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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

Please note that any procedure, checklist, or other document available in the MaintainX Global Procedure Library is provided for general education and information only and does not constitute legal, medical, or financial advice. MaintainX makes the materials available AS IS and AS PROVIDED, without warranties of any kind. By downloading or using any such materials, you assume the risk that they may not be appropriate for your specific situation and agree that you are solely responsible for any such use, including compliance with applicable law and with meeting any conditions of product warranties.