EHS Inspection Report

Location:
Inspector:
Date

Environment Health and Safety Department

Pediatrics (Peds) Emergency Department (Surgical Pavilion)
Suhail Sheikh ( EH&S); Safia Fatih (ED); Olivia Masilang (ED); Aurora Rabino (ED); Robinson Pablo
(EH&S)
15 April 2015

Inspected:
Note:

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:

Risk Level
Extreme Risk
A
B
C
D

Budget / staffing
Not feasible
Procurement
Installation

High Risk
Moderate Risk
Low Risk

Reference Number: EHS-IIN-2015-038

Date Report Sent: 26 Apr 2015

No

Observation

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.

Corrective Action
Identify electrical equipment (nonmedical) 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).

Ris
k
Lev
el
3

(1
)
(2
)
(3
)
(4
)

Corrective Action Timeline

immediate action(s) to be taken within same
business day
action to be completed within five (5) business days
action to be completed within one (1) calendar
month
date is determined by type of action to be taken

Respons
ible
Person

Target
date

Safia Fatih
(Peds ED)

26 May15

Roadblo
cks
(Choose the
letter from
Roadblock
Section)

Date
Complet
ed
Complete
d
May 10,
2015

Non-medical electrical equipment

including extension cords, IT
equipment and photocopier
equipment (Refer section 6.1 of
SKMC policy C-OP-GEN-01-030)
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EHS Inspection Report

Environment Health and Safety Department

Safia Fatih
3

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).
Electrical Cables:
Trailing cables were found at
places e.g.:
TV in female waiting room (see
picture # 2)
Nursing stations
Room # 01-701
Education room # 01-704 (see
picture # 7)
Etc.
CPU of the computer was found
wall-mounted under the desk in
the doctors office # 0-735. The
CPU hits the legs when a staff is
working at the desk (see picture #
4).
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).
Fire exit sign near door # 0-722
was not lit.

Identify suitable locations for hand

sanitizer dispensers that are away from
electrical and heat sources. Request and
coordinate with FCM to relocate wallmounted hand sanitizer dispensers.

Fire exit door # 0-722 did not close

by itself.

Needs repair.

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.

5.1

5.2
6

(Peds ED)

26 May15

Reported
Already
Assigned
No.
122743

Safia Fatih
(Peds ED)

26 May15

Complete
d
May
10,2015

Request and coordinate with IT & FCM to

identify a suitable location for the CPU
and relocate the CPU.

Safia Fatih
(Peds ED)

26 May15

Complete
d
April
30,2015

Request and coordinate with FCM to

remove the broken glass attached to the
cupboard. Remove broken glass pieces
from the room.
Request and coordinate with FCM to
install new glass panel doors.
Needs repair.

Safia Fatih
(Peds ED)

26 May15

Complete
d
April
30,2015

Mohamed
Kamal
(FCM)

26 May15

Status 9 May15:

Ashraf
Darwish
(FCM)

26 May15

Safia Fatih
(Peds ED)

26 May15

Department to assess and identify areas

where trailing / congested cables and
extension bars on floor are present.
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.

Complete
d
Complete
d
May
05,2015

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EHS Inspection Report

9

10

11

12

Storage: Items and boxes

were found on the floor in the
education room # 01-704 (see
picture # 6).
Electrical panel near bathroom #
0-733 was not locked.

Environment Health and Safety Department

Safia Fatih
3

Store items off floor to allow proper

housekeeping.

Ensure electrical panel is kept locked.

(Peds ED)

Missing electrical warning signs on

electrical panels at places.

Provide electrical warning signs on

electrical panels where missing in Peds
ED.

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.

26 May15

Entraco
(FCM
Contractor
)

N/A

Mohamed
Kamal
(FCM)

26 May15

Adnan
Kasabreh
(FCM)

26 May15

Complete
d
April
20,2015
N/A

Status 15 Apr15:

Complete
d (at the
time of
inspection)
Status 9 May15:

Complete
d
Complete
d
May 10,
2015

2014 : Outstanding Action Items from EHS Internal Inspection

last year
13

14

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.
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 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.

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.

Nazir
Ahmed
(Peds ED)

28 Sep14

Complet
ed
May06,2
015

Nazir
Ahmed
(Peds ED)

28 Sep14

Complete
d May
06,2015

Remind all staff in Peds ED on the

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EHS Inspection Report

Environment Health and Safety Department

15

16

17

18

Central Monitor: Central

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

Action Cards:
Meeting areas for horizontal and
vertical evacuation were not
included in Internal Disaster /
Evacuation action card.
Storage: Supplies and boxes
were found on the floor in the
training room # 01-704 in Peds
ED.
Broken and rusty staff lockers in
room # 01-706 and 01-709 in
Peds ED, 1st Floor with potential
sources of injury.

importance of above mentioned

necessity.
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.

Nazir
Ahmed
(Peds ED)

28 Sep14

Nazir
Ahmed
(Peds ED)

28 Sep14

STILL

Ensure supplies and boxes are stored off

floor.

Nazir
Ahmed
(Peds ED)

28 Sep14

Status
21 Apr-15:

Contact Facilities and Construction

Management for repair.

Nazir
Ahmed
(Peds ED)

28 Sep14

Remind all staff in Peds ED on the

importance of above mentioned
necessity.
Add designated meeting areas for
horizontal and vertical evacuation in
Internal Disaster / Evacuation action
card using updated action card template.

Status
21 Apr-15:

Complet
ed

Complet
ed
Status
21 Apr-15:

Inprogress
(rusty
lockers are
being sent
to Property
Controls)

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.

Adnan
Kasabreh
(FCM)

28 Sep14

Complet
ed May
06,2015

20

Hand sanitizer found above

electrical switch in doctors room
# 0-735 in Peds ED.

Coordinate with FCM to relocate hand

sanitizer dispenser away from electrical
source.

Nazir
Ahmed
(Peds ED)

28 Sep14

21

Call Bell cord & system was

found missing in bath room # 0733 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.

Nazir
Ahmed
(Peds ED

28 Sep14

Complete
d
May
06,2015
Reported
Assigned
No.12273
May
06,2015

22

Overhead Hazard: Overhead

shelves in the doctors room # 0-

Coordinate with Ashraf Darwish in FCM to

access the current overhead shelving and

Nazir
Ahmed

28 Sep14

Need to
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EHS Inspection Report

Environment Health and Safety Department

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.

to re-design, install protective padding on

shelves or through other reasonable
means to prevent staff from head injury.

(Peds ED

follow
up

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EHS Inspection Report

Environment Health and Safety Department

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