Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Electrical - Operational self-assessment Audit
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Do you have a verified asset list of all portable appliances for your department?<br>
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Are the PAT testing records for all the appliances as above in date?<br>
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Do you have a verified asset list of all Distribution Boards within your buildings?<br>
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Do all your buildings hold a current NICEIC Periodic Testing Certificate?<br>
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Have all remedial actions from the most recent periodic test been completed, verified and signed off?<br>
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Have Electrical Thermal Imaging, Visual Surveys or Supplementary inspections been undertaken for your buildings within the past 12 months?<br>
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Have all remedial actions from the Thermal Imaging, Visual Surveys or supplementary surveys been completed, verified and signed off?<br>
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Do you have a verified asset list of all lightning protection systems for your buildings?<br>
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Do all buildings with Lightning Protection Systems have an up-to-date testing certificate?<br>
Quality Audit -Electrical
Do you have a verified asset list of all portable appliances for your department?
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Evidence of list ?<br>
Are the PAT testing records for all the appliances as above in date?
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Evidence of records?<br>
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Percentage of equipment viewed with current labels:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a verified asset list of all Distribution Boards within your buildings?
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Evidence of list ?<br>
Do all your buildings hold a current NICEIC Periodic Testing Certificate?
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Evidence of certificates?<br>
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Percentage of certificates confirmed as held:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Have all remedial actions from the most recent periodic test been completed, verified and signed off?
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Percentage of remedial actions completed:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Have Electrical Thermal Imaging, Visual Surveys or Supplementary inspections been undertaken for your buildings within the past 12 months?
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Evidence of approach methods and checks undertaken?<br>
Have all remedial actions from the Thermal Imaging, Visual Surveys or supplementary surveys been completed, verified and signed off?
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Percentage of remedial actions completed:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a verified asset list of all lightning protection systems for your buildings?
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Evidence of list ?<br>
Do all buildings with Lightning Protection Systems have an up-to-date testing certificate?
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Evidence of certificates?<br>
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Percentage of certificates confirmed as held:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Gas Safety - Operational self - assessment Audit
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Do you have a verified asset list of all Gas Plant?<br><br>
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Have all gas plant (Boilers) been issued with a satisfactory test certificate within the past 14 months?<br>
Quality Audit - Gas Safety
Do you have a verified asset list of all Gas Plant?
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Evidence of list ?<br>
Have all gas plant (Boilers) been issued with a satisfactory test certificate within the past 14 months?
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Evidence of certificates?<br>
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Percentage of certificates confirmed as held:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Lifts & Lifting Equipment (LOLER) - Operational self-assessment Audit
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Do you have a verified asset list of all lifts within your buildings?<br><br>
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Have all the lifts currently in operation undergone a Statutory Inspection within the past 6 months?<br><br>
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Have all the lifts been subject to maintenance inspections/works within the past 2 months?<br>
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Are all recorded immediate defects for lifts being reviewed and actioned in accordance to the KCL LOLER Procedures?<br>
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Do you have a verified asset list of all items of lifting equipment under LOLER (MEWPS, Forks, Runway Tracks, eyebolts etc)?<br>
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Have all items of lifting equipment currently in use (MEWPS, Forks, hydraulic trolleys etc) undergone a Statutory Inspection within the past 12 months?<br>
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Do you have a formal means of managing items of lifting equipment (MEWPS, Forks, Hydraulic Trolleys etc) with expired inspection and testing certificates or those which are deemed unsafe for use?<br>
Quality Audit - LOLER
Do you have a verified asset list of all lifts within your buildings?
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Evidence of list ?<br>
Have all the lifts currently in operation undergone a Statutory Inspection within the past 6 months?
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Percentage of inspections completed:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Have all the lifts been subject to maintenance inspections/works within the past 2 months?
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Percentage of inspections/works completed:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Are all recorded immediate defects for lifts being reviewed and actioned in accordance to the KCL LOLER Procedures?
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Percentage of remedial actions completed:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a verified asset list of all items of lifting equipment under LOLER (MEWPS, Forks, Runway Tracks, eyebolts etc)?
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Evidence of list ?<br>
Have all items of lifting equipment currently in use (MEWPS, Forks, hydraulic trolleys etc) undergone a Statutory Inspection within the past 12 months?
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Percentage of inspections completed:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a formal means of managing items of lifting equipment (MEWPS, Forks, Hydraulic Trolleys etc) with expired inspection and testing certificates or those which are deemed unsafe for use?
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Evidence of management system?<br>
Pressure Systems & Pressure Vessels (PSSR) - Operational self-assessment Audit
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Do you have a verified asset list of all plant under PSSR?<br><br>
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Do all pressure systems have an up-to-date written scheme of examination?<br>
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Have all pressure systems been subject to a statutory inspection within the past 12 months or as identified with the written scheme?<br>
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Do you have a formal means of managing all items of pressure plant with expired inspection and testing certificates or those which are deemed unsafe for use?<br>
Quality Audit - PSSR
Do you have a verified asset list of all plant under PSSR?
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Evidence of list ?<br>
Do all pressure systems have an up-to-date written scheme of examination?
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Percentage of systems with WSE:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Have all pressure systems been subject to a statutory inspection within the past 12 months or as identified with the written scheme?
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Evidence of certificates on RSA system?<br>
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Percentage of certificates:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a formal means of managing all items of pressure plant with expired inspection and testing certificates or those which are deemed unsafe for use?
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Evidence of management system?<br>
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A procedure for action in case of imminent danger? (Reporting to the enforcing authority within 14 days under the regs by a competent person)<br>
Fire Safety Maintenance - Operational self-assessment Audit
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Are weekly Housekeeping Inspections being conducted for all buildings and in accordance with the Directorate’s Procedures?<br>
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Do you have verified schematics identifying all fire dampers within your buildings?<br>
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Have all your fire dampers undergone a test or inspection within the past 2 years?<br>
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Do you have a verified set of schematics of all ventilation ducts, inlets & outlets for all your buildings?<br>
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Have all your ventilation ducts, inlet & outlets been subject to inspections or cleaning within the past 5 years?<br>
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Do you have a verified asset list of all kitchen cooker hoods and extracts?<br>
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Have all kitchen cooker hoods, extracts and filters been cleaned/inspected within the past 14 months?<br>
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Do you have a verified asset list of all fire doors within your buildings? <br>
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Have all fire doors been subject to maintenance inspections in accordance with PPM schedules or within the past 12 months?<br>
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Do you have a verified asset list of all emergency lighting units?<br>
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Have all your emergency lighting systems been subject to a 1 hour and 3 hour test within the past 12 months?<br>
Quality Audit - Fire Safety Maintenance
Are weekly Housekeeping Inspections being conducted for all buildings and in accordance with the Directorate’s Procedures?
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Evidence of records?<br><br>
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Percentage of buildings with inspection records:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have verified schematics identifying all fire dampers within your buildings?
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Evidence of schematics?<br>
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Percentage of buildings with schematics:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Have all your fire dampers undergone a test or inspection within the past 2 years?
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Evidence of records?<br>
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Percentage with inspection records:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a verified set of schematics of all ventilation ducts, inlets & outlets for all your buildings?
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Evidence of schematics?<br>
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Percentage of buildings with schematics:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Have all your ventilation ducts, inlet & outlets been subject to inspections or cleaning within the past 5 years?
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Evidence of records?<br>
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Percentage with inspection records:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a verified asset list of all kitchen cooker hoods and extracts?
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Evidence of list?<br>
Have all kitchen cooker hoods, extracts and filters been cleaned/inspected within the past 14 months?
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Evidence of records?<br>
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Percentage with inspection records:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a verified asset list of all fire doors within your buildings?
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Evidence of list?<br>
Have all fire doors been subject to maintenance inspections in accordance with PPM schedules or within the past 12 months?
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Evidence of records?<br>
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Percentage with inspection records:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a verified asset list of all emergency lighting units?
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Evidence of list?<br>
Have all your emergency lighting systems been subject to a 1 hour and 3 hour test within the past 12 months?
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Evidence of records?<br>
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Percentage with inspection records:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Work Equipment (PUWER) - Operational self-assessment Audit
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Do you have an asset list of all equipment (excluding access equipment) provided to your staff which are subject to testing and inspections under PUWER?<br>
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Do you have a formal means of managing all items of work equipment as above with expired inspection and testing logs or those which are deemed unsafe for use?<br>
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Do you have a list of all ladders, step ladders and mobile towers?<br>
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Have all ladders, step ladders and mobile towers been subject to regular testing, inspections and tagging?<br>
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Do you have a formal means of managing ladders, step ladders and mobile towers with expired inspection tags or which are deemed unsafe for use?<br>
Quality Audit - PUWER
Do you have an asset list of all equipment (excluding access equipment) provided to your staff which are subject to testing and inspections under PUWER?
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Evidence of list?<br>
Do you have a formal means of managing all items of work equipment as above with expired inspection and testing logs or those which are deemed unsafe for use?
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Evidence of management system?<br>
Do you have a list of all ladders, step ladders and mobile towers?
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Evidence of list?<br>
Have all ladders, step ladders and mobile towers been subject to regular testing, inspections and tagging?
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Percentage of ladders viewed with current tags:
- 0%
- >0%<25%
- >25%<50%
- >50%<75%
- >75%<100%
- 100%
Do you have a formal means of managing ladders, step ladders and mobile towers with expired inspection tags or which are deemed unsafe for use?
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Evidence of management system?<br>
Further information and comments
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Conclusions and recommendations
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1st Auditor
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2nd Auditor
