INTERNATIONAL GENERAL

CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Student name: FARHAD ULLAH

Student number: 00328549

Place inspected: Khalifa Gul Nawaz Teaching Hospital

Bannu, KPK Pakistan

Date of inspection: 21 /03 /2016

Observations

Control measures

Hazards and consequences

Immediate and longer term actions

Timescale

Location: Entrance
1

At entrance to hospital no Security

cameras are installed, security
camera system of CCTV camera is
not introduced in the hospital.
Hazards: Poor Security
Consequences: Easy Entry (theft,
terrorists, hackers)

At entering path of hospital Cement

block, a sand pile and iron bars are
placed in the entrance way for under
construction work of Burn section.
Hazards: trip and fall
Consequences: broken bones,
broken neck and minor injuries
No signage and information boards
of Layout of hospital are provided at
the Entrance.
Hazards: No signage
Consequences: patient and visitors
have no information about hospital
sections.

Immediate:
Install at least three CCTV security
cameras at the entrance and total 8
security camera for (OPD, Emergency
Radiotherapy and Pathology) Section of
hospital.
More number of cameras will provide
high security.

Immediate:
2 Month

Long Term: inspection of CCTV security

camera system.
Immediate: remove cement blocks, a
sand pile iron bars from entrance way.

Long term:
Every 3 months
Immediate :
1 week

Long Term: inspection of housekeeping

of entrance gate and way.

Regularly

Immediate:
Provide Hospital Layout on 64 inches
board. Well design attractive.

Immediate :
1 Month

Location: OPD Section

4

Visitor, patients (of different disease)

and the care persons are moving in
OPD section. Employees are
exposing to ill health for virus transfer
in air.
Hazards: Virus inhalation ,
Consequences: HBV Disease and
such such type which transfer
through air in healthy people.

1|Page

Immediate: provide face piece respiratory Immediate :

apparatus for the employers.
2 days

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Student name: FARHAD ULLAH

Student number: 00328549

Place inspected: Khalifa Gul Nawaz Teaching Hospital

Bannu, KPK Pakistan
5

To guideline patients no Internal

signage and information boards are
in place at all the section of hospital.

Date of inspection: 21 /03 /2016

Immediate :Provide internal Signage

Immediate :
1 Month

Immediate :Introduce and enforce

Queue Procedure

Immediate :
1 day

Medium: Install announcement system

for receiving token.

Medium:
2 month

Emergency staff (Nurses and

Doctors) are at risk for exposure to
blood, and blood borne pathogens
and worker treat the patient in their
formal dress without using PPE
Hazards: blood, and blood borne
pathogens
Consequences: hepatitis B (HBV),
hepatitis C (HCV) and human
immunodeficiency virus (HIV).
Irritant medicine and chemical are
contamination on the beds, no
changing bad sheet procedure are
enforced. and no proper disposal of
contaminated syringes and needle
as hazardous waste.
Hazards: Hazardous Chemical
contamination
Consequences: Corrosive , irritant
and ill health

Immediate: Ensure employees wear

appropriate personal protective
equipment (PPE), gloves, gowns, face
masks.

immediate :
2 days

Long term: information ,instruction and

Train the whole staff in groups

Long term:
6 months

Immediate: ensure the maximum safety

to decontamination, and treat care with
disposal and mention as hazardous
waste.

Immediate :
1 week

Medium: On daily base change the bad

sheets.

Medium:
2 week

Long Term: Inspect the changing of bad

sheet Daily

On going

Floor of Emergency section, OPD

Section is made of Granite tiles
which are inherently slippery surface
and contaminated with water after
cleaning no dryer machine are in
place. Slip trip and fall is there to
patient visitor and Hospital staff.
Hazard: Slip, trip and fall
Consequences: Broken bones,
neck broken, and serious injuries.

Immediate: keep clean and dry with

wiper

Immediate:
2 day

Hazard : No internal Signage

Consequences: Patients have no
guidance.
Care person of patients collecting
Token, where proper announcement
system is not installed and people
fight for their turn to receive token
from reception hole at OPD section.
Hazards: Stress and Violence (for
receiving token)
Consequences: assaulting, abuse
and threatened as a result of
violence
Location: Emergency Section

2|Page

Long term: inspect floor surface cleaning

and contamination.

On going

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Student name: FARHAD ULLAH

Student number: 00328549

Place inspected: Khalifa Gul Nawaz Teaching Hospital

Bannu, KPK Pakistan

Date of inspection: 21 /03 /2016

Location: Radiotherapy Section

10

11

12

13

X-ray machine is fitted in front of the

door to hall. And people entry while
x-ray machine is operated, the wear
not PPE, shield to chest and using in
formal dress, people are also
exposed to x ray machine radiation.
Irritant smell makes stress in
employee.
Hazards: Non Ionizing radiations
Consequences: Radiation
Dermatitis and Radiation cancer

Immediate:
Provide PPE to the x-ray machine
operator. set the X-ray machine in corner
of the Hall and Shield with sheets,
provide job rotation

Immediate :
3 week

Medium:
information , instruction and Train the
operator about hazards of X-ray machine
and precautions

Medium:
1 month

Toilet sewerage system is fully

blocked, contaminated water are
standing in all the three toilet room,
Urdu commode, and washing basin
area, unable to use, and the other
sections here are discussed same
issue.
Hazards: Lack of Washing and toilet
facility

Immediate:
Correct the sewerage system ,
Keep clean and provide lighting

Immediate :
2 week

Drinking water freezers and filters

are installed at every section of
hospital but out of order very badly
contaminated, tape broken water
supply is stopped.
Hazard : Lack of Drinking water
Facility

Immediate:
Immediate :
Maintenance the entire four freezers fitted 3 week
at different sections, on supply water,
keeps clean and provides disposable
glasses.

No Emergency Signs and

procedures are mentioned,
emergency door exists but not
mention with signs, fire house and
fire extinguishers are installed and
enough in case of fire .and gauge is
correct. which is good practice
Hazard: No signage
Consequences: Lack of information
to people in hospital in emergency
cases.

Immediate:
Immediate :
Develop Emergency plan provide exit
3 week
route and exit door signs. Mention
assembly area. And care full procedure of
evacuation of patient, vulnerable, childs
etc

3|Page

Medium: regular inspection of washing

and toilet facility

Medium: regular inspection

Medium: install emergency

announcement system

On going

On going

Medium:
3 month

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Student name: FARHAD ULLAH

Student number: 00328549

Place inspected: Khalifa Gul Nawaz Teaching Hospital

Bannu, KPK Pakistan

Date of inspection: 21 /03 /2016

Location: Under construction

Burn Section
14

15

16

17

18

New contraction of Burn Section is in

progress 5 workers plaster the front
wall .working above 36 feet using
scaffold. No netting, air bags and fall
arrest system imposed.
Hazards: fall from height and object
fall
Consequences: serious injuries and
fatalities to worker and property
damage
Scaffold standards are bent not
straight tie with rope instead of
clamps, no sole board/base plates
stand on cement block which could
topple, not barricaded.
Hazards: scaffold collapse
Consequence: serious injuries to
worker and property damage

Immediate:
To reduce the consequence provide
Harness and Fall arrest system

Scaffold platform is made of wood

timbers having space no toe board
and guard rail is subjected. a damper
is leave unattended just beneath
scaffold
Hazards: material/ equipment fall
Consequence: serious injuries to
trespasser workers and damage to
damper
Wet cement is corrosive and irritant
to skin No gloves, hard hat and
goggles are provided to worker.
Hazards: working on wet cement
Consequences:
corrosive and irritant

Immediate:
Remove the damper from working area ,

The area under the scaffold is not

barricaded and no signages are
provided to restrict people and
vehicles to working area.
Hazards: no barrier and signage
Consequence: easy entry of people
and vehicle to work area

Immediate:
Provide barriers and sign boards

Immediate :
2 day

Long term: supervise the work

Regularly

4|Page

Immediate :
2 week

Medium: Supervise working at height.

On going

Immediate:
Use proper standards provide clamps
,base plates and barricade the area

Immediate :
2 week

Medium: regular inspection before each

shift

Medium: provide good platform with

guard rail and toe board.

On going

Immediate :
At the moment
Medium:
1 month

Immediate:
Immediate:
Provide No gloves, hard hat and goggles. 5 day

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Student name: FARHAD ULLAH

Student number: 00328549

Place inspected: Khalifa Gul Nawaz Teaching Hospital

Bannu, KPK Pakistan
19

20

21

22

23

24

On the east side material petrol

driven Lift is using for lifting cement
block (use as bricks). The operator is
expose to petrol fumes with no
respiratory device
Hazards: petrol fumes
inhalation/exposure
Consequences:
mild skin, eye, and respiratory tract
irritant
The three workers and operator are
exposing to the excessive noise of
the petrol driven lift.
Hazards: Noise
Consequence: tingling in hearing ,
permanent hearing loss
The three workers and operator are
also exposing to the dust while
working
Hazards: Dust
Consequence: Mushroom worker's
lung, allergy, Rainy Nose

Lift platform is unprotected with

guard rail and toe board and brick fall
at the time of inspection
Hazards: unprotected edges
Consequence: fall materials
On the second floor a worker is
cutting tile with grinder which is
exposing to noise and silica dust.
And there in no safety guard of the
grinder.
Hazards: silica Dust, noise
Consequence: Silicosis, allergy,
Rainy Nose and tingling in hearing ,
permanent hearing loss
The floor is contaminated with
cement blocks, tile boxes, tiles,
working equipments, sand piles, and
trailing cable to grinder
Hazards: Poor House keeping
Consequence: slip trip and falls
result in broken legs, arms, and
serious injuries.

5|Page

Date of inspection: 21 /03 /2016

Immediate:
Immediate:
Provide face piece, gloves and goggles to 2 day
operator while operating material lift.

Immediate:
Provide ear muff or ear plugs
Medium: ensure maintenance of the lift

Immediate :
2 day
Condition based

Immediate:
Immediate :
Provide respiratory apparatus e.g. face
2 day
piece and half face respiratory equipment
Long term: inspection of respirator
apparatus

Regularly

Immediate:
Protect the platform edges with guard
rails and install toe boards.

Immediate :
1 week

Long term: supervise the lift operation

and working procedures
Immediate:
Provide ear muff or ear plugs

Regularly
Immediate :
2 day

Provide respiratory apparatus e.g. face

piece and half face respiratory equipment
Long term: inspection of respirator
apparatus and hearing protection devices Regularly
Immediate:
Provide good house keeping

Immediate :
2 day

Long term: supervise the worker and

inspect the hose keeping of workplace

Regularly

INTERNATIONAL GENERAL
CERTIFICATE
(2011 specification)

Candidates observation
sheet

IGC3 THE HEALTH AND

SAFETY PRACTICAL APPLICATION

Student name: FARHAD ULLAH

Student number: 00328549

Place inspected: Khalifa Gul Nawaz Teaching Hospital

Bannu, KPK Pakistan

Good Practices

Date of inspection: 21 /03 /2016

Maintain

Keep it up

Providence of fire hose and number of fire

extinguishers are enough and in good places
and in working condition, it must be continues
and maintain.

Maintain it because it is good practice.

Keep up

Store of medicines was away from patient and

visitor reach in second floor and it was well
ventilated.

Maintain it because it is good practice.

Keep up

As it is Hospital already medical facilities are

easily in service in case of any emergency. And
long term treatment facility is also available.

Maintain it because it is good practice.

Keep up

There are separate car parking for employees

and local and supervisors are on duty 24 hours.
Ensuring proper slip system for your car.

Maintain it because it is good practice.

Keep up

Good Practices:

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