Capita MITS Service Measurement Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Health and Safety

• Site Health and Safety plan and procedures on site and up to date?

  Yes

  No

  N/A

• Health and Safety Law poster on display?

  Yes

  No

  N/A

• Health and Safety statement on site. Signed copy.

  Yes

  No

  N/A

• Safety registers on site and up to date. Ladders, permits to work, confined spaces etc...

  Yes

  No

  N/A

• Inventory of CoSHH items.

  Yes

  No

  N/A

• CoSHH Data Sheets and spot check match?

  Yes

  No

  N/A

• Fire Risk Assessment.

  Yes

  No

  N/A

• Emergency plan, means of escape.

  Yes

  No

  N/A

• List of first aiders, location(s), first aid box.

  Yes

  No

  N/A

• Risk assessments and method statements of sub-contractors.

  Yes

  No

  N/A

• Portable Appliance Testing completed and in date?

  Yes

  No

  N/A

• Asbestos Register.

  Yes

  No

  N/A

• Server Room check. Manual check.

  Yes

  No

  N/A

Evidence of Capita MITS Staff induction and that they are competent to carry out work

• Inductions?

  Yes

  No

  N/A

• Tool Box Talks?

  Yes

  No

  N/A

• Training Programmes?

  Yes

  No

  N/A

• CRB Details.

  Yes

  No

  N/A

• Site staff have sufficient uniform and wear valid ID badges at all times.

  Yes

  No

  N/A

• Staff are aware of contingency plans and how to escalate issues.

  Yes

  No

  N/A

Planned Maintenance Activities

• Planned Maintenance. Proactive checks and maintenance information.

  Yes

  No

  N/A

• Help desk calls. Current calls and requests open.

  Yes

  No

  N/A

What Planning For PPM Have Been Carried Out?

• Permits to access.

  Yes

  No

  N/A

• Consumables, spares.

  Yes

  No

  N/A

Visits/Audits Carried Out By Others

• HSE (including follow up action).

  Yes

  No

  N/A

• Capita MITS Inspections.

  Yes

  No

  N/A

Communications (Internal & External)

• Management Reviews Safety?

  Yes

  No

  N/A

• Operating Manual?

  Yes

  No

  N/A

Contractor Records

• Disposal Certificates, Waste Toner etc...

  Yes

  No

  N/A

Working Environment

• Suitable risk assessment (including review) and method statements for Capita MITS Staff. To include Server Room Access.

  Yes

  No

  N/A

• Suitable CoSHH assessment (including review) to Capita MITS site staff.

  Yes

  No

  N/A

KPIs

• KPI 17<br>Compliance with H&S regulations.

  Yes

  No

  N/A

• KPI 20<br>Asset Register maintained and up to date.

  Yes

  No

  N/A

• KPI 27<br>Disaster Recovery Plan in place?

  Yes

  No

  N/A

• Other remarks

• Signature of checking person.

  Sign