EHS Inspection Report Environment Health and Safety Department

Location: Pediatrics (Peds) Emergency Department (Surgical Pavilion)Inspector: Suhail Sheikh ( EH&S); Safia Fatih (ED); Olivia Masilang (ED); Aurora Rabino (ED); Robinson Pablo (EH&S) Date Inspected: 15 April 2015Note: EH&S inspections are performed so that the organization may check our own workplace and proactively take corrective

action to prevent accidents and injuries.

Roadblocks: Legend:A Budget / staffingB Not feasibleC ProcurementD Installation

Reference Number: EHS-IIN-2015-038Date Report Sent: 26 Apr 2015

No Observation Corrective Action Risk

LevelResponsible

PersonTarget date

Roadblocks(Choose the letter from Roadblock

Section)

Date Completed

1 Electrical safety check stickers were found missing on electrical equipment (non-medical) at places in Peds ED e.g.: Scanner at reception/triage; Water dispenser in female waiting

area; WoWs – 00194282 & 00194480; Computers and printers in room # 01-

711; Computer in room # 01-701; Etc.

Identify electrical equipment (non-medical) that do not have electrical check sticker.

Notify FCM to check and ensure stickers (updated) are provided on all electrical equipment (Refer section 6.3 of SKMC policy C-OP-GEN-01-030: “Managers have overall responsibility to ensure electrical equipment in the areas of their responsibility is tested and tagged as safe for use”).

Non-medical electrical equipment including extension cords, IT equipment and photocopier equipment (Refer section 6.1 of SKMC policy C-OP-GEN-01-030)

3 Safia Fatih (Peds ED)

26 May-15 CompletedMay 10, 2015

2 Wall-mounted hand Sanitizer dispensers were found near the WoW and electrical outlet e.g. at reception/triage and near room # 0-713 etc. (see picture # 1 & 3).

Identify suitable locations for hand sanitizer dispensers that are away from electrical and heat sources. Request and coordinate with FCM to relocate wall-mounted hand sanitizer dispensers.

3 Safia Fatih (Peds ED)

26 May-15 Reported Already

Assigned No. 122743

3 Electrical Cables: Trailing cables were found at places e.g.: TV in female waiting room (see picture

Department to assess and identify areas where trailing / congested cables and extension bars on floor are present.

3 Safia Fatih (Peds ED)

26 May-15 CompletedMay 10,2015

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Risk Level Corrective Action TimelineExtreme Risk (1) immediate action(s) to be taken within same business dayHigh Risk (2) action to be completed within five (5) business daysModerate Risk (3) action to be completed within one (1) calendar monthLow Risk (4) date is determined by type of action to be taken

EHS Inspection Report Environment Health and Safety Department

# 2) Nursing stations Room # 01-701 Education room # 01-704 (see picture #

7) Etc.

Request and coordinate with FCM to ensure Comoptrailing and congested cables are being tidied up by reasonable means such as spiral conduit, fastening cables, trunking etc. and extension bars are kept / install off floor.

4 CPU of the computer was found wall-mounted under the desk in the doctor’s office # 0-735. The CPU hits the legs when a staff is working at the desk (see picture # 4).

Request and coordinate with IT & FCM to identify a suitable location for the CPU and relocate the CPU.

3 Safia Fatih (Peds ED)

26 May-15 CompletedApril 30,2015

5.1 Glass panel doors of the cupboard in room # 01-714 were found broken. Sharp edges of broken glass (on the floor and attached to the cupboard) pose a risk of cut injury (see picture # 8).

Request and coordinate with FCM to remove the broken glass attached to the cupboard. Remove broken glass pieces from the room.

3 Safia Fatih (Peds ED)

26 May-15 CompletedApril 30,2015

5.2 Request and coordinate with FCM to install new glass panel doors.

6 Fire exit sign near door # 0-722 was not lit. Needs repair. 3 Mohamed Kamal (FCM)

26 May-15 Status 9 May-15:Completed

7 Fire exit door # 0-722 did not close by itself. Needs repair. 3 Ashraf Darwish (FCM)

26 May-15 CompletedMay 05,2015

8 Sluice Sink: Strainer was not present in the sink in sluice room. This may clog the drainage system (see picture # 5).

Assess the need for installing the strainer in the sink in coordination with Infection Control to prevent the sink and drainage system from clogging. Request and coordinate with FCM (Hani Sayed) for installing a suitable type of grid / strainer.

3 Safia Fatih (Peds ED)

26 May-15

9 Storage: Items and boxes were found on the floor in the education room # 01-704 (see picture # 6).

Store items off floor to allow proper housekeeping.

3 Safia Fatih (Peds ED)

26 May-15 Completed April 20,2015

10 Electrical panel near bathroom # 0-733 was not locked.

Ensure electrical panel is kept locked. 3 Entraco (FCM

Contractor)

N/A N/A Status 15 Apr-15:Completed (at the time of

inspection)

11 Missing electrical warning signs on electrical panels at places.

Provide electrical warning signs on electrical panels where missing in Peds ED.

3 Mohamed Kamal (FCM)

26 May-15 Status 9 May-15:Completed

12 Sprinkler head near the door to the rooftop plant did not seem to be in good maintenance.

Ensure sprinkler head in a good working condition.

3 Adnan Kasabreh

(FCM)

26 May-15 CompletedMay 10, 2015

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EHS Inspection Report Environment Health and Safety Department

2014 : Outstanding Action Items from EHS Internal Inspection last year13 Bedside Critical Equipment: A few

bedside panels in the Trauma Room in Peds ED do not seem to have electrical sockets that are connected to UPS. Therefore all bedside critical equipment e.g. monitors etc. are currently connected to non-UPS electrical sockets which may not be operational if a power shutdown occurs.

Peds ED to assess the need for having electrical sockets connected to UPS on bed side panels for patient safety and to coordinate with Eng. Kamal in FCM for installing electrical sockets that are connected to UPS if the assessment requires necessary.

3 Nazir Ahmed (Peds ED)

28 Sep-14 Completed May06,2015

14 Bedside Critical Equipment: Critical equipment e.g. bedside monitors in a few patient rooms were not found connected to electrical sockets backed by UPS. Therefore such bedside monitors may not be operational if a power shutdown occurs.

Peds ED to assess the need for connecting all critical equipment e.g. bedside monitors for patient safety in power shutdown situation and to ensure all bedside critical equipment are only connected to UPS backed electrical sockets if the assessment requires necessary.

Remind all staff in Peds ED on the importance of above mentioned necessity.

3 Nazir Ahmed (Peds ED)

28 Sep-14 Completed May 06,2015

15 Central Monitor: Central monitor (for patients) at the nursing desk did not seem to be connected to electrical socket backed by UPS.

Peds ED to assess the need for connecting the central monitor for patient safety in power shutdown situation and to ensure central monitor is only connected to UPS backed electrical socket if the assessment requires necessary.

Remind all staff in Peds ED on the importance of above mentioned necessity.

3 Nazir Ahmed (Peds ED)

28 Sep-14 Status 21 Apr-15:

Completed

16 Action Cards: Meeting areas for horizontal and vertical evacuation were not included in ‘Internal Disaster / Evacuation’ action card.

Add designated meeting areas for horizontal and vertical evacuation in ‘Internal Disaster / Evacuation’ action card using updated action card template.

3 Nazir Ahmed (Peds ED)

28 Sep-14 STILL

17 Storage: Supplies and boxes were found on the floor in the training room # 01-704 in Peds ED.

Ensure supplies and boxes are stored off floor. 3 Nazir Ahmed (Peds ED)

28 Sep-14 Status 21 Apr-15:

Completed

18 Broken and rusty staff lockers in room # 01-706 and 01-709 in Peds ED, 1st Floor with potential sources of injury.

Contact Facilities and Construction Management for repair.

3 Nazir Ahmed (Peds ED)

28 Sep-14 Status 21 Apr-15:

In-progress(rusty lockers are being sent

to Property Controls)

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EHS Inspection Report Environment Health and Safety Department

19 Fire Extinguisher: Fire extinguisher in room # 01-713

(1st floor) did not have inspection sticker

Check and post inspection sticker on fire extinguisher in room # 01-713.

3 Adnan Kasabreh

(FCM)

28 Sep-14 Completed May

06,2015

20 Hand sanitizer found above electrical switch in doctor’s room # 0-735 in Peds ED.

Coordinate with FCM to relocate hand sanitizer dispenser away from electrical source.

3 Nazir Ahmed (Peds ED)

28 Sep-14 CompletedMay 06,2015

21 Call Bell cord & system was found missing in bath room # 0-733 and 0-705 in Peds ED.

Coordinate with Mohamed Kamal in FCM for installing call bell cord and system in patient washrooms in Peds ED.

3 Nazir Ahmed (Peds ED

28 Sep-14 ReportedAssigned No.12273

May 06,2015

22 Overhead Hazard: Overhead shelves in the doctor’s room # 0-735 present risk of head injury to staff that are using the desk under these shelves. Note: Doctors stated that some of the doctors had already been injured from the overhead shelving.

Coordinate with Ashraf Darwish in FCM to access the current overhead shelving and to re-design, install protective padding on shelves or through other reasonable means to prevent staff from head injury.

3 Nazir Ahmed (Peds ED

28 Sep-14 Need to follow up

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EHS Inspection Report Environment Health and Safety Department

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