Background Information

General Information

  • Audit Title

  • Client & Address

  • Conducted on

  • Personnel Involved

  • Auditor's Name and Job Title:

  • Auditor's signature:

Executive Summary

Executive Summary

Staffing

Staffing & Operational Information

  • What is the current NG Bailey staffing at the building?

  • Are any of the NGB staff currently pregnant, or recently returned from maternity leave?

  • If yes, are appropriate NEM risk assessments in place?

  • Have NGB staff undergone a SHEQ Induction?

  • Have NGB staff undergone a building induction?

  • What are the normal working hours for NG Bailey staff at the building?

  • If staff are working permanent nights, have they undergone any health screening?

  • Are Agency staff used at the building?

  • Have Agency staff been given a building induction, and have they signed the acknowledgement forms?

Personal Protective Equipment

PPE Provision

  • Have all Engineers been provided with appropriate PPE?

  • Is the PPE provided appropriate for the hazards at the building?

  • Is the PPE in a serviceable condition?

  • Is any job-related PPE issued to the team?

  • Additional job-related PPE needed:

Training Records

Training/Competency

  • Has a training matrix been produced for the staff at the building?

  • Are the Contract Manager & Supervisors aware of Engineers competencies?

  • Are toolbox talks being carried out?

  • Are Safety Talks Attendance Sheets being signed by the attendees?

  • Are there any additional training requirements identified?

Safety Information Documentation

General Administration Issues

  • Are NGB provided with an office or administration area in the building?

  • Is the this area solely for the use of NGB?

  • Is there an NGB safety noticeboard in the building?

  • Is the correct information shown on the H&S Law Poster?

  • Is the current HS&E Policy Statement displayed?

  • Are current BOSS documents available either on display or in folders?

  • Are the current Insurance Certificates displayed?

  • Are Fire Safety procedures, including Assembly Point information, displayed?

  • Are any of the NG Bailey staff First Aid trained?

  • Is First Aid information displayed?

  • How can staff obtain First Aid assistance should it be needed?

  • Are First Aid kits easily available?

Risk Assessments & Method Statements

Hazard and Risk Management

  • Has the Client or Landlord provided a hazard register for the building?

  • Have all Restricted Access/Confined Spaces been identified and entered on the register?

  • Are NGB generic risk assessments available at the building?

  • Have any task/building specific risk assessments been produced, in relation to work activities at the building?

  • Have all risk assessments been reviewed by the Contract Manager/Supervisor for the current year?

  • Have the risk assessments been brought to the attention of the Engineers?

  • Are dynamic risk assessment pads available?

  • Are Engineers confident in completing dynamic risk assessments when needed?

  • Are the correct PtW pads available at the building?

  • Are PtW's being correctly completed by both NGB and the Contractors?

Asbestos Management

Asbestos Management

  • Is asbestos known, or presumed, to be present in the building(s)?

  • Has an asbestos survey been undertaken?

  • Is there an Asbestos Management Plan in place?

  • Is the Asbestos Management Plan reviewed periodically?

  • How are staff provided with information regarding asbestos?

  • Have NGB Engineers undergone UKATA Asbestos Awareness training within the last 3 years?

  • Are staff aware of what action to take if they come across something they suspect may be asbestos?

Working Environment & Welfare Provision

Office and Welfare Provision

  • Is an office or administration facility provided at the building?

  • Picture:

  • If yes, how many people normally work full-time in the office?

  • Is the area solely for the use of NG Bailey?

  • Does the area have a source of natural light?

  • Is a separate office and/or restroom provided for Engineers?

  • Do office staff use DSE?

  • Have office staff undertaken DSE self-assessments?

  • Is the office lighting suitable?

  • Is the temperature in the office suitable/reasonable?

  • Is drinking water provided (either tap or bottled)?

  • Are suitable toilet facilities, relatively close to the office, provided?

  • Are separate male and female toilet facilities provided?

  • Are Sani-bins provided in toilet facilities used by female staff?

  • Are changing facilities, with secure lockers, provided for staff who need them?

  • Are showers available for NG Bailey staff to use if desired?

  • Are the office/administration areas cleaned regularly?

  • Are kitchen/rest room facilities provided?

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  • Are the kitchen/restroom facilities provided solely for the use of NG Bailey staff?

  • Are kitchen/restrooms being kept clean and tidy?

  • Are the office/kitchen areas free of visible evidence of vermin infestations?

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  • Are pest or vermin infestations in the building being dealt with?

  • General view of plant rooms:

  • General view of roof plant areas:

Fire Prevention & Safety Precautions

Fire Safety Management

  • Is a copy of the Client's Fire Risk Assessment available in a suitable format?

  • Are NG Bailey responsible for the testing of the fire alarm?

  • Is there a Fire Log Book at the building?

  • Where is the Fire Log Book located?

  • Are all relevant test results being recorded in the Fire Log Book?

  • Are Fire Action Notices displayed throughout the building?

  • Are the correct details shown on the Fire Action Notices?

  • Are staff aware of what do in the event of a fire alarm activation?

  • Do the NGB Engineers have any specific duties if there is a fire alarm activation?

  • Are fire extinguishers provided throughout the building?

  • Are the fire extinguishers provided suitable for the fire hazards present in the building?

  • Have all fire extinguishers been serviced and had colour-coded tags affixed?

  • Have NGB staff had training in the safe use of fire extinguishers?

  • Is there a gas-flood fire extinguishing system in the building?

  • Is there a clear process in place to ensure the gas-flood system is set to manual while staff work in the room

  • Is the fire alarm system serviced as required?

  • Is the emergency lighting system maintained as required?

Housekeeping & Waste Management

Waste Management

  • Are separate waste/recycling bins provided for various waste streams, i.e. food waste, plastics, paper, etc.?

  • Is waste and rubbish being placed in the appropriate receptacles?

  • Is rubbish and waste being recycled appropriately?

  • Is waste food being disposed of correctly?

Storage Areas

Workshop/Storage Areas

  • Is a workshop and/or storage area provided for NGB use, at the building?

  • Picture:

  • Is the workshop/storage area being kept tidy?

Statutory Compliance

Statutory Compliance Records

  • How are maintenance records stored?

  • H & S policy statement dated:

  • Employers liability certificate dated:

  • Fixed electrical wiring test certificate dated:

  • Portable appliance testing dated:

  • Dry riser annual test certificate dated:

  • Wet riser annual test certificate dated:

  • Air receiver annual test dated:

  • Water treatment annual risk assessment dated:

  • Written Scheme for the water system dated:

  • Emergency lighting annual test certificate dated:

  • Landlords gas test certificate (boiler 1) dated:

  • Landlords gas test certificate (boiler 2) dated:

  • Landlords gas test certificate (boiler 3) dated:

  • Landlords gas test certificate (boiler 4) dated:

  • Asbestos Management Plan last review date:

  • Eyebolt test certificates dated:

  • Fire alarm annual test certificate dated:

  • Date of last fire drill:

  • Fire extinguisher annual service dated:

  • Sprinkler system annual test certificate dated:

  • Fall protection/Latchway system periodic test certificate dated:

  • Lightning conductor annual test certificate dated:

  • BMU periodic inspection dated

  • Pollution Incident Response Plan test scenario completed on:

Contractor Documentation

Contractor Management

  • Are Contractor's files maintained?

  • Are copies of Contractors' H&S Policies, and current Employers Liability Certificates held on file either in the office, or on My Supply Chain

  • Are Contractors generic RAMS held on file?

  • Are task-specific RAMS being provided by the Contractors where required?

  • Is there a process to ensure that Contractor's RAMS are reviewed and approved by a competent person prior to the commencement of works?

  • Are Permits to Work being issued to Contractors prior to the start of the works?

  • Are the Permits to Work being completed correctly by both NGB and the Contractor?

  • Is the Permit to Work Register being kept up to date and all Permits accounted for?

  • Are all Permits being closed down correctly by both NGB and the Contractor?

  • Is there a documented process to provide Contractors employees with a site induction before they commence their work activities?

CoSHH Management

Management of Hazardous Substances

  • Are hazardous substances in use at the building?

  • Is a hazardous substances inventory available?

  • Are hazardous substances kept in a lockable store or cupboard?

  • Are the MSDS's for the hazardous substances available?

  • Are COSHH Assessments available for all hazardous substances in use?

  • How is information about the safe use of hazardous substances passed on to the Engineers?

  • Is PPE, suitable for the substances in use, provided?

  • Is the PPE stored separately from the hazardous substances?

Work Equipment

Work Equipment

  • Is NGB-supplied work equipment in use at the building?

  • What equipment is provided?

  • Are the correct guards fitted to equipment?

  • Have staff been trained to use the equipment provided?

  • Are step ladders in use at the building?

  • Are ladders in use at the building?

  • Are all steps and ladders marked with an individual ID number?

  • Are steps and ladders subject to regular recorded inspections?

  • Were the steps and/or ladders seen, in good condition?

  • Is test equipment or a proving unit held on site?

  • Are calibration records available for equipment which require them?

  • Are all calibration dates current?

Working at Height

Working at Height

  • Are Engineers able to complete all work activities without the need to work at height?

  • Are any fixed vertical ladders subject to periodic inspection, and have scafftags affixed?

  • Picture:

  • Are fixed vertical ladders plated off or secured in another way to prevent unauthorised access?

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  • Is suitable edge protection provided around the perimeter of the roof(s)/work areas?

  • Picture:

  • Is the roof edge protection subject to documented periodic inspections?

  • Are Engineers able to undertake working on roofs without the need to wear safety harnesses & lanyards?

  • Have Engineers been provided with suitable training in the safe use of harnesses and lanyards?

  • Are harnesses and lanyards subject to periodic visual and tactile inspections?

  • Is there equipment on the roof (phone masts, satellite dishes, microwave transmitters etc.) which may emit electromagnetic radiation?

  • Picture:

Use of Portable Access Equipment

Mobile Tower Scaffolds

  • Is there a mobile tower scaffold available at the building?

  • Is the mobile tower scaffold an NGB or client owned item?

  • Do the NGB staff hold appropriate PASMA certification?

  • Are mobile tower scaffolds subject to documented periodic inspection?

Use of Powered Access Equipment

Powered Access Equipment

  • Is a MEWP available at the building?

  • Is the MEWP NGB or client owned?

  • Do the NGB staff hold appropriate IPAF certification?

  • What classes are covered by the IPAF certification held by NGB staff?

  • Are documented pre-use checks carried out on the MEWP(s)?

Noise Related Issues

Noise Management

  • Are there work areas in which noise levels are elevated?

  • In which areas are elevated noise levels apparent?

  • Have the noise levels been measured?

  • What were the noise levels recorded?

  • Are suitable 'Hearing Protection Zone' signs displayed?

  • Are Engineers provided with suitable ear protection?

  • Are disposable ear plugs available in plant rooms/areas?

  • Is the ear protection being worn when needed?

  • Have Engineers been provided with Occupational Health questionnaires?

  • If yes, what follow-up action has been taken?

Lone Working

Lone Working

  • Are there always other persons available in the building when Engineers are at work?

  • If no, how can the Engineers get assistance should they need it?

  • How do the Engineers keep in contact with colleagues or other persons?

  • Are there any activities that may NOT be undertaken without a second person in attendance?

Electrical Safety

Management of Electrical Hazards

  • Are there competent Electricians as part of the Engineering team?

  • Do all Engineers understand the procedure for electrical isolations?

  • Do all Engineers understand the term 'proven dead'?

  • Are all Engineers confident in the use of testing and proving equipment?

  • Are LOTO kits available?

  • Are there any Approved Persons in the Engineering Team?

  • Is there an HV Switchroom in the building?

  • Are any of the Engineers authorised as an HV AP?

  • Is PAT testing carried out on NGB equipment?

  • Is the fixed electrical equipment inspected as required?

Water Hygiene Management

Water Hygiene Management

  • Is there a Water Treatment Log Book on site?

  • Is there a nominated specialist Water Treatment contractor?

  • Are the relevant Responsible Persons identified in the Management Section of the Log Book?

  • Is the scope of works clearly laid out?

  • Are there any cooling towers at the building?

  • If yes, are the cooling towers subject to periodic inspections as per the relevant ACoP?

  • Date of last Cooling Tower Inspection:

  • Are the cold water storage tanks inspected monthly?

  • Are calorifier temperatures being checked and recorded as required?

  • Is flushing of little used outlets being carried out and recorded?

  • Are sentinel/representative tap temperatures being checked and recorded?

  • Is the hot water system temperature being checked and recorded monthly?

  • Is the cold water system temperature being checked and recorded monthly?

  • Are shower heads being descaled periodically and is this being recorded?

  • Are hot water temperature graphs being completed on a monthly basis?

  • Are cold water temperature graphs being completed on a monthly basis?

  • Where there are failings identified, are they being recorded in the Fault Log, with appropriate remedial actions also being detailed?

  • Are system chlorination treatments undertaken and recorded?

  • Is there a chlorine dioxide treatment system?

  • Is the system ever pasteurised and are records maintained?

  • Are samples being sent away for analysis?

  • Is there an escalation process in place to respond to elevated bacterial counts?

Pedestrian /Traffic Management

Workplace Transport & Pedestrian Safety

  • Are there loading bay or car park areas at the building?

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  • Is there a need for staff to traverse these areas at any time?

  • Do any car park access doors open directly onto traffic routes?

  • Are clearly delineated pedestrian walkways and crossing points provided?

  • Are speed limit signs displayed?

  • Is the lighting in these areas sufficient to remove dark/blind spots?

  • Are staff issued with suitable hi-viz vests/jackets?

  • Are hi-viz vests/jackets being worn by staff when in car park or loading bay areas?

Environmental Management

Environmental Management

  • Has an Environmental Impacts and Aspect Register been produced for the building?

  • Is there a generator (or more than one) in the building?

  • Is there an oil or fuel tank in the building?

  • What is the capacity of the oil/fuel tank?

  • Where is the fuel tank fill point located?

  • Is a PIRP in place for the building?

  • Are there interceptors in the loading bay/carpark?

  • Are the interceptors cleaned and maintained as required?

  • How is controlled waste managed and disposed of?

  • Are Waste Transfer Notes and Consignment Notes held on file?

  • Are Consignment Notes with Part E completed correctly held on file?

  • Is an F-Gas Register in use?

  • Are the competency details for F-Gas Engineers held on file?

  • Are there any solar panels or PV units on the roof of the building?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.