Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

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  • CCTV on site

  • Security fence surrounding building and lockable gates

  • Asbestos report carried out on Buildings built pre year 2000.

  • External Fire risk Assessment completed

  • External DSEAR Assessment Completed (where applicable)

  • Spill kits to cover diesel refuelling area

  • Canopy rules issued for FLT pedestrian segregation

  • Adequate line markings and walk ways around site

  • Adequate lighting on site

  • PAT Testing completed

  • Fixed Wiring test completed within the last five years

  • Building Alarm panel inspection completed

  • Fire Alarm panel inspection completed

  • Last fire alarm and emergency light test

  • Last full fire evacuation of site

  • Fire Extinguishers inspection date

  • Gas boiler inspection date

  • Last Legionella check completed

  • Breathalyzer Calibration

  • Risk Assessments review date

  • SSOW review date

  • FORS renewal date

  • Air Con Serviced

  • Last Health & Safety Meeting Date Held

  • Next Health & Safety Meeting Booked For

  • Heath & Safety Minutes for the last 2 Meetings

  • Date of last Personal Injury on site

  • Confirm Risk assessment was updated after personal injury

  • Last Permit to work issued

  • Copy or RAMS to match last permit to work

Warehouse

  • Racking Inspection completed SEMA approved?

  • Last weekly racking inspection (by staff)

  • Are you BRC Accredited

  • Expiry date

  • FLT/MHE LOLER test next due

  • FLT/MHE LOLER test next due (FLT 8 Only)

  • List of all FLT refresher dates needed, inc drivers of Moffatts etc

  • Are FLT drivers using Checked Safe to complete checks

  • Scissor Lift LOLER inspection Date

  • Extension Forks LOLER inspection Date

  • Man Cage & FLR LOLER inspection Date

  • Have all required SWL's been carried

Drivers

  • Davis licence check up to date with all current drivers

  • Are Drivers Issued a HGV Sat Nav

  • Davis licence check up to date with all current agency drivers

  • Are Drivers issued route cards

  • Are drivers issued gloves and fequency

  • Bump cap policy issued, are all bump caps now issued

  • Are all current drivers using checked safe to check vehicles and trailers

  • Is Blue tree fitted in all powered vehicles

  • How many post collision assessments completed in the last twelve months

  • Do all vehicles operate a Forward facing Camera system

  • Are all Forward Facing Cameras Working

  • How many bridge strikes in the last twelve months

  • Any ongoing Traffic Commissioner enquiries

  • How many dropped trailers in the last twelve months

  • How many (reported) combination rollaway in the last twelve months

  • How many personal injuries in the last twelve months

Agency Drivers

  • Have all current agency drivers completed the agency pack and been signed by agency driver and competent staff member

  • Do you have route cards or preferred routes to give to agency drivers to avoid low bridges

  • Do agency staff receive vehicle familiarisation

  • Have due diligence checks been carried out on Agencies we use by a O Licence holder

Vehicles/Trailers

  • Last PG9 received

  • How many MOT failures in the last 6 months

  • Are all Tail lift LOLER inspections up to date

  • Are weekly tyre inspections carried out

  • Tyres, name of contractor/Provider

Compliance Competences

  • Heath and Safety Training

  • Required understanding of O'licence management

  • Understanding of FORS management system

  • Driver training experience

  • Are the required number of Fire marshals trained

  • Are the required number of first aiders trained on site

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.