Annual Health and Safety Checks - Non-regulated Services

• Site conducted

  Select

• Conducted on

  Date

• Prepared by (Name & Position)

• Location
  Address

• Are the carpets frayed or worn out in the communal areas and all the bedrooms?

  Yes

  No

  N/A

• Is the floor in good condition?

  Yes

  No

  N/A

• Is the housekeeping in all areas kept to a high standard?

  Yes

  No

  N/A

• Are the emergency contact numbers available to the tenant?

  Yes

  No

  N/A

• Is there a carbon monoxide monitor on site?

  Yes

  No

  N/A

• Is the carbon monoxide monitor working?

  Yes

  No

  N/A

• When have the batteries for the carbon monoxide monitor been replaced?

  Date

• Is there any clutter in front of windows or emergency exits?

  Yes

  No

  N/A

• Are the windows secure?

  Yes

  No

  N/A

• Do we need to install window restrictions?

  Yes

  No

  N/A

• Is there any mobility aid on site? If so, is it regularly maintained?

  Yes

  No

  N/A

• Is there a pest issue in the house?

  Yes

  No

  N/A

• Are cleaning supplies properly stored?

  Yes

  No

  N/A

• Is the boiler working properly?

  Yes

  No

  N/A

• Are all radiators working properly?

  Yes

  No

  N/A

• Are the washing machine detergent drawers clean?

  Yes

  No

  N/A

• Is the fluff in the dryer been cleared out?

  Yes

  No

  N/A

• Are there any leaks or indication of water damage on walls, ceiling, window seals, carpets?

  Yes

  No

  N/A

• Are shelves and curtains securely fixed?

  Yes

  No

  N/A

• Is the hot water between 45–50-degree Celsius? If not, please indicate what temperature it is - you would need to test it with water thermometer.

  Yes

  No

  N/A

Kitchen

• Are the kitchen preparation areas and work surface clean, clear and safe to use?

  Yes

  No

  N/A

• Is there a fire blanket in the kitchen?

  Yes

  No

  N/A

• Is the fire blanket hanged on the wall by the hob?

  Yes

  No

  N/A

• Does the tenant know how to use the fire blanket?

  Yes

  No

  N/A

• Is the tenant supported by staff to cook meals?

  Yes

  No

  N/A

• Is the staff trained for basic food hygiene?

  Yes

  No

  N/A

• Are there any flammable and dangerous substances in the kitchen and are they safely stored?

  Yes

  No

  N/A

• Are the ovens clean?

  Yes

  No

  N/A

• Is the extractor in the kitchen clean?

  Yes

  No

  N/A

• Is the extractor in the bathrooms clean?

  Yes

  No

  N/A

• Does the tenant use the hotplate, urn and slow cooker on Shabbat?

  Yes

  No

  N/A

• Are the hotplate, urn or slow cooker in good working order? Are they clean?

  Yes

  No

  N/A

Fire Management Checks

• Is the fire evacuation plan displayed?

  Yes

  No

  N/A

• Does the tenant need to have the evacuation plan in easy read?

  Yes

  No

  N/A

• Does the tenant understand how to evacuate the building and who to contact?

  Yes

  No

  N/A

• Are the smoke detectors working? In order to answer this question, please test the smoke detectors.

  Yes

  No

  N/A

• Are combustibles and detergents stored appropriately? i.e. not beneath stairwells or against electrical apparatus.

  Yes

  No

  N/A

• Is the electrical cupboard empty of all combustible materials?

  Yes

  No

  N/A

• Is the lighting adequate and in good condition throughout the property and outside?

  Yes

  No

  N/A

• Does the member smoke in the flat?

  Yes

  No

  N/A

• Is the front door of the flat a fire door?

  Yes

  No

  N/A

Electricity

• Is there an emergency light in the property?

  Yes

  No

  N/A

• If no emergency light, is there a torch and is it working and easily accessible?

  Yes

  No

  N/A

• Are all sockets in a good condition?

  Yes

  No

  N/A

• Are all electrical cables in good condition? (e.g. TV, laptop, charger cables)

  Yes

  No

  N/A

Bedroom

• Is the mattress in good condition? Is it clean? No Bedbugs?

  Yes

  No

  N/A

• Is the bed frame in good condition?

  Yes

  No

  N/A

Outside the flat

• Are all outside paths and steps in good condition? Balcony, Decking, stairs, etc

  Yes

  No

  N/A

• Is the garden well kept, free of clutter, grass short and neat?

  Yes

  No

  N/A

Accidents and Incidents

• Have all staff accidents and incidents forms sent to healthandsafety@kisharonlangdon.org.uk?

  Yes

  No

  N/A