1. HSE Appraisal Record Reviewed 2019

• Company Name

• Date of assessment

  Date

Type of Assessment

• Physical

• Desktop

Risk Banding

• Risk Banding

  Select H M L

  • H
  • M
  • L

• Expiry Date

  Date

To the Authorising Officer: It is recommended that the above named organisation should be regarded as:-

• Fully approved.

• Conditionally Approved (Subject to completion of Development Plan).

• Unsatisfactory.

Employers Liability Insurance

• Insurers name:

• Policy number:

• ELI Date

  Date

• ELI

  Media

• Workplace Address (including postcode)
  Address

• Nature of business

• Employee Count

• Main contact person.

• Email Address - Main Contact

• Phone Number

• T2000 Area/Dept Appraisal

  Select Engineering Automotive Business Study Programmes Cyber Security Scaffolding Dental

  • Engineering
  • Automotive
  • Business
  • Study Programmes
  • Cyber Security
  • Scaffolding
  • Dental

Accreditations & Standards

• Is the organisation accredited to any ISO Standards or other industry recognised standards?

  Yes

  No

• Indicate any standards accredited.

  Select BSOHSAS18001 ISO 14001 ISO 9001 Other

  • BSOHSAS18001
  • ISO 14001
  • ISO 9001
  • Other

• Does the employer have access to competent health and safety advice and assistance?

  Yes

  No

  N/A

1. Health and Safety Policy

• A. Is there a clear commitment to health, safety and welfare (written policy statement , mandatory when 5 or more employees?

  Yes

  No

  N/A

• B. Are the responsibilities and arrangements for health and safety clearly stated and communicated? (recorded when 5 or more employees(.

  Yes

  No

  N/A

• E. How are Health & Safety messages communicated to employees?

  Select Verbal Arrangements Induction Noticeboard Intranet Team Meetings Other

  • Verbal Arrangements
  • Induction
  • Noticeboard
  • Intranet
  • Team Meetings
  • Other

• Assessment of Standard 1:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

2. Risk Assessment and Control

• A. Have written risk assessments been carried out and significant findings recorded where there are more than 5 employees?

  Yes

  No

  N/A

• D. Will the risk assessments take into account young persons, including giving consideration of their age, inexperience, immaturity and lack of awareness of risk assessments?

  Yes

  No

  N/A

• E. Will the assessment take into account any other special needs or circumstances including ant disability and / or medical / health conditions?

  Yes

  No

  N/A

• F. Will the employer put in control measures for the learner as a result of the assessment and will they inform the learner and their supervisor?

  Yes

  No

  N/A

• G. Have COSHH (Control of Substances Hazardous to Health) assessments been carried where required? And control measured identified?

  Yes

  No

  N/A

• H. How are the risks and controls identified explained to employees and others?

  Verbally and written?

  Written document only?

  Verbal only?

• Assessment of Standard 2:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

3. Accident, Incidents and First Aid

• A. Have adequate arrangements for first aid materials been made?

  Yes

  No

  N/A

• B. Have adequate arrangements for trained first aid persons been made?

  Yes

  No

  N/A

• C. Are accidents and first aid treatment rendered recorded?

  Yes

  No

  N/A

• D. Are or will all legally reportable accidents and incidents be reported and investigated?

  Yes

  No

  N/A

• E. How are the arrangements for accidents / incidents and first aid communicated to all employees?

  Verbally and written?

  Written document only?

  Verbal only?

• Assessment of Standard 3:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

4. Information, Instruction, Training and Supervision

• A. Are employees provided with competent supervision?

  Yes

  No

  N/A

• B. Do all new employees receive an induction which includes Health and Safety?

  Yes

  No

  N/A

• C. How do you manage the employees who work away from the premises?

  Yes

  No

  N/A

• D. Is ongoing health and safety information, instruction and training provided to all employees?

  Yes

  No

  N/A

• E. Do you keep training records for all employees and do you ensure training remains effective?

  Yes

  No

  N/A

• Assessment of Standard 4:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

5. Work Equipment and Machinery

• A. Is your work equipment maintained and recorded?

  Yes

  No

  N/A

• B. Are safe electrical systems and equipment provided and maintained (eg PAT testing)?

  Yes

  No

  N/A

• C. Are appropriate guards and measures in place?

  Yes

  No

  N/A

• D. Have all the relevant inspections on equipment been carried out in line with legislation?

  Yes

  No

  N/A

• Assessment of Standard 5:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

6. Personal Protective Equipment and Clothing

• A. Is appropriate PPE provided free of charge to employees?

  Yes

  No

  N/A

• B. Is training and information on the safe use of PPE/C provided to all employees?

  Yes

  No

  N/A

• C. Is the use of PPE enforced?

  Yes

  No

  N/A

• D. Is PPE replaced when needed?

  Yes

  No

  N/A

• Assessment of Standard 6:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

7. Fire and Emergencies

• A. Is there a fire risk assessment in place?

  Yes

  No

  N/A

• B. Is there a means of raising the alarm and fire detection in place?

  Yes

  No

  N/A

• C. Are there appropriate means of fighting fire in place?

  Yes

  No

  N/A

• D. Are there effective means of escape in place including un-obstructed routes and exits?

  Yes

  No

  N/A

• E. Are fire alarm tests and practice drills carried out and recorded?

  Yes

  No

  N/A

• F. is there a named person(s) for emergencies?

  Yes

  No

  N/A

• Assessment of Standard 7:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

8. Safe and Healthy Working Environment

• A. Are premises (structure, fabric, fixtures and fittings) safe and healthy (suitable, maintained and kept clean)?

  Yes

  No

  N/A

• B. Is the working environment (temperature, lighting, space, ventilation and noise) an appropriate safe and healthy one?

  Yes

  No

  N/A

• C. Are welfare facilities (toilet, washing, drinking, eating and changing) provided as appropriate and maintained?

  Yes

  No

  N/A

• Assessment of Standard 8:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

9. General Health and Safety Management

• A. What would an employee do if they need to raise a Health and Safety concern?

• B. Does the employer provide medical screening as appropriate and any required medical / health surveillance?

  Yes

  No

  N/A

• C. Does the employer display the necessary signs and notices including the Health and Safety Law Poster?

  Yes

  No

  N/A

• Assessment of Standard 9:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

Learner Specific

• Learners Name:

• Learners Work Location:

• Supervisor(s) name(s)?

• Regular reviews take place with the CDA and learner, which establish the current level of satisfaction, and identify if there are any health and safety non-conformance issues regarding the Employer / Placement.
  
  These reviews are kept within the individual Learner record and any reports of health and safety non-conformance issues are passed to the HSE Department to follow up?

10. Management of Learners / Young Persons Health and Safety (Complete section 10 if under 18 or work experience)

• This assessment is specific for the safety of the learner and does not endorse a full safe system of work for the employer. It is the Employers responsibility to ensure the Safety of the learner at all times. Complete this section if learner is under 18 or completing work experience.

• Is the learner under the age of 18 or completing work experience?

  Yes

  No

  N/A

• A. Which items of equipment will the learner / young person be expected to use ( when trained)?

• B. Is there any equipment in the workplace that you would not train or allow a young person under the age of 18 to use?

• C. Does the employer provide competent supervision for learners / young persons and do they have a designated person to take overall responsibility for them?

  Yes

  No

  N/A

• D. Are you aware of child protection and safe guarding regulations for under 18 year olds?

  Yes

  No

  N/A

• E. Are you an Equal Opportunities employer?

  Yes

  No

  N/A

• F. Are there any materials displayed that may cause offence to employees?

  No

  Yes

• G. Have you got a Bullying and Harassment Policy?

  Yes

  No

  N/A

• Assessment of Standard 10:

  Select Met Part Met Not Met

  • Met
  • Part Met
  • Not Met

If an action plan has been identified the action plan is detailed in the development plan section

• Action / Development plan agreed and provided

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Note. All suggestions raised for improvement are documented and included on the action plan sheet(s). Training 2000 ltd advises the action plan is reviewed by the employer and acted on as the company sees appropriate.

The Employer or their representative: Please sign to agree that this is an accurate record of the assessment.

• Name and Job Title:

  Sign

• Assessment completed by (T2 HSE Representative):

  Sign

• Action Plan

Action

• Action Required

  Yes

  No

  N/A

• By Who

• Target Date

  Date

• Action completed on

  Date