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Policy Directive

Policy Directive
 

Department of Health, NSW 73 Miller Street North Sydney NSW 2060 Locked Mail Bag 961 North Sydney NSW 2059 Telephone (02) 9391 9000 Fax (02) 9391 9101 http://www.health.nsw.gov.au/policies/

 

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Safety and Security Release of the Health Facility Guideline - Working Draft

 

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Document Number

PD2005_293

Publication date

27-Jan-2005

Functional Sub group

Corporate Administration - Asset Management Corporate Administration - Security

Summary

Purpose of document is to assist health facility planners and designers to minimise the risk of opportunities for violence and crime by the provision of appropriate facilities, work spaces, building services and systems.

Author Branch

Asset Management Services

Branch contact

Richard Pye 9391 9452

Applies to

Area Health Services/Chief Executive Governed Statutory Health Corporation, Board Governed Statutory Health Corporations, Affiliated Health Organisations, NSW Dept of Health

Distributed to

Public Health System, NSW Department of Health

Review date

27-Jan-2010

File No.

02/1249-2

Previous reference

2003/13

Issue date

27-Feb-2003

Status

Active

Director-General

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Compliance with this policy directive is mandatory.

CIRCULAR

CIRCULAR F i l e N o 02/1249-2 Circular No 2003/13 I s s u e

File No

02/1249-2

Circular No

2003/13

Issued

27 February 2003

Contact

Richard Pye (02) 9391 9452 Asset and Procurement Management

Release of the Health Facility Guideline - Safety and Security, as a Working Draft.

NSW Health is committed to providing a safe environment for its staff, clients and the public. Effective planning and design is required to minimise and, where possible, eliminate foreseeable risks associated with the facility design to staff and others.

In July 2001 the NSW Minister for Health established the Taskforce on Prevention and Management of Violence in the Health Workplace. The objective of the Taskforce was to develop strategies for the prevention and management of violence in the health workplace. This Health Facility Guideline has been developed in response to the recommendations of the Taskforce and in consultation with the Security Infrastructure Working Group, a sub-group of the Taskforce.

This Guideline expands the principles for a safe and secure workplace as outlined in the NSW Health Safety and Security Manual, 1998 (currently under review), Workplace Health and Safety; A Better Practice Guide (Circular 2001/22) and Effective Incident Response: A Framework for Prevention and Management in the Health Workplace (Circular 2002/19). This Guideline is complementary to these documents. In addition, this Guideline supports other violence prevention and management initiatives.

This document should be utilised in the planning, design and construction of NSW Health Facilities.

The Guideline is being released as a Working Draft for a period of twelve months. During this period Department of Health and Area Health Service staff who utilise the document are encouraged to comment. Comments should be forwarded to:

Richard Pye, Director, Asset Management Services Phone: (02) 9391 9452 Fax: (02) 9391 9522 Email: ripye@doh.health.nsw.gov.au

Robyn Kruk Director-General

Distributed in accordance with circular list(s):

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13

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C

9

D

E

73 Miller Street North Sydney

NSW

2060

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G

H

I

J

Locked Mail Bag 961 North Sydney

NSW 2059

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L

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Telephone (02) 9391 9000 Facsimile (02) 9391 9101

In accordance with the provisions incorporated in the Accounts and Audit Determination, the Board of Directors, Chief Executive Officers and their equivalents, within a public health organisation, shall be held responsible for ensuring the observance of Departmental policy (including circulars and procedure manuals) as issued by the Minister and the Director-General of the Department of Health.

DESIGN SERIES (DS)

HEALTH FACILITY GUIDELINE -

SAFETY AND SECURITY

PREPARED FOR:
PREPARED FOR:

NSW HEALTH ASSET AND PROCUREMENT MANAGEMENT DIRECTORATE OCTOBER 2002

NSW HEALTH ASSET AND PROCUREMENT MANAGEMENT DIRECTORATE OCTOBER 2002 WORKING DRAFT Revision Date 03.10.02 Page 2

ACKNOWLEDGMENTS

ACKNOWLEDGMENTS WORKING DRAFT Revision Date 03.10.02 Page 3 of 85

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

CONTENTS

1.0 PRINCIPLES OF THIS GUIDELINE 6 1.1 INTRODUCTION 6 1.2 PURPOSE AND SCOPE 6 1.3
1.0
PRINCIPLES OF THIS GUIDELINE
6
1.1 INTRODUCTION
6
1.2 PURPOSE AND SCOPE
6
1.3 LEGISLATIVE RESPONSIBILITIES
7
1.4 OPERATING POLICIES
7
1.5 EMERGING TECHNOLOGY & CLINICAL WORK PRACTICES
7
1.6 PLANNING ECONOMY
7
1.7 RECURRENT COSTS
8
2.0
STRUCTURE OF THIS GUIDELINE
9
2.1
DEFINITION OF 'SAFETY AND SECURITY'
9
2.2
ANALYSIS BY FUNCTIONAL AREAS
9
2.3
RISK ANALYSIS AND RISK MANAGEMENT
9
2.4
CRIME PREVENTION THROUGH ENVIRONMENTAL DESIGN
10
2.5
ADDITIONAL INFORMATION
11
2.6
APPLICATION OF THE GUIDELINES
12
3.0
FUNCTIONAL AREAS
13
3.1
ADMINISTRATION / ACCOUNTS
13
3.2
ADMINISTRATION / DISCHARGE AREA
14
3.3
BIO-MEDICAL WORKSHOP
15
3.4
DIETETICS
16
3.5
EMERGENCY
17
3.6
CENTRAL STERILISING DEPARTMENT
19
3.7
OPERATING THEATRES / RECOVERY DAY PROCEDURES
20
3.8
RENAL
21
3.9
KITCHEN
22
3.10
MATERNITY
23
3.11
MEDICAL
IMAGING
24
3.12
MEDICAL RECORDS
25
3.13
PAEDIATRIC
26
3.14
PHARMACY
27
3.15
PODIATRY
28
3.16
REHABILITATION
29
3.17
SOCIAL WORKER
30
3.18
STRESS TESTING
31
3.19
OUTPATIENT AREA
32
3.20
ICU / CCU / HDU
33
3.21
LIBRARY / EDUCATION
34
3.22
SURGICAL
35
3.23
MAIN ENTRY
36
3.24
WARDS
37
3.25
METHADONE CLINIC
38

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

3.26 NEEDLE / SYRINGE EXCHANGE

39

3.27 RETAIL AREA

40

3.28 CARPARKING / EXTERNAL AREAS

41

3.29 MORTUARY

42

3.30 DENTAL CLINIC

43

3.31 PATHOLOGY

44

4.0 CHECKLISTS 45 4.1 ADMINISTRATION / ACCOUNTS 46 4.2 ADMINISTRATION / DISCHARGE AREA 47 4.3
4.0
CHECKLISTS
45
4.1
ADMINISTRATION / ACCOUNTS
46
4.2
ADMINISTRATION / DISCHARGE AREA
47
4.3
BIO-MEDICAL WORKSHOP
48
4.4
DIETETICS
49
4.5
EMERGENCY
50
4.6
CENTRAL STERILISING DEPARTMENT
52
4.7
OPERATING THEATRES / RECOVERY DAY PROCEDURES
53
4.8
RENAL
54
4.9
KITCHEN
55
4.10
MATERNITY
56
4.11
MEDICAL
IMAGING
57
4.12
MEDICAL RECORDS
58
4.13
PAEDIATRIC
59
4.14
PHARMACY
61
4.15
PODIATRY
62
4.16
REHABILITATION
63
4.17
SOCIAL WORKER
64
4.18
STRESS TESTING
65
4.19
OUTPATIENT AREA
66
4.20
ICU / CCU / HDU
67
4.21
LIBRARY / EDUCATION
69
4.22
SURGICAL
70
4.23
MAIN ENTRY
72
4.24
WARDS
74
4.25
METHADONE CLINIC
76
4.26
NEEDLE/SYRINGE EXCHANGE
77
4.27
RETAIL AREA
78
4.28
CARPARKING
79
4.29
MORTUARY
80
4.30
DENTAL CLINIC
81
4.31
PATHOLOGY
82

APPENDICES

A. NSW Health Design and Technical Guidelines

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PRINCIPLES OF THIS GUIDELINE INTRODUCTION

NSW Health is committed to providing a safe environment for its staff, clients and the public.

However, unexpected and unusual incidents do happen in the workplace. Effective planning and design is required to minimise and, where possible, eliminate foreseeable risks associated with the facility design to staff and others.

This Guideline expands the principles for a safe and secure workplace as outlined in both the Safety and Security Manual and Effective Incident Response: A Framework for Prevention and Management in the Health Workplace (Circular 2002/19). This Guideline is complementary to these two documents. In addition, this Guideline supports other violence prevention and management initiatives.

This document should be utilised in the context that it is one of a series of Design and Technical Guidelines published by NSW Health to be utilised in the planning, design and construction of NSW Health Facilities. A full listing of current Guidelines is included in Appendix A. The requirements of this Guideline should be applied in conjunction with the requirements of all other Guidelines applicable to the Facility being addressed.

Guidelines applicable to the Facility being addressed. PURPOSE AND SCOPE The purpose of this document is

PURPOSE AND SCOPE

The purpose of this document is to assist health facility planners and designers to minimise the risk of opportunities for violence and crime by the provision of appropriate facilities, work spaces, building services and systems.

This document is intended as a guideline to assist in the identification of potential areas of risk which must be addressed during the planning, design and construction phases of a health facility project.

This Guideline has been prepared at a time when the issue of staff, client and visitor safety and security has become a major focus of the design process. The Guideline is therefore directed towards the achievement of a safe, functional and affordable solution to the planning and design of health buildings.

The planning and design standards outlined in the Health Building Design Guidelines should be regarded as minimum standards. It is recognised that in a number of circumstances, departure from the Guideline will be necessary to meet operational requirements or to manage any unusual risks that might be specific to a particular circumstance or location. These "departures" will normally be subject to documented justification and the subsequent Departmental approval process.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

LEGISLATIVE RESPONSIBILITIES

Employers under the NSW Occupational and Safety Act 2000 have a duty of care for the health and safety of all people in the workplace. This requires employers to:

(a) Ensure premises controlled by the employer where people work are safe and without risk
(a)
Ensure premises controlled by the employer where people work are safe and
without risk to health;
(b)
Ensure that systems of work and the working environment are safe and without
risk to health;
(c)
Ensure that any equipment or substance provided for use by the employees at
work is safe and without risk to health when properly used;
(d)
Provide necessary information, instruction, training and supervision for the
health and safety of their employees;
(e)
Provide adequate facilities for the welfare of the employees at work; and
(f)
Ensure that people (other than employees) are not exposed to risks to their health
and safety in the workplace.
In addition, there is a duty for employers to consult with their employees to enable
employees to contribute to the making of decisions affecting their health, safety and
welfare at work.
Employees are required to cooperate with the employer in their efforts to comply with
health and safety requirements. Employee cooperation ensures their own health and
safety and the health and safety of others in the workplace.
OPERATING POLICIES
Operational Policies have a major impact upon the design requirements and,
subsequently, capital and recurrent costs of health facilities. Planning and design
teams should be constantly reviewing their design proposals with this in mind and be
able to demonstrate that the capital and recurrent cost implications of proposed
operational policies have been fully considered and evaluated and that the most cost-
effective solutions are being proposed.

EMERGING TECHNOLOGY & CLINICAL WORK PRACTICES

In determining specific requirements and design, the impact of new technology and clinical work practices should be reviewed in relation to safety and security prior to adoption.

PLANNING ECONOMY

Facility design should ensure that the space allocation for safe and secure circulation within and between units is efficient and appropriate for the functional activities of the space, having regard to the allowance provisions defined in the relevant Health Building Guideline.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

RECURRENT COSTS

"It has been estimated that recurrent costs (ie. running costs) over two years are equal to the initial capital expenditure. Design teams therefore have a responsibility always to be conscious of the operating costs as well as the capital cost implications of any decisions they make". Tim Clark, Kevin Croncher and Paul Stoddard, "Pointing the Way", The Health Journal, 26 January 1989, P105.

Departmental policy requires that recurrent costs of new facility proposals are fully analysed and estimated at feasibility and master plan stages in the planning process, and then progressively refined as the project proceeds. It is critical that client groups and designers ensure that future facilities are sized for provision of only those services for which recurrent funds will be available under the Department's future funding and resource allocation projections.

The issue of 'recurrent costs' should be considered in the context of the provision of an appropriately designed and constructed safe working environment in a health facility. That is, the safety and security issues should be addressed during the planning process and incorporated into the 'structure' of the facility. If the planning and design process follows the requirements of this Guideline and undertakes an appropriate level of consideration of safety and security issues, there should be no significant increase in recurrent costs.

there should be no significant increase in recurrent costs. Designers and managers need to recognise that

Designers and managers need to recognise that recurrent costs also include injuries to staff, patients or other, or damage to property that may arise from poor design. In the case of safety and security issues, this includes the direct and indirect costs associated with crime and violence.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

STRUCTURE OF THIS GUIDELINE DEFINITION OF 'SAFETY AND SECURITY'

NSW Health is concerned with minimising risk in the public health care system, by the provision of a safe and secure environment for patients, staff and visitors. Therefore, the definition of "safety and security" for this Guideline specifically relates to the working environment.

The "terms" for the preparation of this Guideline relates specifically to the health facility infrastructure through which effective design supports a safe and secure working environment and minimises the potential for violence in the workplace.

Therefore, for the implementation of this Guideline, the term "safety and security" relates specifically to the provision of a safe and secure physical environment for health care workers, patients and visitors. This "physical environment" includes the infrastructure of the facility plus the building services operational systems to support that physical infrastructure. The definition also includes the provision of building services to support management of acts of violence, should they occur.

support management of acts of violence, should they occur. ANALYSIS BY FUNCTIONAL AREAS This Guideline consists

ANALYSIS BY FUNCTIONAL AREAS

This Guideline consists of an analysis of a 'Health Facility' undertaken on a "functional area" basis. That is, the analysis consists of assessments of generic individual Department within a Facility on the basis that the Department is a 'stand alone' Department.

It is recognised that each Facility will not have all of the Departments included in this Guideline. Manager, Planners, Designers need only incorporate those Departments which are incorporated in their Facility.

Notwithstanding the above, the design of a particular Department/Functional Area can only be partially determined in isolation from its actual location within the Facility and within its geographical location in the community. Therefore, in undertaking the risk analysis referenced in Section 2.3 below, users of this Guideline should take account of both Department location within the Facility, including external grounds and carparks, and the Facility location within its neighbourhood.

RISK ANALYSIS AND RISK MANAGEMENT

The basis of this Guideline is the implementation of an appropriate risk analysis of both the total Facility and the individual Health Units within the Facility. The risk analysis is to identify potential risks and potential areas of risk within the Facility.

The identification of potential risk can be enhanced by coordination with the local Area Crime Prevention Officer from the NSW Police Service and, where applicable, input from personnel in the 'Safer by Design' program. NSW Police are able to provide statistical data and "local knowledge" through their involvement with other agencies and organisations. This coordination must occur during the preparation of

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

the Project Feasibility Plan and the Procurement Definition Plan to ensure all issues are adequately addressed and funded.

Having identified and documented the relevant risks the planning process must then eliminate or minimise those risks by the application of risk management through suitable planning and design solutions.

It is recognised that the theft of equipment, stores, goods, drugs, etc, is a 'generic' risk throughout the whole of the Facility. That is, that the opportunity to illegally remove these items may place staff in a position of potential risk. This risk is not identified in each individual Functional Area listed in the following Sections of the Guideline, but is rather regarded as an underlying issue to be addressed in each Functional Area.

Of more significant consequence is the "generic risk" associated with client initiated violent incidents which occur within the workplace and which place the safety of staff, clients or the public at risk. To take account of workplace incidents the planning and design team must address the issues raised in the NSW Health document Effective Incident Response: A Framework For Prevention and Management in the Health Workplace, issued as Circular No. 2002/19, and the Safety and Security Manual.

as Circular No. 2002/19, and the Safety and Security Manual. It is not intended that the

It is not intended that the contents of this Guideline will identify all risks in all facilities and users should not rely on this document to list all risks. Planners, designers and managers are expected to utilise this document as a generic base for undertaking a detailed risk analysis of their facility, taking into account the location and all of the circumstances that are appropriate to that facility.

In undertaking the risk analysis and the risk management process, facility managers and planners should take into account the differences between remote/rural facilities and metropolitan facilities. Issues such as response times to violent events must be addressed not only by the facility design but also by operational policies.

CRIME PREVENTION THROUGH ENVIRONMENTAL DESIGN

Crime Prevention through Environmental Design (CPTED) is a situational crim prevention strategy that focuses on the design, planning and structure of cities and neighbourhoods. It aims to reduce opportunities for crime by employing design and place management principles that minimise the likelihood of essential crime ingredients from intersecting in time and space.

CPTED is widely recognised as an important crime prevention tool. But like any tool, it must suit the job and be used in the right way to be effective.

In 1993, the New South Wales Police Service developed the Community Safety Management Plan. The plan promoted interagency strategies that address social factors contributing to criminal behaviour, and a two-pronged situational crime prevention package known as the Safer by Design program. This latter program focuses on relationships between crime and the built environment.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

The proactive arm of Safer by Design is a cooperative initiative involving the NSW Police Service, several local councils, state government departments and private sector organisations. Principally, officers trained in Crime Prevention through Environmental Design (CPTED) are invited by consent authorities to review the safety and security implications of project designs, planning proposals or development applications. When reviewing larger developments, police, council planners and other qualified persons conduct formal crime risk assessments (known as Safer by Design Evaluations).

The identification of potential risk can be enhanced by coordination with the local Area Crime Prevention Officer from the NSW Police Service and, where applicable, input from personnel in the 'Safer by Design' program. NSW Police are able to provide statistical data and "local knowledge" through their involvement with other agencies and organisations. This coordination must occur during the preparation of the Project Feasibility Plan and the Procurement Definition Plan to ensure all issues are adequately addressed and funded.

to ensure all issues are adequately addressed and funded. ADDITIONAL INFORMATION This document should also be

ADDITIONAL INFORMATION

This document should also be read in conjunction with the following:

- The Process of Facility Planning, NSW Health Department, 1989.

- Workplace Health and Safety - A Better Practice Guide, Circular 2001/22.

- Effective Incident Response: A Framework for Prevention and Management in the Health Workplace, Circular 2002/19.

- NSW Health Safety and Security Manual, 1998.

- Guide to the Delineation of Roles of Area Health Services and Hospitals, NSW Health Department, 2nd edition, 1992.

- Building Code of Australia.

- NSW Police Service Crime Prevention Through Environmental Design (CPTED) and Safer by Design crime prevention programs.

- AS4485.1 - 1997, Security for health care facilities Part 1: General requirements.

- AS4485.2 - 1997, Security for health care facilities Part 2: Procedures Guide.

- NSW Occupational Health and Safety Act, 2000.

- OHS Regulation, 2001.

Whilst this document is primarily designed for the NSW health industry, it is also of use to wider range of users. To aid both those in the NSW sector as well as those from other states or overseas, there is some documentation of options or design considerations. These may either serve to more fully describe the base Health Building Guideline information or allow the user to adapt the information to their own use.

Users of this Guideline should also refer to the Design Guideline DS 26, Mental health Facility Planning Guideline. This document specifically addresses the issues raised in this Guideline in respect of Mental Health Facilities.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

APPLICATION OF THE GUIDELINES

RISKS AND CHECKLISTS

This Guideline has been prepared in two sections:

1. Section 3.0 is a generic assessment of the potential risk to safety and security by Functional Area/Department. This assessment is based on the function of the area and the consequent risk that may arise from those functions. For example, while Administration may in itself be seen as a low risk area, the fact that monies may be retained in this area may create a risk that needs to be defined through the risk analysis process.

As a consequence of the assessed generic risks, a number of potential solutions are provided.

2. Section 4.0 is a "checklist" for each Functional Area/Department.

a "checklist" for each Functional Area/Department. The team of personnel responsible fo r the planning, design

The team of personnel responsible for the planning, design and construction of a new or refurbished Facility will be responsible for the implementation and completion of the relevant checklists for their Facility.

However, the Facility Manager, the Project Director and the Design Consultant are jointly responsible for the adequacy and appropriateness of the completed checklists and risk analysis and will sign-off on each checklist. The Design Consultant will include in the Scheme Design Report the signed-off checklists as a record of compliance with the requirements of this Guideline, Operational Policies, and other statutory requirements. The checklists should subsequently be utilised as an aide memoir by the project team for the subsequent planning, design and consultation processes.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

Functional ADMINISTRATION / ACCOUNTS

Areas

GENERIC SAFETY AND/OR SECURITY RISKS

POTENTIAL SOLUTIONS

1.

This area is used to facilitate / manage all the Hospital Clinical and Support Areas. It contains confidential documents, which relate to the hospital and staff. Access by unauthorised person could lead to a breach in confidentiality.

1. Minimise entry and exit doors. Lockable main entry doors,

2. Receptionist to control access during "normal" working hours.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Hospital Employee Files 1. Staff records kept
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Hospital Employee Files
1. Staff records kept in secure area.
Key with Manager of area.
2. If any electronic files are produced,
locate in restricted area of hard drive.
2. Financial Records used by various Administration
personnel in this area
1. Financial records kept in secure
area. Key with Manager of area.
2. Personnel working on these must
return to secure area after use.
3.
If any electronic files are produced,
locate in restricted area of hard drive.
3. Money
1.
Keep cash to a minimum.
2.
Limit number of staff with access.
3.
Minimise locations where money
kept.
4.
Petty cash draw/safe in secure area.
5.
Use of strong rooms or safes, if
appropriate.
6.
Money handling (eg, cash counting)
should be out of view of the public.
4. Meeting Room for use in tele-conferencing and
general meetings
1.
Keep A/V equipment in lockable
cupboard.
2.
Door to area to remain locked when
not in use.
5. Furniture fittings and equipment including
Computers and Office Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
Keep equipment in lockable area.
6. Staff personal effects
1.
Provision for lockers in staff areas and
lockable desk drawer to keep small
personal effects.
7. Hospital personnel safety (after hours)
1.
Staff working after hours to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

ADMINISTRATION / DISCHARGE AREA

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area for interview of patients prior to
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Area for interview of patients prior to day of
surgery and on discharge. This involves interview
with Booked Admissions.
1.
Design safe interview rooms with counter
or screen division of area with easy
escape routes for staff.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Close contact with public being admitted to
hospital and relatives.
1. Fixed duress system attached to
every interview desk.
2. Minimise amount of relatives in
interview room by ensuring an adequate
waiting area.
3. Provide rooms with an alternate
means of egress for staff.
4. Design shape of interview rooms and
location of desks, etc, in such a way that
minimises risk to health personnel.
5. Provide storage and store items not
in constant use that could be used as
weapons. (Operational Policy).
6. Minimise furniture that can be used
as a weapon, ie, picked up and thrown.
2. Confidentiality of Medical records.
1. Records stored in secure area.
When not working on records staff must
return to secure area or return to Medical
Records Department.
2. If any electronic files are produced,
locate in restricted area of hard drive.
3. Furniture fittings and equipment including
Computers and Office Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
4. Hospital personnel safety (after hours)
1. Staff working after hours to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
5. Staff personal effects
1. Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

BIO-MEDICAL WORKSHOP

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area utilised for repair and maintenance of
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Area utilised for repair and maintenance of all bio-
medical equipment.
1.
ontrol access.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Staff security.
1. Access doors to be locked at all times
with key or card access provided to
appropriate staff and monitoring system
for personnel requiring access.
2. High Tech Equipment
1. Workshop lockable at all times when not
staffed.
3. Furniture fittings and equipment including
Computers and Office Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
4. Staff personal effects
1. Provision for lockers in staff areas and
lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DIETETICS

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used for dieticians working within the
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Area used for dieticians working within the Hospital
and outside in community.
1.
ontrol access to this area.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Staff security.
1. Access doors to be locked at all
times with key or card access provided to
appropriate staff.
2.
High Tech Equipment (if applicable)
2. Area lockable at all times when not
staffed.
3.
Furniture fittings and equipment including
Computers and Office Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
4.
Security of Medical records.
1. Records are stored in secure area.
When not working on records staff must
return to lockable storage areas.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
5.
Close contact with public being admitted to
hospital and relatives.
1.
Fixed duress system attached to every
interview desk.
2.
Minimise numbers of relatives by
ensuring an adequate waiting area.
3.
Provide bench seating selected so that
the personal space of waiting people is
not invaded.
4.
Provide rooms with an alternate means
of egress for staff.
5.
Design shape of interview rooms and
location of desks, etc, in such a way that
minimises risk to health personnel.
6.
Provide storage and store items not in
constant use that could be used as
weapons. (Operational Policy).
7.
Minimise furniture that can be used as a
weapon, ie, picked up and thrown.
6.
Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

EMERGENCY

GENERIC SAFETY AND/OR SECURITY RISKS

POTENTIAL SOLUTIONS

1.

24 hours a day / 7 days per week access to this Department.

1.

secure environment separating waiting from clinical areas.

 

2.

 

ppropriately-sized waiting area including adequate vending machines, public telephones, toilet facilities including baby change facility, comfortable seating, etc.

3.

 

inimise entry and exit doors with close observation of these doors.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Conflict with patients and relatives 1. Install
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Conflict with patients and relatives
1.
Install CCTV with video playback in
security office where necessary, provide
additional monitor in staff station.
2.
Install CCTV on 'after hours' access
points to allow clinical staff to monitor this
area.
3.
Provide video and/or intercom points to
'after hours' access points.
4.
Provide staff with appropriate security
barrier/screens including appropriate
provisions for patient contact and
document transfer.
5.
Provide staff with access to both 'fixed'
and 'mobile' duress systems.
6.
Provide good visibility from staff areas
into waiting areas.
7.
E.D. waiting room should not have
access to other areas of facility 'after-
hours'. This should be controlled by
security doors/barriers.
2.
Access to Department
1.
Control of patient/visitor access as
above.
2. Provide alternate access/egress to
Department for staff - not through Waiting
area.
3. Manage Ambulance Entrance to prevent
unauthorised access.
4. Access to treatment and staff areas
possible only through key-card access
system.
3.
Patient Files
1. Personnel working on these files
must return to secure area after use or
return to Medical Records Department.
2. The provision of internal lockable
post boxes to facilitate secure storage.
3. If any electronic files are produced,
locate in restricted area of hard drive.
4.
Furniture fittings and equipment including
Computers, Office and Medical Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
5.
Mental Health patients
1. Concealed medical services panel
including electrical points behind the
locked cabinet.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

2. Alternate exit door for staff in case of emergency. 6. Presence of Police guns.
2. Alternate exit door for staff in case of
emergency.
6. Presence of Police guns.
1. Provision of a gun safe in an
appropriate location.
7. Drugs storage
1. Dangerous drug safe within the clean
utility area.
8. Furniture in Waiting Area
1. Ensure seating, etc, is either
permanently fixed or is of sufficient 'bulk'
to prevent its use as a weapon, ie cannot
be picked up and thrown.
2. Do not include furniture of fittings
that may be utilised as weapons.
3. Provide bench seating selected so
that the personal space of waiting people
is not invaded.
9. Staff personal effects
1. Provision for lockers in staff areas and
lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

CENTRAL STERILISING DEPARTMENT

GENERIC SAFETY AND/OR SECURITY RISKS

GENERIC SAFETY AND/OR SECURITY RISKS

1.

Access to this area out of hours to retrieve sterile goods to departments.

POTENTIAL SOLUTIONS

POTENTIAL SOLUTIONS

1.

ontrol access.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Staff security. 1. Access doors to be
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Staff security.
1. Access doors to be locked at all times
with key or card access provided to
appropriate staff and monitoring system
for personnel requiring access.
2. After hours usage with minimal staff within a
remote location
1. Duress alarm.
2. Intercom system.
3. Furniture fittings and equipment including
Computers and Office Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
4. Staff personal effects
1. Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
5. Hospital personnel safety (after hours)
1. Staff working after hours to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

OPERATING THEATRES / RECOVERY DAY PROCEDURES

GENERIC SAFETY AND/OR SECURITY RISKS

GENERIC SAFETY AND/OR SECURITY RISKS

1.

To receive and return patients after undergoing surgery.

POTENTIAL SOLUTIONS

POTENTIAL SOLUTIONS

1.

inimise entry and exit doors and restricted area through to sterile areas.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Presence of drugs 1. Dangerous drug safe
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Presence of drugs
1. Dangerous drug safe within the clean
utility area.
2. Staff security.
1. Access doors to be locked at all
times with key or card access provided to
appropriate staff and monitoring system
for personnel requiring access.
3. Furniture fittings and equipment including
Computers and Office Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
4. Hospital personnel safety
1. Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2. Restrict/minimise access by relatives
to recovery area.
5. Staff personal effects
1. Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

RENAL

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used to treat patients requiring dialysis.
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Area used to treat patients requiring dialysis.
1.
ontrol access to this area.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
2. Patient medical records files
1. Personnel working on these records
must return to secure area after use or
return to Medical Records Department.
2. If any electronic files are produced,
locate in restricted area of hard drive.
3. Drugs storage
1. Dangerous drug safe within the clean
utility area.
4. Hospital personnel safety
1. Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2. Access doors to be locked at all times
with key or card access provided to
appropriate staff and monitoring system
for personnel requiring access.
5. Staff personal effects
1. Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

KITCHEN

GENERIC SAFETY AND/OR SECURITY RISKS

GENERIC SAFETY AND/OR SECURITY RISKS

1.

Food preparation, handling and return of trays for dishwashing in this area.

POTENTIAL SOLUTIONS

POTENTIAL SOLUTIONS

1.

ontrol access to this area.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Food storage 1. Lockable cool rooms and
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Food storage
1. Lockable cool rooms and freezers
which comply with OHS requirements
regarding confined spaces, access, and
viewing panels.
2. Inventory of stock in and out.
2. Furniture fittings and equipment including
Computers and Office Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
3. Staff personal effects
1. Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
4. Staff Security
1. Access doors to be locked and
monitoring system for personnel requiring
access.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MATERNITY

GENERIC SAFETY AND/OR SECURITY RISKS

GENERIC SAFETY AND/OR SECURITY RISKS

1.

Pre-natal, birthing, post natal, mothers with sick and well baby's nursery.

POTENTIAL SOLUTIONS

POTENTIAL SOLUTIONS

1.

inimise entry and exit doors to all areas with newborn babies, minimising the risk of illegal removal of babies.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors – includes risk of
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Relatives / Visitors – includes risk of violence from
non-custodial, alcohol or drug affected
parents/visitors.
1. Staff station at main entrance to allow
staff to monitor access and egress.
2. Good visibility from staff station to
nursery.
3. Minimise number of relatives/visitors
admittance in the area by restricting
number of relatives/visitors attending at
any one time and/or restricting visiting
hours to set times.
4.
Implement appropriate specific security
procedures in respect of the risk
associated with illegal removal of babies.
5.
If appropriate, install system in hallways
to monitor all personnel entering wards.
6.
Courtyards, where provided, to be
securely screened/fenced and adequately
monitored (from Staff Station, CCTV,
etc.)
2.
Illegal removal of babies
1.
Minimise entry/exit doors.
2.
Controlled access of entry/exit doors.
3.
No external opening doors/windows.
4.
All egress past staff station.
5.
CCTV on entry/exit doors.
3.
Patient files
1.
Personnel working on these files
must return to secure area after use or
return to Medical Records Department.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
4.
Drugs storage
1.
Dangerous drug safe within the clean
utility area.
5.
Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
6.
Safety of Hospital personnel
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
7.
Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MEDICAL IMAGING

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area where outpatients and inpatients come for
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Area where outpatients and inpatients come for
treatment.
1.
ontrol access.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
2. Patient files
1.
Personnel working on these must
return to secure area after use or return
to Medical Records Department.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
3. Drugs storage
1.
Dangerous drug safe within the clean
utility area.
4. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Provide appropriate after-hours
access and security, including secure
access from all parts of the facility.
5. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MEDICAL RECORDS

GENERIC SAFETY AND/OR SECURITY RISKS

GENERIC SAFETY AND/OR SECURITY RISKS

1.

Area where patient records are maintained including active and archival files.

POTENTIAL SOLUTIONS

POTENTIAL SOLUTIONS

1.

inimise entry and exit doors with lockable area at all time.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Patient files 1. Personnel working on these
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Patient files
1. Personnel working on these files
must return to secure area after use.
2. If any electronic files are produced,
locate in restricted area of hard drive.
2. Medico-legal files
1. Keep in lockable area with staff
access only.
3. Furniture fittings and equipment including
Computers and Office Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value
2. Keep equipment in lockable area.
4. Hospital personnel safety
1. Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2. Provide appropriate after-hours
access and security, including secure
access from all parts of the facility.
5. Staff personal effects
1. Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PAEDIATRIC

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Ward area to house paediatric patients. 1.
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Ward area to house paediatric patients.
1.
Control access.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Relatives / Visitors
1. Nurses station located at entrance to
monitor access and egress.
2. Good visibility from staff station to ward.
3. Minimise number of relatives/visitors
admittance in the area by restricting
number of relatives/visitors attending at
any one time and/or restricting visiting
hours to set times.
4. Implement appropriate specific security
procedures in respect of the risk
associated with illegal removal of
children.
5.
Install appropriate surveillance system to
monitor access to wards.
6.
Courtyards, where provided, to be
securely screened/fenced and adequately
monitored (from Staff Station, CCTV,
etc.).
7.
Control access to play areas to restrict
unsupervised activities.
2.
Patient Files
1.
Personnel working on these must
return to secure area after use or return
to Medical Records Department
2.
If any electronic files are produced,
locate in restricted area of hard drive.
3.
Drugs storage
1.
Dangerous drug safe within the clean
utility area.
4.
Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
5.
Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2. Design shape of interview rooms and
location of desks, etc, in such a way that
minimises risk to health personnel.
3. Provide storage and store items not in
constant use that could be used as
weapons. (Operational Policy).
4. Minimise furniture that can be used as a
weapon, ie, picked up and thrown.
6.
Staff personal effects
1. Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PHARMACY

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry for personnel visiting or working within
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Entry for personnel visiting or working within the
clinic.
1.
CCTV monitoring of e
2.
Intercom on
3.
Use of reed switches on all external do
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Client / Visitor access
1.
Client access to secure dispensing
counter but not to 'secure' areas utilised
to store and dispense drugs.
2. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
Keep equipment
3. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Locked doors between dispensing areas
and clients.
3.
Dispensing Counter to be constructed to
prevent unauthorised client entry/access.
4.
Determine risk of hold-up/break-in and
design facility to meet risk.
4. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
5. Drugs storage
1.
Drugs safe to be located in area that
can be monitored by staff.
2.
Safes to comply with the Poisons Act
in respect of secure storage provisions.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PODIATRY

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used to treat outpatients. 1. ontrol
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Area used to treat outpatients.
1.
ontrol access.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
2. Patient files
1.
Personnel working on these files
must return to secure area after use or
return to Medical Records Department.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
3. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
4. Hospital Personnel Safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Locked doors between patient and work
areas.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

REHABILITATION

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area to treat inpatient and outpatient 1.
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Area to treat inpatient and outpatient
1.
ontrol access.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Patient files
1.
Personnel working on these files
must return to secure area after use or
return to Medical Records Department.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
2. Furniture Fitting and Equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
3. Staff personal effects
1.
Provision for lockers in staff areas and
lockable desk drawer to keep small
personal effects.
4. Hospital Personnel Safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Locked doors between patient and work
areas.
5. Patient "wandering"
1.
Appropriate alarm system on doors
and/or personal locater system.
6. Hydrotherapy Pools
1.
More then one staff member to be
always present to provide assistance.
2.
Strategic location of fixed duress buttons
to summon assistance.
3.
Alternate means of egress.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

SOCIAL WORKER

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Interviews with inpatients and outpatients within an
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Interviews with inpatients and outpatients within an
office environment.
1.
ontrol access.
2.
ood visibility from offices.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Relatives / Visitors
1.
Adequate waiting area.
2. Patient files
1.
Personnel working on these files
must return to secure area after use or to
the Medical Records Department.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
3. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
4. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Interview rooms to have suitable
alternate means of egress for staff.
3.
Design shape of interview rooms and
location of desks, etc, in such a way that
minimises risk to health personnel.
4.
Provide storage and store items not in
constant use that could be used as
weapons. (Operational Policy).
5.
Minimise furniture that can be used as a
weapon, ie, picked up and thrown.
5. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

STRESS TESTING

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Treatment and diagnostic area. 1. ontrol access.
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Treatment and diagnostic area.
1.
ontrol access.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
2. Patient files
1.
Personnel working on these must
return to secure area after use or to the
Medical Records Department.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
3. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

OUTPATIENT AREA

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Treatment area. 1. inimise entry and exit
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Treatment area.
1.
inimise entry and exit doors.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Patient files
1.
Personnel working on these files
must return to secure area after use or
return to the Medical Records
Department.
2.
If any electronic files are produced,
locate in restricted area of hard drive.
2.
Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
3.
Drugs storage
1.
Dangerous drug safe within the clean
utility area.
4.
Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Appropriately designed waiting area
including, where possible:
-
barrier between staff and patients,
-
bench seating,
-
ensure no loose fittings which can be
utilised as a weapon,
-
vending machines.
3.
Design shape of interview rooms and
location of desks, etc, in such a way that
minimises risk to health personnel.
4.
Provide storage and store items not in
constant use that could be used as
weapons.
5.
Minimise furniture that can be used as a
weapon, ie, picked up and thrown.
5.
Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

ICU / CCU / HDU

GENERIC SAFETY AND/OR SECURITY RISKS

POTENTIAL SOLUTIONS

1.

Ward area to house intensive care and coronary care patients.

1.

inimise entry and exit doors.

 

2.

 

ecurity of entry via intercom and remote release button.

3.

 

taff entry via keypad or swipe card, this being a separate entry from visitors / relatives.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Good visibility from
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Relatives / Visitors
1.
Good visibility from staff station to
ward.
2.
Manage relatives/visitors admittance
in the area by restricting visiting hours
and/or number of visitors.
2. Patient files
1.
Personnel working on these files
must return to secure area after use or
return to Medical Records Department
2.
f any electronic files are produced, locate
in restricted area of hard drive.
3. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
4. Drugs storage
1.
Dangerous drug safe within the clean
utility area.
5. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Provision of an adequate waiting
area for relatives/visitors that may be in
the area "out of hours". This area to be
able to be secured and monitored by
staff.
6. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

LIBRARY / EDUCATION

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Study and education area for staff and
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Study and education area for staff and hospital
personnel.
1.
ontrol access.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
2. Out of hours usage (if applicable)
1.
Staff working after hours to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
3. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
4. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

SURGICAL

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Ward area for surgical patients. 1. inimise
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Ward area for surgical patients.
1.
inimise entry and exit doors.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Relatives / Visitors
1.
Good visibility from staff station to
ward.
2.
Minimise relatives / visitors
admittance in the area by restricting
visiting hours.
2. Patient files
1.
Personnel working on these files
must return to secure area after use or
return to Medical Records Department.
2.
f any electronic files are produced, locate
in restricted area of hard drive.
3. Furniture fittings equipment including Computers,
Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
4. Drugs storage
1.
Dangerous drug safe within the clean
utility area.
5. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Design shape of interview rooms and
location of desks, etc, in such a way that
minimises risk to health personnel.
3.
Provide storage and store items not in
constant use that could be used as
weapons.
4.
Minimise furniture that can be used as a
weapon, ie, picked up and thrown.
6. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MAIN ENTRY

GENERIC SAFETY AND/OR SECURITY RISKS

POTENTIAL SOLUTIONS

1.

Entry by all relevant personnel visiting or working within the Hospital.

1.

CTV with video playback.

 

2.

 

fter hours remote switch and intercom.

3.

 

se of reed switches on all external doors and swipe card entries.

4.

 

ecurity personnel accommodated in this area to monitor all areas via TV monitor.

5.

 

ontrol of access "after hours".

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Relatives / Visitors 1. Staff separated from
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Relatives / Visitors
1.
Staff separated from public by an
appropriate screen with slit for document
transfer, and appropriate voice transfer
"system".
2. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
eep equipment in lockable area.
3. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
4. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
5. Cash Handling
1.
Keep cash to a minimum.
2.
Limit number of staff with access.
3.
Minimise locations where money kept.
4.
Petty cash draw/safe in secure area.
5.
Use of strong rooms or safes, if
appropriate.
6.
Money handling (eg, cash counting)
should be out of view of the public.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

WARDS

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry by all relevant personnel visiting or
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Entry by all relevant personnel visiting or working
within the Hospital.
1.
CCTV monitoring of War
2.
After hours remote switch a
3.
Use of reed switches on all exte
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Relatives / Visitors
1.
Good visibility from staff station to
ward.
2.
Manage relatives/visitors admittance
in the area by restricting visiting hours
and/or number of visitors.
2. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
Keep equipment
3. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Design shape of interview rooms and
location of desks, etc, in such a way that
minimises risk to health personnel.
3.
Provide storage and store items not in
constant use that could be used as
weapons. (Operational Policy).
4.
Minimise furniture that can be used as a
weapon, ie, picked up and thrown.
4. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
5. Drugs storage
1.
Drugs safe to be located in area that
can be monitored by staff.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

METHADONE CLINIC

GENERIC SAFETY AND/OR SECURITY RISKS

POTENTIAL SOLUTIONS

1.

Entry of personnel visiting or working within the clinic.

1. CCTV monitoring of entry and exit doorways.

 

2. Intercom on entry doors.

3. Use of reed switches on all external doors and swipe card entry to staff areas.

4. Public accessible spaces to be designed to eliminate spaces conducive to illegal activity.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Client / Visitor access 1. Client access
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Client / Visitor access
1.
Client access to Clinic but not to
'secure' areas utilised to store and
dispense drugs.
2. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
Keep equipment
3. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Locked doors between Clinic dispensing
areas and clients.
3.
Interview rooms to have alternate means
of staff egress.
4.
Dispensing Counter to be constructed to
prevent unauthorised client entry/access.
5.
Waiting area furniture to be designed to
be unlikely to be utilised as a weapon.
4. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
5. Drugs storage
1.
Drugs safe to be located in area that
can be monitored by staff.
2.
Safes to comply with the Poisons Act
in respect of secure storage provisions.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

NEEDLE / SYRINGE EXCHANGE

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Entry by all relevant personnel visiting or
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Entry by all relevant personnel visiting or working
within the Hospital.
1.
Determine most appropriate methodolo
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Client access
1.
Provide secure environment for
exchange or procurement of clean
injecting equipment.
2. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1.
Non-removable 'Asset No.' on all
equipment above a predetermined value.
2.
Keep equipment
3. Hospital personnel safety
1.
Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2.
Only authorised Needle/Syringe
Program personnel to dispense clean
injecting equipment and collect used
needles and syringes.
3.
Option of syringe dispensing
machines.
4.
Staff to be provided with appropriate
'sharps' containers / "Used" injecting
equipment not to be touched by staff -
clients to place in 'sharps' containers.
5.
All staff to wear appropriate safety
clothing/equipment.
4. Staff personal effects
1.
Provision for lockers in staff areas
and lockable desk drawer to keep small
personal effects.
5. Drugs storage
1.
Drugs safe to be located in area that
can be monitored by staff.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

RETAIL AREA

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Access by all personnel visiting or working
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Access by all personnel visiting or working within
the Hospital.
1.
CCTV monitoring of e
2.
No after ho
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Staff/Patient/Visitors access
1. Design to minimise opportunities for
people to loiter.
2. Furniture fittings and equipment
1. Where applicable, non-removable 'Asset
No.' on all equipment above a
predetermined value.
2. Keep equipment in lockable area.
3. Public Telephone locations
1. Locate in a position that does not
allow people to use pretence of public
phone utilisation to monitor retail area.
4. Hospital personnel safety
1. Where applicable, Staff working in
this area to have knowledge of where the
fixed duress system is located and/or use
a mobile duress pendant.
5. Staff personal effects
1. Provision for lockers in staff areas and
lockable desk drawer to keep small
personal effects.
2. 2.
Do not include staff lockers/etc in
areas accessible by Public.
6. Cash Management
1. Minimise cash in cash registers.
2. Drop-safe located in high-visibility area.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

CARPARKING / EXTERNAL AREAS

GENERIC SAFETY AND/OR SECURITY RISKS

POTENTIAL SOLUTIONS

1.

Secure access for facility personnel from car to security of the facility.

1. CCTV monitoring.

2. Carpark location in respect of staff access doors.

 

3. Security.

4. Fencing.

5. Lighting.

6. Nominated staff parking.

SPECIFIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Hospital personnel safety. 1. Provision of
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Hospital personnel safety.
1. Provision of 'non-public'/staff parking
area adjacent to staff entrance/s.
2. Minimise, if possible, public access to
staff carparking areas.
3. Eliminate landscaping that could be
utilised as a place of concealment by
personnel.
4. Ensure appropriate level of lighting at
night.
5. Provide highly visible fixed duress alarm
points.
6. Monitor carpark by CCTV.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MORTUARY

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area for temporary storage of deceased patients,
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Area for temporary storage of deceased patients,
and the provision of viewing facilities for relatives.
1. Minimise entry and exit doors.
2. Security of Entry via intercom.
3. Separation of staff and visitor areas.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Relatives / Visitors
1. Manage relatives/visitors admittance to
the viewing area by restricting number of
persons.
2. Separate viewing area from staff area by
physical barrier.
3. Provision of an adequate waiting area for
relatives/visitors that may be in the area
"out-of-hours". This area to be able to be
secured and monitored by staff.
2. Hospital personnel safety
1. Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
3. Theft of patient personal effects
1. Provision of suitable secure area/
cabinet/etc for the storage of patient
personal effects.
4. Staff personal effects
1. Provision of lockers in staff areas and
lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DENTAL CLINIC

GENERIC SAFETY AND/OR SECURITY RISKS POTENTIAL SOLUTIONS 1. Area used to provide dental treatment to
GENERIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1.
Area used to provide dental treatment to patients.
1.
Control access to this area.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
2. Patient medical records files
1. Personnel working on these records
must return to secure area after use or
return to Medical Records Department.
2. If any electronic files are produced,
locate in restricted area of hard drive.
3. Drugs storage
1. Drug safe within the clean utility area or
other appropriate area.
4. Hospital personnel safety
1. Provide suitable working area for
patients, but prevent unauthorised
access from waiting area to treatment
area.
2. Restrict number of patients/relatives in
treatment area.
3. Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
4. Access doors to be locked at all times
with key or card access provided to
appropriate staff and monitoring system
for personnel requiring access.
5. Staff personal effects
1. Provision for lockers in staff areas and
lockable desk drawer to keep small
personal effects.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PATHOLOGY

1. Access for personnel working in the area and patients obtaining test results, etc. 1.
1.
Access for personnel working in the area and
patients obtaining test results, etc.
1. Control access to patient reception area.
2. Use of reed switches on all external
doors and swipe card entry to staff areas.
SPECIFIC SAFETY AND/OR SECURITY RISKS
POTENTIAL SOLUTIONS
1. Patient access
1. Patient access to secure reception
counter but not to 'secure' areas utilised
to undertake testing.
2. Furniture fittings and equipment including
Computers, Office and Medical Equipment
1. Non-removable 'Asset No.' on all
equipment above a predetermined value.
2. Keep equipment in lockable area.
3. Hospital personnel safety
1. Staff working in this area to have
knowledge of where the fixed duress
system is located and/or use a mobile
duress pendant.
2. Locked doors between reception counter
and work area.
3. Reception Counter to be constructed to
prevent unauthorised patient
entry/access.
4. Staff personal effects
1. Provision for lockers in staff areas and
lockable desk drawer to keep small
personal effects.
5. Drugs storage
1. Drugs safe to be located in area that can
be monitored by staff.
2. Safes to comply with the Poisons Act in
respect of secure storage provisions.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

Checklists

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY Checklists WORKING DRAFT Revision Date 03.10.02 Page 45 of

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

ADMINISTRATION / ACCOUNTS FACILITY: DEPARTMENT: Administration/Accounts RISK ISSUE DESIGN RESPONSE 1. Do staff have
ADMINISTRATION / ACCOUNTS
FACILITY:
DEPARTMENT: Administration/Accounts
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and
mobile duress systems ?
2. How is access to patient records restricted to
staff entitled to that access ?
3. How is after hours access provided for staff ?
4. How are the offices secured during and after
hours ?
5. How is money secured ?
6. Are there lockable storage areas available for
specialised equipment ?
7. Is lockable furniture provided for staff
personal effects storage ?
8. Are money handling facilities secure and not
in public view ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

ADMINISTRATION / DISCHARGE AREA FACILITY: DEPARTMENT: Administration/Discharge RISK ISSUE DESIGN RESPONSE 1. Do
ADMINISTRATION / DISCHARGE AREA
FACILITY:
DEPARTMENT: Administration/Discharge
RISK ISSUE
DESIGN RESPONSE
1.
Do staff have access to both fixed and
mobile duress systems ?
2.
How is access to patient records restricted to
staff entitled to that access ?
3.
How is after hours access provided for staff?
4.
How are the offices secured during and after
hours?
6.
How is money secured?
7.
Are there lockable storage areas available for
specialised equipment?
8.
Is lockable furniture provided for staff
personal effects storage?
9.
Are interview rooms appropriately designed
with specific reference to staff egress,
furniture selection, furniture location,
provision for storage of equipment, etc.
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

BIO-MEDICAL WORKSHOP

FACILITY:

DEPARTMENT: Bio-Medical Workshop

RISK ISSUE

DESIGN RESPONSE

1. How are the offices secured during and after hours ?

 

2. Are there lockable storage areas available for specialised equipment ?

 

3. Is lockable furniture provided for storage of staff personal effects ?

 

4. How is access monitored ?

 
DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF Name: ……………… Position: ……………… Signature:
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DIETETICS FACILITY: DEPARTMENT: Dietetics RISK ISSUE DESIGN RESPONSE 1. Do staff have access to both
DIETETICS
FACILITY:
DEPARTMENT: Dietetics
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and mobile
duress systems ?
2. How is access to patient records restricted to
staff entitled to that access ?
3. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
4. How are the offices secured during and after
hours?
5. Are interview rooms appropriately designed
with specific reference to staff egress,
furniture selection, furniture location, provision
for storage of equipment, etc.
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

EMERGENCY

FACILITY:

DEPARTMENT: Emergency

RISK ISSUE DESIGN RESPONSE 1. Has a CCTV System been considered to monitor the waiting
RISK ISSUE
DESIGN RESPONSE
1.
Has a CCTV System been considered to
monitor the waiting area and/or access to the
public access points in the waiting area ?
2.
How is 'after hours' access provided for
patients and how is this access point
monitored ?
3.
Has a secure "barrier" been installed
between staff and the waiting area to:
(a)
monitor the waiting area;
(b)
(c)
(d)
provide staff contact with patients;
provide adequate visual and audible
communication; and
allow for document and item transfer.
4.
Do staff have access to both fixed and
mobile duress systems ?
5.
Is access to patient records restricted to
staff entitled to that access ?
6.
Is a system implemented to prevent theft
of equipment, files, personal possessions,
etc ?
7.
How does the ED address assessment /
treatment of potential Mental Health patients
in the ED ?
8.
Is a gun safe required and is it
incorporated in the design ?
9.
Are drug safes installed in accordance
with current regulations ?
10.
Is the waiting area furniture incapable of
being utilised as a "weapon" ?
11. How is unauthorised access prevented
from Ambulance entrance ?
12. Is there a means of access/egress for
staff other than through the Waiting Area ?
13. How is after hours access provided for
staff ?
14. How is this area secured during and after
hours, and is access prevented to other
areas of the facility after hours ?
15. Are there lockable storage areas
available for specialised equipment ?
16. Is lockable furniture provided for storage
of staff personal effects ?
17. Is appropriate bench seating provided for
patients/visitors/relatives ?
18. If a TV is provided in waiting area, is it
securely fixed and out of reach of visitors,

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

etc. ? DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF Name: ……………… Position: ……………… Signature:
etc. ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

CENTRAL STERILISING DEPARTMENT FACILITY: DEPARTMENT: Central Sterilising RISK ISSUE DESIGN RESPONSE 1. Do staff have
CENTRAL STERILISING DEPARTMENT
FACILITY:
DEPARTMENT: Central Sterilising
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and mobile
duress systems ?
2. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
3. Do staff have access to both fixed and mobile
duress systems ?
4. How is after hours access provided to staff?
5. How is this area secured during and after
hours?
6. Are there lockable storage areas available for
specialised equipment?
7. Is lockable furniture provided for storage of
staff personal effects?
8. How is access monitored ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

OPERATING THEATRES / RECOVERY DAY PROCEDURES FACILITY: DEPARTMENT: Operating Theatres/ Recovery Day Procedures RISK
OPERATING THEATRES / RECOVERY DAY PROCEDURES
FACILITY:
DEPARTMENT:
Operating Theatres/ Recovery
Day Procedures
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and mobile
duress systems ?
2. Is access to patient records restricted to staff
entitled to that access ?
3. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
4. Are drug safes installed in accordance with
current regulations ?
5. How is after hours access provided for staff?
6. How is this area secured during and after
hours?
7. Are there lockable storage areas available for
specialised equipment?
8. Is lockable furniture provided for storage of
staff personal effects?
9. How is access monitored ?
10. How is access by relatives/visitors managed
and monitored ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

RENAL FACILITY: DEPARTMENT: Renal RISK ISSUE DESIGN RESPONSE 1. How is 'after hours' access provided
RENAL
FACILITY:
DEPARTMENT: Renal
RISK ISSUE
DESIGN RESPONSE
1. How is 'after hours' access provided for
patients and how is this access point
monitored ?
2. Do staff have access to both fixed and mobile
duress systems ?
3. Is access to patient records restricted to staff
entitled to that access ?
4. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
5. Are drug safes installed in accordance with
current regulations ?
6. How is after hours access provided for staff?
7. How is this area secured during and after
hours?
8. Are there lockable storage areas available for
specialised equipment?
9. Is lockable furniture provided for storage of
staff personal effects?
10. How is access monitored ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

KITCHEN FACILITY: DEPARTMENT: Kitchen RISK ISSUE DESIGN RESPONSE 1. Do staff have access to both
KITCHEN
FACILITY:
DEPARTMENT: Kitchen
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and mobile
duress systems ?
2. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
3. How is after hours access provided for staff?
4. How is this area secured during and after
hours?
5. Are there lockable storage areas available for
specialised equipment?
6. Is lockable furniture provided for storage of
staff personal effects?
7. How is access monitored ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MATERNITY FACILITY: DEPARTMENT: Maternity RISK ISSUE DESIGN RESPONSE 1. How is 'after hours' access provided
MATERNITY
FACILITY:
DEPARTMENT: Maternity
RISK ISSUE
DESIGN RESPONSE
1. How is 'after hours' access provided for
patients and how is this access point
monitored ?
2. Do staff have access to both fixed and mobile
duress systems ?
3. Is access to patient records restricted to staff
entitled to that access ?
4. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
5. Are drug safes installed in accordance with
current regulations ?
6. How is after hours access provided for staff?
7. How are the offices secured during and after
hours?
8. Are there lockable storage areas available for
specialised equipment?
9. Is lockable furniture provided for storage of
staff personal effects?
10. How does this Department address the
security of babies ?
11. What systems are utilised to monitor access
to rooms/wards by patients/visitors ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MEDICAL IMAGING

FACILITY: DEPARTMENT: Medical Imaging RISK ISSUE DESIGN RESPONSE 1. How is 'after hours' access provided
FACILITY:
DEPARTMENT: Medical Imaging
RISK ISSUE
DESIGN RESPONSE
1. How is 'after hours' access provided for
patients and how is this access point
monitored ?
2. Do staff have access to both fixed and mobile
duress systems ?
3. Is access to patient records restricted to staff
entitled to that access ?
4. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
5. How is after hours access provided for staff?
6. How is this area secured during and after
hours?
7. Are there lockable storage areas available for
specialised equipment?
8. Is lockable furniture provided for storage of
staff personal effects?
9. Has a secure waiting area been planned in
this area that allows for the public to present
at a counter, sign forms, wait and then receive
photocopies of relevant records as
requested?
10. How is after-hours access provided to staff
and patients ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MEDICAL RECORDS

FACILITY: DEPARTMENT: Medical Records RISK ISSUE DESIGN RESPONSE 1. Do staff have access to both
FACILITY:
DEPARTMENT: Medical Records
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and mobile
duress systems ?
2. Is access to patient records restricted to staff
entitled to that access ?
3. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
4. How is after hours access provided for staff?
5. How is this area secured during and after
hours?
6. Are there lockable storage areas available for
specialised equipment?
7. Is lockable furniture provided for storage of
staff personal effects?
8. How is after-hours access provided for staff,
including access from all other areas of the
facility ?
9. Has a secure waiting area been planned in
this area that allows for the public to present
at a counter, sign forms, wait and then receive
photocopies of relevant records as
requested?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PAEDIATRIC

FACILITY:

DEPARTMENT: Paediatric

RISK ISSUE DESIGN RESPONSE 1. How is 'after hours' access provided for patients and how
RISK ISSUE
DESIGN RESPONSE
1.
How is 'after hours' access provided for
patients and how is this access point
monitored ?
2.
Do staff have access to both fixed and mobile
duress systems ?
3.
Is access to patient records restricted to staff
entitled to that access ?
4.
Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
5.
Are drug safes installed in accordance with
current regulations ?
6.
How is after hours access provided for staff?
7.
How are the offices secured during and after
hours?
8.
Are there lockable storage areas available for
specialised equipment?
9.
Is lockable furniture provided for storage of
staff personal effects?
10.
What system has been implemented to
prevent the illegal removal of children ?
11.
Are interview rooms appropriately designed
with specific reference to staff egress,
furniture selection, furniture location, provision
for storage of equipment, etc.
12.
What surveillance/monitoring system will be
implemented to monitor access to
rooms/wards ?

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF Name: ……………… Position: ……………… Signature:
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PHARMACY FACILITY: DEPARTMENT: Pharmacy RISK ISSUE DESIGN RESPONSE 1. Has a secure "barrier" been installed
PHARMACY
FACILITY:
DEPARTMENT: Pharmacy
RISK ISSUE
DESIGN RESPONSE
1. Has a secure "barrier" been installed between
staff and the dispensing area to:
(a)
monitor the dispensing area; and
(b)
provide staff contact with patients.
2. Do staff have access to both fixed and mobile
duress systems ?
3. Is access to patient records restricted to staff
entitled to that access ?
4. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
5. Are drug safes installed in accordance with
current regulations and the Poisons Act ?
6. Is the dispensing area furniture incapable of
being utilised as a "weapon" ?
7. How is after hours access provided for staff?
8. How is this area secured during and after
hours?
9. Are there lockable storage areas available for
specialised equipment?
10. Is lockable furniture provided for storage of
staff personal effects?
11. Has the potential risk of hold-up and/or break-
in been addressed in the design ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

PODIATRY FACILITY: DEPARTMENT: Podiatry RISK ISSUE DESIGN RESPONSE 1. Is access to patient records restricted
PODIATRY
FACILITY:
DEPARTMENT: Podiatry
RISK ISSUE
DESIGN RESPONSE
1. Is access to patient records restricted to staff
entitled to that access ?
2. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc, ?
3. How is this area secured during and after
hours ?
4. Are there lockable storage areas available for
specialised equipment ?
5. Is lockable furniture provided for storage of
staff personal effects ?
6. Do staff have access to both fixed and mobile
duress systems ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

REHABILITATION FACILITY: DEPARTMENT: Rehabilitation RISK ISSUE DESIGN RESPONSE 1. Do staff have access to both
REHABILITATION
FACILITY:
DEPARTMENT: Rehabilitation
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and mobile
duress systems ?
2. Is access to patient records restricted to staff
entitled to that access ?
3. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
4. How is this area secured during and after
hours?
5. Are there lockable storage areas available for
specialised equipment?
6. Is lockable furniture provided for storage of
staff personal effects?
7. Has a system been included to address
'patient wandering' ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

SOCIAL WORKER

FACILITY:

DEPARTMENT: Social Worker

RISK ISSUE

DESIGN RESPONSE

1. How is 'after hours' access provided for patients and how is this access point monitored ?

2. Do staff have access to both fixed and mobile duress systems ?

3. Do interview rooms provide for alternate forms of egress for staff ?

4. Has furniture in interview rooms been minimised, and selected as appropriate for this area ?

5. Is access to patient records restricted to staff entitled to that access ? 6.
5. Is access to patient records restricted to staff
entitled to that access ?
6. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
7. How is after hours access provided for staff?
8. How are the offices secured during and after
hours?
9. Are there lockable storage areas available for
specialised equipment?
10. Is lockable furniture provided for storage of
staff personal effects?
11. Are interview rooms appropriately designed
with specific reference to staff egress,
furniture selection, furniture location, provision
for storage of equipment, etc.
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

STRESS TESTING FACILITY: DEPARTMENT: Stress Testing RISK ISSUE DESIGN RESPONSE 1. Is access to patient
STRESS TESTING
FACILITY:
DEPARTMENT: Stress Testing
RISK ISSUE
DESIGN RESPONSE
1. Is access to patient records restricted to staff
entitled to that access ?
2. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
3. How is this area secured during and after
hours?
4. Are there lockable storage areas available for
specialised equipment?
5. Is lockable furniture provided for storage of
staff personal effects?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

OUTPATIENT AREA

FACILITY: DEPARTMENT: Outpatient Area RISK ISSUE DESIGN RESPONSE 1. Is access to patient records restricted
FACILITY:
DEPARTMENT: Outpatient Area
RISK ISSUE
DESIGN RESPONSE
1. Is access to patient records restricted to staff
entitled to that access ?
2. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
3. Are drug safes installed in accordance with
current regulations ?
4. How is this area secured during and after
hours?
5. Are there lockable storage areas available for
specialised equipment?
6. Is lockable furniture provided for storage of
staff personal effects?
7. Is waiting area appropriately designed to
include, where appropriate:
-barrier between patients and staff,
-appropriate seating for patients,
-absence of loose fittings,
-vending machines,
-
TV
8. Are interview rooms appropriately designed
with specific reference to staff egress,
furniture selection, furniture location, provision
for storage of equipment, etc.
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

ICU / CCU / HDU

FACILITY: DEPARTMENT: ICU / CCU / HDU RISK ISSUE DESIGN RESPONSE 1. Has a CCTV
FACILITY:
DEPARTMENT: ICU / CCU / HDU
RISK ISSUE
DESIGN RESPONSE
1.
Has a CCTV System been considered to
monitor the waiting area and/or access to the
public access points in the waiting area ?
2.
How is 'after hours' access provided for
patients and how is this access point
monitored ?
3.
Has a secure "barrier" been installed between
staff and the waiting area to:
(a)
monitor the waiting area; and
(b)
provide staff contact with patients.
4.
Do staff have access to both fixed and mobile
duress systems ?
5.
Is access to patient records restricted to staff
entitled to that access ?
6.
Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
7.
Are drug safes installed in accordance with
current regulations ?
8.
Is the waiting area furniture incapable of being
utilised as a "weapon" ?
9.
How is after hours access provided for staff?
10.
How is this area secured during and after
hours?
11.
Are there lockable storage areas available for
specialised equipment?
12.
Is lockable furniture provided for storage of
staff personal effects?

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF Name: ……………… Position: ……………… Signature:
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

LIBRARY / EDUCATION FACILITY: DEPARTMENT: Library / Education RISK ISSUE DESIGN RESPONSE 1. Do staff
LIBRARY / EDUCATION
FACILITY:
DEPARTMENT: Library / Education
RISK ISSUE
DESIGN RESPONSE
1. Do staff have access to both fixed and mobile
duress systems ?
2. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
3. If applicable, how is after hours access
provided for staff?
4. How is this area secured during and after
hours?
5. Are there lockable storage areas available for
specialised equipment?
6. Is lockable furniture provided for storage of
staff personal effects?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

SURGICAL

FACILITY:

DEPARTMENT: Surgical

RISK ISSUE DESIGN RESPONSE 1. Has a CCTV System been considered to monitor the waiting
RISK ISSUE
DESIGN RESPONSE
1.
Has a CCTV System been considered to
monitor the waiting area and/or access to the
public access points in the waiting area ?
2.
How is 'after hours' access provided for
patients and how is this access point
monitored ?
3.
Has a secure "barrier" been installed between
staff and the waiting area to:
(a) monitor the waiting area; and
(b) provide staff contact with patients.
4.
Do staff have access to both fixed and mobile
duress systems ?
5.
Is access to patient records restricted to staff
entitled to that access ?
6.
Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
7.
Are drug safes installed in accordance with
current regulations ?
8.
Is the waiting area furniture incapable of being
utilised as a "weapon" ?
9.
How is after hours access provided for staff?
10.
How is this area secured during and after
hours?
11.
Are there lockable storage areas available for
specialised equipment?
12.
Is lockable furniture provided for storage of
staff personal effects?
13.
Are interview rooms appropriately designed
with specific reference to staff egress,
furniture selection, furniture location, provision
for storage of equipment, etc.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF Name: ……………… Position: ……………… Signature:
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MAIN ENTRY

FACILITY: DEPARTMENT: Main Entry RISK ISSUE DESIGN RESPONSE 1. Has a CCTV System been considered
FACILITY:
DEPARTMENT: Main Entry
RISK ISSUE
DESIGN RESPONSE
1.
Has a CCTV System been considered to
monitor the waiting area and/or access to the
public access points in the waiting area ?
2.
How is 'after hours' access provided for
patients and how is this access point
monitored ?
3.
Has a secure "barrier" been installed between
staff and the waiting area to:
(a)
monitor the waiting area; and
(b)
provide staff contact with patients/visitors.
4.
Do staff have access to both fixed and mobile
duress systems ?
5.
Is access to patient records restricted to staff
entitled to that access ?
6.
Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
7.
Is the waiting area furniture incapable of being
utilised as a "weapon" ?
8.
How is after hours access provided for staff?
9.
How are the offices secured during and after
hours?
10.
How does money get secured?
11.
Are there lockable storage areas available for
specialised equipment?
12.
Is lockable furniture provided for storage of
staff personal effects?

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF Name: ……………… Position: ……………… Signature:
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

WARDS

FACILITY:

DEPARTMENT: Wards

RISK ISSUE DESIGN RESPONSE 1. Has a CCTV System been considered to monitor the waiting
RISK ISSUE
DESIGN RESPONSE
1.
Has a CCTV System been considered to
monitor the waiting area and/or access to the
public access points in the waiting area ?
2.
How is 'after hours' access provided for
patients and how is this access point
monitored ?
3.
Has a secure "barrier" been installed between
staff and the waiting area to:
(a) monitor the waiting area; and
(b) provide staff contact with patients.
4.
Do staff have access to both fixed and mobile
duress systems ?
5.
Is access to patient records restricted to staff
entitled to that access ?
6.
Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
7.
Are drug safes installed in accordance with
current regulations ?
8.
Is the waiting area furniture incapable of being
utilised as a "weapon" ?
9.
How is after hours access provided for staff?
10.
How is this area secured during and after
hours?
11.
How is the security of patient's valuables
managed?
12.
Are there lockable storage areas available for
specialised equipment?
13. Is lockable furniture provided for storage of
staff personal effects?
14. Are interview rooms appropriately designed
with specific reference to staff egress,
furniture selection, furniture location, provision
for storage of equipment, etc.

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

DESIGN COMMENTARY/NOTES DESIGN SIGN-OFF Name: ……………… Position: ……………… Signature:
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

METHADONE CLINIC FACILITY: DEPARTMENT: Methadone Clinic RISK ISSUE DESIGN RESPONSE 1. Has a secure "barrier"
METHADONE CLINIC
FACILITY:
DEPARTMENT: Methadone Clinic
RISK ISSUE
DESIGN RESPONSE
1. Has a secure "barrier" been installed between
staff and the waiting area to:
(a)
monitor the waiting area; and
(b)
provide staff contact with patients.
2. Do staff have access to both fixed and mobile
duress systems ?
3. Is access to patient records restricted to staff
entitled to that access ?
4. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
5. Are drug safes installed in accordance with
current regulations ?
6. Is the waiting area furniture unlikely to be
utilised as a "weapon" ?
7. Where applicable, how is after hours access
provided for staff?
8. How is this area secured during and after
hours?
9. Are there lockable storage areas available for
specialised equipment?
10. Is lockable furniture provided for storage of
staff personal effects?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

NEEDLE / SYRINGE EXCHANGE FACILITY: DEPARTMENT: Needles/Syringe Exchange RISK ISSUE DESIGN RESPONSE 1. Has a
NEEDLE / SYRINGE EXCHANGE
FACILITY:
DEPARTMENT: Needles/Syringe Exchange
RISK ISSUE
DESIGN RESPONSE
1. Has a secure "barrier" been installed between
staff and the waiting area to:
(a) monitor the waiting area; and
(b) provide staff contact with patients.
2. Do staff have access to both fixed and mobile
duress systems ?
3. Is access to patient records restricted to staff
entitled to that access ?
4. Is a system implemented to prevent theft of
equipment, files, personal possessions, etc ?
5. Where applicable, are drug safes installed in
accordance with current regulations ?
6. Is the waiting area furniture incapable of being
utilised as a "weapon" ?
7. Where applicable, how is after hours access
provided for staff?
8. How is this area secured during and after
hours?
9. Is lockable furniture provided for storage of
staff personal effects?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

RETAIL AREA FACILITY: DEPARTMENT: Retail RISK ISSUE DESIGN RESPONSE 1. How is this area monitored
RETAIL AREA
FACILITY:
DEPARTMENT: Retail
RISK ISSUE
DESIGN RESPONSE
1. How is this area monitored ?
2. Have public phones been positioned so that
they cannot be utilised as an excuse to loiter
and monitor retail area, eg, in a discrete area
separate to the retail area ?
3. Do staff have access to appropriate (ie, fixed
and/or mobile) duress systems ?
4. How is cash secured ?
5. How is this area secured during and after
hours?
6. Where appropriate, is lockable furniture
provided for storage of staff personal effects?
7. How is cash managed to ensure minimum
amounts of cash "on hand" ?
8. Are drop safes/teller machines in highly
visible area ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

CARPARKING FACILITY: DEPARTMENT: Carparking RISK ISSUE DESIGN RESPONSE 1. How is safe/secure carparking provided for
CARPARKING
FACILITY:
DEPARTMENT: Carparking
RISK ISSUE
DESIGN RESPONSE
1. How is safe/secure carparking provided for
staff ?
2. Has the option of 'secure' parking for staff
been considered ?
3. Has the option of nominated staff parking
areas been considered for afternoon and
night shift staff ?
4. Has landscaping in carparks been considered
as potential areas of concealment for
personnel ?
5. Is lighting adequate to fully illuminate all staff
parking areas ?
6. Has CCTV been considered to monitor
carpark ?
7. Is access to facility from carpark via a specific
staff entrance (to eliminate potential of non-
staff presence) ?
DESIGN COMMENTARY/NOTES
DESIGN SIGN-OFF
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………
Name: ………………
Position: ………………
Signature: ………………
Date: ………………

HEALTH FACILITY GUIDELINE - SAFETY AND SECURITY

MORTUARY

FACILITY:

DEPARTMENT: Mortuary

RISK ISSUE DESIGN RESPONSE 1. Has a waiting area been provided for relatives/visitors which can
RISK ISSUE
DESIGN RESPONSE
1.
Has a waiting area been provided for
relatives/visitors which can be secured and
monitored by staff ?
2.
Has a secure viewing area been provided that
does not allow access by relatives/ visitors to
staff areas ?
3.
How is "after hours" access provided for
relatives/visitors ?
4.
Has a secure barrier been installed between
staff and the waiting area to:
a) monitor the waiting area; and
b) provide staff contact with relatives/ visitors
?
5.
Do staff have access to both fixed and mobile
duress systems ?
6.
Has a "secure area" been provided for the
storage of patients' personal effects ?
7.
How is after hours access provided for staff ?
8.
Is the waiting area furniture incapable of being
utilised as a 'weapon' ?
9.
How is the area secured during and after
hours ?
10.
Are lockable storage areas available for
specialised equipment ?
11.
Is lockable furniture provided for storage of
staff personal effects ?

DESIGN COMMENTARY/NOTES

DESIGN SIGN-OFF

 

Name: ………………

Position: ………………

Signature: ………………

Date: ………………

Name: ………………

Position: ………………

Signature: ………………

Date: ………………

Name: ………………

Position: ………………

Signature: ………………

Date: ………………