07535 - duplicate

• Account Name / Number

• Account Manager :

• Regional Manager :

• Health & Safety Manager :

• Conducted on

  Date
• Location
  Address

• Equipment

• Electrical Sockets

  Safe

  At Risk

  N/A

• RCDs and Electrical Cables

  Safe

  At Risk

  N/A

• Lighting

  Safe

  At Risk

  N/A

• Jet Wash Equipment

  Safe

  At Risk

  N/A

• Hoovers

  Safe

  At Risk

  N/A

• Blade Holders / Sharps Containers

  Safe

  At Risk

  N/A

• Step Ladders

  Safe

  At Risk

  N/A

• Maintenance Records

  Safe

  At Risk

  N/A

• COSHH

• PPE Availability and Use

  Safe

  At Risk

  N/A

• Approved Containers and Labels

  Safe

  At Risk

  N/A

• Safe Decant Equipment

  Safe

  At Risk

  N/A

• Chemical Storage and Lids

  Safe

  At Risk

  N/A

• Flammable Liquids Storage

  Safe

  At Risk

  N/A

• Large Container Storage

  Safe

  At Risk

  N/A

• Disposal of Empty Chemical Containers

  Safe

  At Risk

  N/A

• Safety Information

• H&S Documentation

  Safe

  At Risk

  N/A

• List of First Aiders and Fire Wardens

  Safe

  At Risk

  N/A

• First Aid Kit

  Safe

  At Risk

  N/A

• Eye Wash Station

  Safe

  At Risk

  N/A

• Training Records

  Safe

  At Risk

  N/A

• Inductions

  Safe

  At Risk

  N/A

• Site Information

• Housekeeping

  Safe

  At Risk

  N/A

• Slip or Trip Hazards

  Safe

  At Risk

  N/A

• Floors ( Standing Water or Chemicals )

  Safe

  At Risk

  N/A

• Wash Bay Drains

  Safe

  At Risk

  N/A

• Fire Extinguishers, Buckets

  Safe

  At Risk

  N/A

• Fire Exits

  Safe

  At Risk

  N/A

• Workspace Heating

  Safe

  At Risk

  N/A

• Operator's Compliance with Site Rules

  Safe

  At Risk

  N/A

• Comments

Sign Off

• Customer Signature

  Sign

• Assured

  Sign