccommodationkeys?Havelocksbeenreplacedwhenkeyslost?

3.5 IsthereasafeemergencyexitprocessfromsecureaccommodationE.g.incaseoffire?

3.6 Smokealarmsareinplaceandtested.Fireextinguishersareindate&operational?

3.7 Aretheresharedentryandinternalaccessdoorsincombinedorsemi-detachedaccommodation?Isyoursecuritydependentonbehaviourofothers?

3.8 Useofaccommodationbyvisitingclinicians/others.Aretherewrittensafetyguidelinesforvisitingcliniciansandothers?Arevisitorsprovidedwithorientationaboutsafeuseofaccommodation?

3.9 Accommodationperimeterisadequatelyfenced,Lockable,secure,andwelllit.

3.10 Vehiclegaraging.Staffhavesafe/accompaniedaccessfromtheiraccommodationtoworkvehicleswhenon-call





4 TRANSPORTNo. Audititem Notes

4.1 HealthServiceVehicleuseguidelinesavailable&read

4.2 Vehicle(s)roadworthy,reliable&serviced

4.3 Allstaffhavetraining&practiceaboutsafedrivinginlocalroadconditions,includingdirtroads,seasonalchanges

4.4 Allstaffareskilledandcompetentwithbasic4WDuse&vehiclerecovery

4.5 Staffareawareof&candemonstratebasicsurvivalstrategiesintheeventofvehiclebreakdowninaremotelocation

4.6 First-Aidkitinvehicle.Sparetyres,torch,tools&watersupplycheckedregularlyandpriortostaffleavingthecommunity

4.7 Drivershaveskill&experiencewithvehicleequipment-dualbatteries,externalpower,dualfueltanks,GPS,Trackingequipment,InVehicleMonitoringSystemiffittedetc.

4.8 Listofapprovedhealthvehicledriversavailable.Accesstokeysbyapproveddriversonly.Sparekeysavailable.

4.9 Systeminplaceforensuringon-callvehiclehasfuel

4.10 Systeminplace(securefacilitiesoralwaysaccompanied)toensurestaffhavesafeaccesstovehiclewhenon-call

5 COMMUNICATIONNo. Audititem Notes

5.1 HealthServicecommunicationequipmentuseguidelinesavailableandread

5.1 AccommodationphoneorstaffCBradiocommunicationavailable&staffskilledandcompetentinequipmentuse

5.2 Emergencycontacts&numberslistedinclinicandaccommodation.Listuptodateandcheckedcorrect.

5.3 Local&ExternalEmergencycontactsavailablefor:HealthServicestaff,B/H&A/HHealthServiceManager,Police,Shop,CommunityOfficestaff,Mechanic,Maintenance,Hospital,Ambulance,RFDS,EmergencyServices,others…

5.4 Staffskilled&competentinSatellitephoneuseincludingtrouble-shootingpowersupplyandsignalstrength

5.5 Staffskilled&competentinuseofemergencycommunicationequipmentincluding:Duressalarms,Personalalarms,Epirbsandothertracking/emergencyequipment





6 COMMUNITY&CULTURALSAFETYEDUCATIONNo. Audititem Notes

6.1 Mapoflocalcommunityavailableidentifyingfamilygroups,houses,shop,school,office,airstrip.Areamapavailableidentifiesoutstations,frequentlytravelledlocations,areastobeavoided,andplacesofinterest.

6.2 Community/LocalGovernmentOfficeservices:Introductiontorole,hours,contactinformation,Shophours,fuelavailability

6.3 MeetLocalGovernment/CommunityCouncilrepresentatives,otherseniorfigures,peopleavailabletoassistinanemergency

6.4 IntroductiontoandB/H,A/Hcontactinformationforallservicespresentinthecommunity,(healthservice,school,police,essentialservicestaff

6.5 Orientationtoallcommunityactivitiese.g.youthgroup,women’scentre,agedcare,artcentre,sportsactivities,firewoodcollection,rubbishcollection…

6.6 CulturalSafetyEducationsourcedfromlocalcommunityrepresentatives.Communicationstyles,social(language,family)structure,age&genderappropriateroles,clothes&behaviour,ceremonialbusinessorspecificlocationstobeavoided,communityhistory,othersignificantissues

6.7 Communitycalendar.Busy&quiettimes:schoolholidays,sportscarnivals,touristseason,cultureevents/lawmeetings.Impactofseasonsontravel,communicationandcommunity

6.8 Localknowledgeandstrategiestomaintainsafetyinyourhealthserviceandcommunityincludinghistoryofsignificantevents–episodesofcommunitysupport,conflict,threatsandassaults,riskofdogattack…

6.9 Localknowledge:Characteristicsofsubstanceuse/misuseinthecommunity.Impactofdrug/alcoholuseonthecommunityandhealthservice

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