Section 1 - Opening Meeting
The purpose of this audit is to ensure that the premises is meeting its statutory requirements with regards to Health & Safety.
Name of Service Manager:
Total number of service users:
Total number of staff working onsite:
Age of the property:
Section 2 - Audit
1.1 - Are all employees aware of the Health and Safety Policy?
1.2 - Are employees aware of their health and safety responsibilities?
1.3 - Is there a clear, written allocation of the health and safety responsibilities for all staff in your area of responsibility?
1.4 - Are employees given specific Health & Safety information? e.g. Employee Handbook
1.5 - Is health & safety on the agenda at team meetings?
1.6 - Is the health and safety law poster on display?
1.7 - Have employees got access to relevant health and safety documents?
2.1 - What risk assessments have been completed for high risk activities / hazards?
2.2 - Who carried out the risk assessments?
2.3 - What health & safety training / experience does this person have?
2.4 - Were employees or their representatives involved in the risk assessment process?
2.5 - How have risk assessments been communicated to staff?
2.6 - Are control measures implemented?
2.7 - Are recommendations for improvement followed up?
2.8 - Are risk assessments reviewed periodically i.e. every year, following accidents, following changes?
2.9 - Do you carry out a risk assessment for planning and delivering events i.e. Garden Party, Summer Fair etc.?
2.10 - Do you carry out any in house health and safety audits?
3.1 - Are ALL accidents/incidents reported to H&S team with sufficient time to enable HSE notification where necessary i.e. Within 24 hrs?
3.2 - Are all employees aware of their responsibilities regarding accident/incident reporting?
3.3 - Are accidents/incidents evaluated to establish if any further preventative action is required?
3.4 - In the last 12 months has there been any serious accidents/incidents?
3.41 - Give details:
3.5 - Has the risk of violence and aggression towards employees, or between residents, been assessed?
3.6 - With regards to violence and aggression, where necessary, are individual risk assessments completed and regularly reviewed as part of the care planning process?
3.7 - Where appropriate, do staff receive training in recognising, tackling or avoiding violence and/or aggression?
3.8 - Are incidents of violence reported and followed up, and not just accepted as being 'part of the job'?
3.9 - Do you have a support process in place for those who suffer incidents of violence and aggression? e.g counselling.
4.1 - Does your property have a Continuity Plan and are you aware of its content?
4.1.1 - What emergency situations has the establishment planned for?
4.2 - Are employees aware of their responsibility in the event of an emergency?
4.3 - Are service users and visitors aware of the relevant procedures in the event of an emergency?
4.4 - Where necessary, are PEEP's in place for any staff or service users?
4.5 - Are there an adequate number of Fire Wardens on site at all times?
4.6 - Have fire wardens been trained?
4.7 - Is information on display for evacuation procedures?
4.8 - Are means of escape correctly and clearly signed?
4.9 - Is appropriate equipment available to deal with emergencies?
4.10 - Are key personnel trained in its use?
4.11 - For shared workplaces, are emergency arrangements communicated and co-coordinated with neighbours?
4.12 - Has a fire risk assessment been carried out?
4.13 - Was the fire risk assessment carried out by a competent person?
4.14 - Has an action plan been developed to implement the recommendations?
4.15 - Is there evidence that regular testing of the disabled toilet alarm system is being carried out?
4.16 - How often are smoke detectors checked to ensure they are in working condition?
4.17 - Is fire fighting equipment properly mounted?
4.18 - Is fire fighting equipment regularly inspected?
4.19 - Are combustible materials kept away from heat sources?
4.20 - Are fire doors and exits free from obstructions?
4.21 - Are weekly fire alarm tests carried out and recorded?
4.22 - How often are fire evacuation drills carried out?
4.23 - Are vision panels unobstructed and in good condition?
4.24 - Where applicable, has the sprinkler system been maintained, inspected and tested?
4.25 - Are all fire doors fitting into the rebate?
4.26 - Are waste areas secure and located a suitable distance away from the building?
4.27 - Is emergency lighting tested and recorded?
4.28 - Is the Smoking Policy being adhered to?
5.1 - Are there adequate numbers of first aiders on site at all times?
5.2 - Is first aiders training up to date?
5.3 - If a first aider administers first aid what records do they complete?
5.4 - Who is responsible for maintaining the first aid box?
5.5 During today's audit was the first aid box readily available?
5.5a - Was the first aid box well stocked?
5.5b - Was the contents of the first aid box in date?
5.6 - What facilities are available for the disposal of sharps?
6.1 - Is there a medication policy in place?
6.2 - Are an appropriate amount of staff trained in administering medication?
6.3 - Is the storage of medication secure?
6.4 - What procedures are in place for the disposal of medication?
6.5 - What records are in place for receiving and storing medication?
6.6 - Where necessary, are individual health care plans in place?
6.7 - Do you have a procedure in place for dealing with Allergens?
7.1 - Can visitors/intruders easily gain access into the premises?
7.2 - Is there clear signage for visitors to report to reception/staff?
7.3 - Is there a signing in/out procedure in use?
8.1 - Is a competent person involved in preparing specifications for the work or agreeing that any proposed work is acceptable?
8.2 - What H&S checks are carried out on contractors prior to commencement of works?
8.3 - Are job specific method statements and/or risk assessments obtained and checked prior to commencement of works?
8.4 - Are pre-start meetings held with the contractor to discuss the implications of the intended work?
8.5 - How do you monitor contractor work?
8.6 - For higher risk works, is a permit to work system in place?
9.1 - Are staff aware of the stress policy?
9.2 - What action would be taken if an employee raised concerns in relation to the Stress policy?
9.3 - Are staff able to take reasonable rest breaks during their shift?
10.1 - Has the risk of moving and handling been assessed?
10.2 - Do you have person-centred moving and handling plans in place?
10.3 - Are plans specific about different handling tasks and the equipment to be used?
10.4 - Are the plans reviewed periodically and when the persons needs change?
10.5 - Have employees received moving & handling training appropriate to the tasks they carry out?
10.6 - What moving and handling equipment is available? E.g Hoists, Slings, Wheelchairs
10.7 - Are safe working procedures in place for the use of moving and handling equipment?
10.8 - Have staff received specific training on the use of moving and handling equipment?
10.9 - Do you check safe techniques and equipment are used? E.g Correct sling is being used for resident.
10.10 - Is lifting equipment (including accessories) being examined in accordance with LOLER?
E.g 6 months or less for equipment lifting people and lifting accessories: Lift hoists, bath lifts, slings.
11.1- Have individuals or groups of employees been identified as lone workers?
11.2 - Have specific risk assessments been undertaken identifying the risks associated with lone working?
11.3 - What procedures are in place for lone workers to record their whereabouts?
11.4 - Are all employees aware of the lone working policy and any procedures in place?
11.5 - Do visits away from the premises take place?
11.5a - Give examples of visits:
11.5b - Are risks assessments carried out for these visits?
11.5c - Where applicable, what checks are carried out to verify the provider of the activity is competent?
12.1 - Do employees work at height?
12.1a - Give examples of activities recognised as working at height:
12.1b - Are risks assessments in place?
12.1c - Have staff received appropriate training for working at height?
12.1d - Where applicable, what equipment is provided for employees to work at height?
12.1e - Is this equipment suitable, maintained and inspected?
12.2 - Are any service users at increased risks of falls from windows, balconies or other areas?
12.2a - Give examples of the controls that are in place, e.g window restrictors:
12.2b - Are these controls adequate, robust and properly maintained?
12.3 - Are all staircases fitted with handrails/guard rails?
13.1 - Do risk assessments consider new and expectant mothers?
13.2 - Do managers modify tasks depending on the findings of risk assessments?
13.3 - Are welfare facilities available for employees who are pregnant or breast feeding?
14.1 - Are mini buses used?
14.1a - Are risk assessments carried out for the use of minibuses?
14.1b - What checks are carried out to ensure the correct licence is held and the mini bus is fit for use? (D/D1 on license or did they pass test pre-January 1997). MOT, Service, Pre Use Checklist.
14.2 - Where staff drive their own/service users car, what checks are carried out to ensure the correct licence is held and the car is fit for use? E.g Licence, MOT, Insurance, Road Tax, Pre Use Checklist.
15.1 - Where necessary, have DSE assessments been carried out?
15.2 - Have all staff been given instructions on how to set up their workstation correctly?
15.3 - Are all DSE Assessments carried out by a competent person?
15.4 - Are procedures in place for employees to report any DSE related issues?
16.1 - Are staff required to undertake any catering duties?
16.1a - If so what training have they received? H&S & FH
16.1b - Where necessary has a risk assessment been carried out for higher risk activities?
17.1 - Has a water risk assessment been carried out and suitable and sufficient controls put in place?
17.2 - Do you have access to a competent person who can manage the risk from legionella?
17.3 - Is the competent person for legionella involved in any planned worked on water or air conditioning systems?
17.4 - Are shower heads regularly cleaned and disinfected?
17.5 - Is there a flushing regime for little used outlets?
17.6 - How often are temperature checks carried out?
17.7 - Is water sampling carried out? (NOTE: not a legal requirement to undertake sampling, sampling is carried out as determined by the RA)
18.1 - Have water temperatures, hot surfaces and the vulnerability of individuals been adequately assessed?
18.2 - Are suitable engineering controls in place? e.g ensure water is not discharged greater than 44 Deg. C
18.3 - Are Type 3 TMV's or healthcare standard electric showers fitted?
Domestic electric showers are likely to have temperature regulation features but water temperature above 44 Deg. C may still occur if there are fluctuations in flow or pressures.
18.4 - Are heat sources in reach of service users guarded?
e.g radiator cover or covering exposed pipe work, portable appliances
19.1 - Is there any asbestos on site?
19.2- Has an Asbestos Duty Holder been appointed to manage asbestos containing materials at the workplace?
19.3 - Has the Asbestos Duty Holder received appropriate training to allow them to carry out their responsibilities?
19.4 - Is an up to date Asbestos Register available?
19.5 - Does the Duty Holder regularly inspect the condition of any identified asbestos in the asbestos building file?
19.6 - Are these checks recorded in the register?
19.7 - Do all building contractors sign in and check the asbestos survey report prior to starting work?
19.8 - If employees are likely to disturb asbestos, are they made aware of the location of asbestos?
19.9 - Are employees aware of the procedures if asbestos is disturbed in the building?
20.1 - Have COSHH assessments been carried out for all substances?
Including those used in laundry, kitchen and outdoors and those arising from contaminate laundry and exposure to bodily fluids.
20.2 - Are control measures implemented?
20.3 - Are staff given appropriate protective equipment?
20.4 - Are staff trained in safe procedures and the use of protective equipment?
20.5 - Are manufacturers safety data sheets available for products used?
20.6 - Are procedures for spillages in place?
20.7 - Are hazardous substances stored safely and suitably labelled?
20.8 - Are procedures in place for infection control?
21.1 - Are electrical panels clearly marked and unobstructed, restricted access?
21.2 - Cable management acceptable? (no split/taped cords)
21.3 - Any loose or damaged conduit or trunking?
21.4 - Details of fixed electrical system checked by competent person? Examine records
21.5 - Portable electrical equipment maintained - visual checks by user, formal inspection?
21.6 - Any unauthorised private equipment being used?
21.7 - Do any power sockets appear to be overloaded?
23.1 - Are all gas appliances installed, fitted and maintained by competent persons?
23.2- Are all appliances subjected to an annual gas safety test?
23.3 - Is a gas shut off valve installed and are staff aware of its location?
23.4 - Are only trained persons involved in relighting gas appliances and pilot lights?
23.5 - Are boiler houses free of combustible materials?
24.1 - Are housekeeping checks carried out and recorded?
24.2 - Are arrangements in place for reporting defects to the building and remedial action carried out?
24.3 - Are work areas adequately lit?
24.4 - Is there adequate ventilation in work areas?
24.5 - Is there an adequate number of sanitary conveniences?
24.6 - Where necessary, are doors protected against trapping points?
24.7 - Is the perimeter wall/fence/railings in a good state of repair?
24.8 - Are walkways clear from obstruction and debris?
24.9 - Where residents are assessed as being at high risk of slips, trips and falls, are individual factors (taking the environment into account) included in the care plan, and are measures in place to reduce the risks?
24.10 - Are traffic routes clearly marked?
24.11 - Is there adequate vehicle/pedestrian separation within the premises?
24.13 - Are speed restrictions or one way systems in place for traffic?
25.1 - Are bed rails in use?
25.2 - Are bed rails only provided where they are the most appropriate solution to prevent falls?
25.3 - Are Risk Assessments in place for the use of bed rails?
25.4 - Are staff trained in the risks and safe use of bed rails?
25.5 - Are rails and any accessories compatible with the bed, mattress and occupant?
25.6 - Does the mattress fit snugly between the rails?
25.7- Are rails correctly fitted on both sides of the bed, secure, regularly inspected and maintained?
25.8 - Are checks completed to ensure that gaps that could cause entrapment of neck, head and chest are eliminated?
26.1 - Do staff drive for work?
26.2 - Are procedures in place, whereby managers check driving licences etc.
26.1 - Have employees been inducted and undertaken identified mandatory training?
Details of any other H&S issues identified at time of audit and not covered elsewhere:
Health & Safety Issue:
Location (if required):
Section 3 - Closing Meeting