Title Page

  • Client Name

  • Address

  • Visit Date

  • Safety Consultant

  • Responsible Person

  • Brief Description of the Business

Health and Safety Policy

  • Is there a current Health and Safety Policy/Statement of Intent (signed and dated)?

  • Are responsibilities assigned to those who have control over matters?

  • Are arrangements in place to achieve aims and objectives?

  • Is the Health and Safety Policy communicated to employees?

Committment, Leadership and Competent Person

  • Is a person appointed responsible for health and safety co-ordination?

  • Are their duties and responsibilities defined?

  • Have they sufficient training and time available to carry out duties?

  • Is their evidence of strong management commitment and leadership?

  • Is health and safety performance reported to the workforce?

Consultation/Safety Committee

  • Has a safety representative been appointed?

  • Are meetings held regularly?

  • Are meetings chaired by the health and safety coordinator/representative?

  • Are minutes kept detailing actions?

  • Has suitable training been provided for the health and safety coordinator/representative?

  • Does the health and safety coordinator/representative carry out inspections or audits and are they recorded?

  • Is there a suggestion scheme and demonstrable action taken?

Communication

  • Do regular meetings take place with health and safety as an agenda item?

  • Do supervisors/staff carry out toolbox talks and are they recorded?

  • Are posters and notices prominently displayed and current?

  • Is the health and safety law poster displayed?

  • Is the health and safety policy statement displayed?

  • Are the relevant insurance certificates displayed?

  • Are first aid arrangements displayed?

  • Are emergency evacuation procedures displayed?

  • Are additional hazard warning signs suitable and sufficient?

Hazard Identification

  • Are there risk assessments?

  • Is the person who produces them trained?

  • Are they updated at required intervals?

  • Are they communicated to employees?

Safe Equipment

  • Is there an asset / equipment register and who controls?

  • Are maintenance / servicing schedules arranged to cover all machinery, equipment and systems?

  • Are permit to work systems in use?

  • Are all operators trained?

  • Is there segregation between pedestrians and vehicles?

  • Are there rules for company transport?

COSHH

  • Are COSHH assessments carried out for all hazardous substances used or generated and by who?

  • Are COSHH assessments communicated to employees?

  • Are highly flammable materials safely stored?

  • Is health monitoring carried out?

Personal Protective Equipment

  • Is PPE supplied?

  • Is PPE signed for and instruction given in correct use?

Third Parties - Visitors/Contractors/Public

  • Are contractors assessed for suitability?

  • Is there a visitor log or are visitors accompanied at all times?

  • Is suitable safety information provided?

Environmental Management

  • Is waste suitably collected and disposed of?

  • Is special waste generated suitably collected and disposed of?

  • Are there environmental emergency procedures?

Welfare

  • Are suitable welfare facilities available?

  • Is drinking water available?

  • Is there a no smoking policy?

  • Are vulnerable groups catered for?

Noise and Vibration

  • Are noise and vibration assessments carried out and by who?

  • Are they communicated to employees?

Display Screen Equipment (DSE)

  • Are DSE assessments carried out?

  • Are actions acted upon?

Manual Handling

  • Are manual handling assessments carried out and by who?

  • Are they communicated to employees?

  • Have employees received manual handling training?

Personnel Selection and Training

  • Is there an employee induction procedure?

  • Is there a training matrix and who is reponsible for it?

  • Do appraisals include health and safety performance?

Accidents Incidents and Near Misses

  • Is there an accident book?

  • Is there an accident reporting procedure?

  • Is there a person responsible for carrying out investigations/RIDDOR reports?

Fire Safety

  • Is there a fire risk assessment?

  • Is there an evacuation procedure?

  • Are there trained fire wardens?

  • Are fire extinguishers available and serviced?

  • Are weekly fire checks carried out and recorded?

  • Are fire drills carried out and required intervals?

  • Are fire notices displayed?

First Aid Arrangements

  • Are there adequate trained first aiders?

  • Is there a suitably stocked first aid kit?

  • Is there a first aid room?

Other

  • Other

Completion

  • Any Further Comments / Actions

  • Completed By: (Name & Signature)

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.