Information

  • Report Reference Number:

  • Audit Location:

  • Client:

  • Conducted on

  • Auditor:

  • Company Representative:

Audit Scoring. 0 = No management measures in place. 1 = Measures in place but these are not adequate to provide proper control. 2 = Suitable measures in place but compliance cannot be evidenced. 3 = Suitable measures in place and compliance can be evidenced.

General Statement of Intent

  • Is it signed by a member of senior management?

  • Is it dated in accordance with review timescale?

Organisation.

  • Does the organogram reflect the current management structure?

  • Do the roles and responsibilities reflect the organogram structure?

  • Are the responsibilities realistic?

Accidents

  • Do the arrangements include reporting, recording and investigating?

Asbestos

  • Is there a management plan in place for company premises?

  • Have employees at risk undertaken asbestos awareness training?

Communication & Consultation

  • Are suitable means of consultation and communication in place?

Fire

  • Is there a fire risk assessment?

  • Is a record kept of tests, inspections, checks, drills etc?

  • Are inspections, tests etc up to date?

First Aid

  • Has suitable and sufficient first aid provision been established?

Hazardous Substances

  • Have all relevant substances been identified?

  • Are up to date assessments in place for identified substances?

Manual Handling

  • Is manual handling avoided when reasonably practicable?

  • Have assessments been carried out?

Monitoring, Audit and Review

  • Are procedures in place to ensure that adequate monitoring, audit and review are carried out?

  • Is there a system in place to ensure that identified actions are satisfactorily dealt with?

Occupational Health

  • Have all relevant health hazards been identified?

  • Is suitable health surveillance provided where necessary?

Contractor Management.

  • Is contractor competency assessed?

  • Are contractors managed, monitored and reviewed?

Safe Systems of Work

  • Are safe systems of work produced and reviewed as required?

  • Are employees made aware of the safe systems of work?

Competency and Training

  • Are training needs identified and reviewed?

  • Is a plan produced to carry out required training?

  • Have minimum competencies been established?

Work Equipment

  • Are adequate arrangements in place to ensure that equipment is maintained, checked, tested and inspected as required?

  • Equipment operators/users are authorised where necessary?

  • Audit Report :

  • Recommendations:

  • Auditor

  • Company Representative

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.