Title Page

  • Company Name

  • Address of Company

  • Prepared by

  • Phone Number

  • Location
  • Conducted on

  • Signature

Company's injury/illness information for previous year

  • (a) Total Recordable Incident Rate (Rate = (c) x 200,00 /(g))

  • (b) Lost Time Incident Rate (Rate + (d) x 200,00 / (g))

  • (c) Number of Injuries and Illnesses

  • (d) Number of Lost Workday Cases

  • (e) Number of Injury Related Fatalities

  • (f) Total Number of Employees

  • (g) Employee Hours Worked Per Year (if unknown use # of employees x 2080)

Company Policies & HSE Requirements

  • Do you have a written Health & Safety Policy? (Please attached a photo of policy)

  • Do you hold Risk Assessments & have they been reviewed recently?

  • List your Risk Assessments eg. W&H, COSHH, Noise, Manual Handling, First Aid, Mechanical Lifting etc

  • Do you hold a Fire Risk Assessment? (Under Regulatory Reform (Fire Safety) Order 2005 or Equivalent Legislation)

  • Do you hold Accident Records?

  • Do you have current Employer's Liability Insurance and do your employees have access?

  • Does the company have a Drug & Alcohol Policy

  • Is the company a member of a trade association or professional body, If so, who?

  • Do you have a No Smoking Policy?

  • Do all employee's have the right to work in UK or Valid work permit to work in the EU if located there?

  • Does the company have an Emergency Response Plan (ERP)?

  • Date the ERP was last updated

  • Have Vehicles & Equipment been properly inspected, maintained and serviced by an approved appropriate qualified company?

  • Are all vehicles & equipment in date maintenance?

  • Do you train staff in the correct and safe use of all equipment including Ground Support Equipment?

  • Does the Company Manage Waste as per local requirements? (A waste disposal license or works with a licensed contractor)

  • For catering companies, do staff have a Supervising Food Safety in Catering Certification?

Cleaning Materials, Chemical Risk and other Biohazards Exposure

  • Does the company have a COSHH / Chemical products register that includes Safety Data Sheets(SDS)?

  • Have all staff received training in the use of COSHH / Chemicals?

  • Are all chemicals stored in the correct chemical cabinets and in accordance with the Safety Data Sheets (SDS)?

  • Are suitable and sufficient risk assessments in place to cover the risks from biohazards, including pandemic (eg COVID)?

  • Where flammable or combustible products are used, are suitable fire prevention precautions in place? (eg. Aircraft cleaning)

  • Confirm only Original Equipment Manufacturer (OEM) recommended products are used for cleaning and maintaining surfaces such as: Wood, plastic, leather & avionics etc.

Training

  • Do employees where required to drive as part of their employment hold a current and valid EU/UK driving license?

  • Do employees who are required to drive airside hold the necessary Airside Driving Permit (ADP)?

  • Do you carry out driving license annual reviews for employees required to drive as part of their employment?

  • Is the Director/Manager IOSH Level2 in Managing Safety at Work qualified?

  • Where applicable, are all staff trained to carry out Working@Height?

  • Does the company run a Permit to Work system (PTW)?

  • Are staff trained on the operation of aircraft doors and access panels where they are required to operate as part of their duties?

  • Are all staff trained in the reporting of any concerns to the Pilot in Command (PIC), maintenance managers or supervisors in line with EASA 376/2014 and ICAO Annex 13?

  • Does the company have a documented effective and auditable Quality Assurance System to ensure the provision and maintenance of facilities, equipment and competent personnel for safe operations?

  • Within the company, have individuals been designated for specific roles and are their authorization levels been properly documented?

  • Where applicable, are all daily, weekly and monthly checks carried out and records retained for at least 12 months?

  • Are staff training records available to witness proficiency and competencies?

Security

  • Do you have a Security Policy?

  • Is your company GDPR compliant?

  • Do you carry out employee background checks prior to hiring?

  • Do your staff have the correct airside access passes?

  • Do all staff hold An Aviation Security qualification appropriate to their role in accordance with National Regulation?

Other / External Audits

  • Have you had any external audits carried out in the last 24 months?

  • What date was your last external audit?

  • Who carried out your last external audit and what part of your operation was audited? (eg De-icing, Fueling, catering etc)

Any Supplementary information regarding process and procedures, specific Training or Certification your company has:

  • Add additional info in the text box to the right.

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