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Equipment Checklist

MaintainX
05/03/2021

Equipment Checklist

91 steps
  • 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

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