Facility Safety
KEIT DAY HOSPITAL
Occupational health and safety and workplace accident prevention protocol
Official Manual of Clinical, Care and Organizational Protocols
| Document Code | KEIT-SOP-22 | Version | 2.0 |
|---|---|---|---|
| Revision | 02 | Status | Official |
| Issue Date | 28/03/2026 | Next Review | 28/03/2027 |
| Prepared by | Medical Directorate / Quality | Approved by | |
| Signature and Date | Distribution | Controlled - Internal Use |
Purpose of the document. To officially define the scope, responsibilities, operating procedure, KEIT standards, records and protocol review criteria.
1. Document Control Information
| Application | All clinical, nursing, technical and organizational personnel involved in the described process. |
|---|---|
| Archiving | KEIT internal document management system and controlled copy in the relevant areas. |
| Review | At least annually or earlier in the event of regulatory, organizational or technological updates. |
2. Scope of Application
Applicable to all employees and collaborators working within the facility.
3. Responsibilities
- Employer / Management: organization of the prevention and protection system.
- Supervisors and coordinators: oversight of the correct use of personal protective equipment and compliance with procedures.
- Each staff member: compliance with safety measures and reporting of near misses or accidents.
4. Operating Procedure
- Assess and update occupational risks, including biological, chemical, electrical and fire risks, manual handling of loads and risks associated with sharps.
- Provide appropriate personal protective equipment and train personnel in its correct use.
- Apply procedures for the management of accidental needlestick injuries, exposure to blood and body fluids, and sharps-related incidents.
- Handle and transfer patients using safe techniques and, when available, appropriate assistive equipment.
- Record occupational accidents, near misses and corrective actions.
- Schedule periodic training and occupational health surveillance for personnel.
5. KEIT Operational Standards
- The safety culture includes internal reporting of near misses as well as confirmed occupational accidents.
- Management promotes continuous professional updating and shared responsibility across all roles.
6. Records and Documentation
- Occupational accident and near-miss register.
- Personal protective equipment issuance records.
- Training and occupational health surveillance records.
7. Review and Updates
Periodic review with the Safety Manager and Occupational Health Physician.
Implementation Note
This document is an internal operational draft. Before final adoption, review by the Medical Directorate, Clinical Directorate, Legal Advisor and the relevant department managers is recommended.
This document is an internal operational draft. Before final adoption, review by the Medical Directorate, Clinical Directorate, Legal Advisor and the relevant department managers is recommended.
8. Related Attachments and Forms
- Operational checklists, recording forms, audit sheets and maintenance registers applicable to this protocol.
- Any department-specific or equipment-specific technical attachments are referenced in the relevant local operating instructions.
9. Final Approval
| Position | Name and Signature | Date |
|---|---|---|
| Medical Directorate |
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