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Site Safety Inspection
Site Safety Inspection, Please check all rooms, cupboards, drawers and wardrobes.
Location
*
Tangata Whenua being supported
*
First
Last
Your Name
*
First
Last
Date of Check
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MM
/
DD
/
YYYY
Exits and rapid leave plan are understood
Yes
No
Secure lockable rooms identified e.g. bathroom for safety
Yes
No
If medications are on site, is there a safe lockable room? If not, call 0800 255 000 and identify that you need a safe or where should the medication be located?
In the interim, we recommend you lock the medication in the boot of your car till the property facility is sourced.
Yes
No
Concerns over whare: • High traffic area/busy roads • Other people at the location • Location of property e.g. near a river/stream • Swimming pool • Balcony
Yes
No
High traffic area/busy road
Fences and gates
Potential escape routes
External doors from bedroom
Other people at the location
Location of property e.g. near a river/stream
Swimming pool
Balcony
Overloaded electrical outlets or frayed/open wires
Other Concerns or elaboration, please enter here
At risk items removed and put away e.g. taken to the car boot or locked away securely.
Yes checked/removed
Risk minimised as much as possible
Not an identified risk
Knives and other dangerous cutlery
Grater
Peeler
Batteries
Pencil sharpner
Razors
Scissors
Coat hangers (if metal)
Photo frames/unsecured mirrors/glass items
Ovens/heaters
Door handles/ ligature points
Movie DVD's/CD's
Flexes/dressing gown cords
Please identify anything else removed or made safe.
At risk items removed and put away e.g. taken to the car boot or locked away securely. Chemicals
Yes checked/removed
Risk minimised as much as possible
Not an identified risk
Dishwash
Mouthwash
Medicated creams
Laundry powder
Cleaning chemicals
Fly spray
Spray deodorant or other aerosols
Anything else removed or made safe, please enter here
At risk items removed and put away e.g. taken to the car boot or locked away securely.
Yes checked/removed
Risk minimised as much as possible
Not an identified risk
Medications
Vacuum cleaners - returned to reception due to cords
Iron - Returned to reception due to cords
Any unnecessary electrical items with cords (excluding kettle and TV)
Lighters or matches
Items containing batteries, clocks, remotes
Phone/tablet/laptop chargers
Own cellphone/car keys
Drinks cans (tins)
Concerns Notes
Any other health and safety risks or concerns noted
I confirm that
Yes
No
I am aware of the exits, and they are clearly marked
I am aware of the fire and evacuation procedure and assembly point
I have access to an appropriately stocked first aid kit
There is disable access (if required)
I am aware of site-specific hazards
Smoke alarm(s) are working
Any ligature concerns have been escalated to Apex Office
Signature
Clear
