Standards › Standard 2B › Standard operating procedures (SOPs)
Standard operating procedure (SOP) · ENV-SOP-001 · Version 1.1 · Approved by the ASF Expert Committee
Supports: 2B.1
At a glance
- Provide at least one reception or registration point at a height a wheelchair user can reach and talk across at eye level.
- Measure the counter height and record it on ENV-FRM-001.
- Check the approach route is clear and wide enough for a wheelchair.
- Re-check the height and approach after any refit or furniture change.
- Stop and get help straight away if: the accessible point is blocked, too high, or unavailable during opening hours.
1. Purpose
To make sure every person who uses a wheelchair can reach a registration point and speak to a receptionist at eye level, without having to ask for help to be seen [EC].
2. Scope
| Applies to | Reception, registration and information staff, facilities staff and anyone who designs or changes the reception |
| Locations | All entrances and reception or registration points at the facility |
| When | At design or refit, at each annual check, and after any change in furniture |
| Does not apply to | Waiting areas, covered by the queue procedure ACC-SOP-001 |
3. Definitions
| Term | Meaning |
|---|---|
| Accessible point | A counter section that meets the height and approach requirements in this SOP |
| Eye level | The height at which a seated person can see the receptionist’s face across the counter (EC: 0.75 to 0.85 m for the working surface) |
4. Background
A counter designed only for a standing person excludes wheelchair users from registration, which is a form of discrimination (see CON-POL-002). Criterion 2B.1 requires a usable point, measured and checked, not an assumption that the desk is accessible.
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Facilities manager | Provides the point; measures and records height; arranges repairs | Facilities competence |
| Reception lead | Keeps the point clear and staffed when the desk is open; checks the record | Reception training |
| Reception staff | Use the accessible point when a wheelchair user arrives; offer it without being asked | Induction |
6. Materials and equipment
| Item | Requirement | Condition |
|---|---|---|
| Accessible counter section | Working surface at the set height (EC); clear knee space underneath | Clear and firm |
| Measuring tape or level | Calibrated tape | Working |
| Accessibility check record (ENV-FRM-001) | Current | Available at reception |
7. Safety
- Keep the approach clear of bags, trolleys and stands at all times.
- Make sure the counter edge is not sharp or unprotected.
8. Before you start
- Check the approach route from the entrance to the point is clear.
- Check the point is open and staffed during the opening hours.
9. Procedure
Step 1. Measure the working surface.
- Measure the height from the floor to the top of the accessible counter section.
- Check the knee space under the counter is at least the height set by the committee (EC).
- Record the measurements on ENV-FRM-001.
Key point: Measurements are the evidence. A photo alone does not show height.
Step 2. Check the approach.
- Walk the route from the entrance to the point, with a wheelchair if possible.
- Check the route is at least 90 cm wide (EC) and free of steps and obstacles.
- Record the result.
Key point: A point that cannot be reached is no use.
Step 3. Keep the point available.
- Keep the point clear and open during opening hours.
- If the point cannot be used, arrange an alternative registration at the nearest accessible point and tell the reception lead.
Key point: The point must be usable whenever the reception is open.
Step 4. Offer the point.
- Offer the accessible point to every wheelchair user without waiting for them to ask.
- Use the point for the whole registration, not only the first step.
Key point: Offering it prevents people from having to ask for basic access.
Step 5. Check each year.
- Repeat the measurements and the approach check each year, and after any refit.
- Record the date and the result. Report any gap to the facilities manager and CON-POL-002 owner.
Key point: Furniture changes and refits often remove access without anyone noticing.
10. Decision points
- If the measured height is outside the range, arrange repair within 14 days, and offer the alternative point until fixed.
11. Special situations
| Situation | Action |
|---|---|
| Temporary obstruction (for example, a delivery) | Clear it at once. If it cannot be cleared, offer the alternative point and record the event. |
12. Escalation
- A blocked or unusable point is reported to the reception lead the same shift.
- A complaint about access goes to INC-POL-002.
13. Monitoring
| Measure | Target | Frequency | Owner | If not met |
|---|---|---|---|---|
| Accessible point measured and recorded within the last 12 months | Yes | Yearly | Facilities manager | Repair within 14 days |
| Accessible point available during opening hours (spot check) | 100% | Monthly, 10 spot checks | Reception lead | Correct within the shift |
| Wheelchair users offered the point (sample) | 100% | Quarterly | Reception lead | Re-brief staff |
14. Records
| Record | Kept in | Retention |
|---|---|---|
| ENV-FRM-001 Accessibility Check Record | Facilities file | the period set by the facility’s records policy years |
| Photograph of the point with the height measured | Facilities file | the period set by the facility’s records policy years |
15. Training
- Reception staff are trained on accessible registration at induction and yearly (EC).
- Facilities staff are trained in the height and approach requirements (EC).
16. Related documents
| ID | Title | Use |
|---|---|---|
| ENV-FRM-001 | Accessibility Check Record | Used in steps 1 and 2 |
| CON-POL-002 | Non-Discrimination and Equal Access to Care | Access duty |
| ACC-SOP-001 | Queue and Wait-Time Management | Used with the queue |
| SOP-N22 | Disability Inclusion and Accessibility Policy | Wider accessibility duties |
17. Evidence
| Reference | Note |
|---|---|
| E-009 | ASF Expert Committee consensus. Counter height range and knee space are EC decisions to confirm against national accessibility rules. |
18. Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | Approved by the ASF Expert Committee |
| 1.1 | the date of approval | Internal quality review: corrected cross-references, status wording and document control | Approved by the ASF Expert Committee |
E-learning for this document
- Access & Arrival: Getting Patients Through the Door (H-01)
- Reception & Information: The First Ten Minutes (H-02)
References
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)