Home care - Prevent Checklists

	Document name
		Home care
Area/location	Date
	Invalid Date
Approved by	Participants

Description	The list is based on the following regulations
The checklist includes questions about the organisational and social work environment, physical work environment, and environmental protection. Please note that there is also a checklist specifically for infection risks based on the swedish work environment authority's statute book 20184.	AFS 2023:1 §9 AFS 2023:2 2§7 AFS 2023:10 6§8 AFS 2023:12 6§17

Organisational work environment

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Is there a clear distribution of work environment responsibility, governance, and resources (for the job)?
2. Has the need for knowledge and training for managers and supervisory staff been clarified and addressed?
3. Are work environment aspects systematically considered in organizational changes?
4. Are new employees, temporary staff, and staff with new tasks given a good introduction that includes the work environment?
5. Are there procedures for medical check-ups during night work?
6. Are the risks of ill health and accidents investigated, assessed, and managed continuously, considering the physical, organisational, and social work environment?

Organisational and social work environment

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Is knowledge provided about the needs of individual care recipients in the organization and planning of the work?
2. Is there a good balance between the demands of the work and the employees' access to support and help for the implementation of the work?
3. Can employees influence the organization and implementation of their own work?
4. Are performance appraisals conducted on a regular basis?
5. Education and training in how situations of non-cooperation can be managed.
a) How are care recipients handled?
b) How are relatives handled?
6. Are there specific procedures for providing rapid care, assistance, and support after employees have been exposed to threats or violence?
7. Is there preparedness to handle emergency situations during weekend, evening, or night work?
8. Are violations and conflicts handled as soon as they arise?
9. Are there routines for psychological and social crisis management in the organisation?

Physical work environment

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Is the care recipient's home adapted to the premises and space so that both the care recipient's needs and the employee's work environment needs can be met in an appropriate way?
2. Is the lighting sufficient for all tasks?
3. Information about work environment aspects, such as smoking, pets, cleaning, etc., is provided to care recipients and relatives.
4. Is information given to care recipients and relatives about the importance of space and aids during heavy lifting?
5. Are care recipients and relatives involved in the decisions about which tasks should be performed and which should not be performed?
6. Is the working climate good – even during extra hot or cold periods?

Ergonomics

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Is there enough space when moving from bed, shower, toilet, in an elevator, through doors, in corridors, and the like?
2. Are there enough equipment and aids to ensure that the tasks can be carried out safely, without the risk of injury?
a) Is it a height-adjustable bed?
b) Manual handling?
c) Sliding mat or swivel plate?
d) Are there handles in the toilet and shower?
e) Is there assistance available for transfers?
f) Is there assistance available for showering and using the toilet?
g) Are there any loose carpets or other items that hinder effective cleaning?
3. Is education and training in transfer techniques provided regularly?
4. Is there enough space around the resident's bed where assistance is required when moving?
5. Is training in work techniques provided when new employees are hired and when new equipment and aids are introduced?
6. Is there access to advice and support for the employee when the body signals overload?
7. Do co-workers have knowledge of the risks of inappropriate working postures?

Chemical management

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Are safety data sheets available for all hazardous chemical products?
2. Have any eczema or other issues been investigated?
3. Has the protective equipment been tested for the individual?

Hygiene and infection control

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Are there documented and dated hygiene routines?
2. Is there a risk of tuberculosis, jaundice, HIV or other serious infection?
3. Are the staff offered vaccination?
4. Are any hazardous waste handled according to established procedures?
5. Are there procedures for action in the event of a puncture or cut injury?
6. Are there containers for cutting and sharp waste?
7. Are incidents where staff have been exposed to infectious agents in risk classes 3 and 4 documented? (Examples of infectious agents in these risk classes are HIV and TB bacteria.)

Safety

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Do employees have sufficient knowledge of first aid?
2. Are the care recipient's medications to be handled?
a) Are the procedures followed according to safety regulations?
b) Are there routines even in the event of a risk of abuse?
3. Have you conducted a risk assessment for evening and night work in combination with working alone?
4. Is there a personal alarm available, if needed?
5. Is there early psychological and social support in the company in the event of a crisis?

Occupational disease or work-related injuries or ill-health

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Have incidents, occupational accidents and occupational diseases been investigated, followed up and measures taken?
2. Is there sufficient knowledge about the risks of musculoskeletal disorders and musculoskeletal disorders?
3. Is there knowledge about the risks of ill-health due to too high a workload?
4. Is there sufficient knowledge about the risks of eczema, allergies, and other hypersensitivity reactions?
5. Are there procedures for reporting incidents, occupational accidents and occupational diseases?
6. Are there procedures for immediate notification to the Swedish Work Environment Authority in the event of death, serious personal injuries, injuries that have affected several people at the same time or serious incidents?
7. Is www.anmalarbetsskada.se or any other system used for reporting work-related injuries or ill-health?
8. Are there policies and procedures for rehabilitation and work adaptation?

Environmental protection

Question	Yes	No	N/A	Risk assessment:			Action	Responsible	Latest completion date	Control
				Low	Medium	High
1. Is it well known what counts as hazardous waste and how it should be handled?
2. Are there procedures for how hazardous waste, such as infectious waste and needles, should be handled?
3. Is as much of your waste as possible disposed of for recycling or reuse (glass, paper, cardboard, batteries, etc.)?

Other Here you can note risks that need to be addressed that are not included in the checklist

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More checklists can be found at www.prevent.se/checklistor