ctchwir

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Housekeeping

• 1.1 - bays /road systems

  Safe

  At Risk

  N/A

• 1.2 - Floors /Stairs ( even & free of slip/trip/fall)

  Safe

  At Risk

  N/A

• 1.3 - Entrances/exit passages (no obstructions)

  Safe

  At Risk

  N/A

• 1.4 - Platforms (attached no gaps)

  Safe

  At Risk

  N/A

• 1.5 - Cleanliness

  Safe

  At Risk

  N/A

• 1.6 - Workplace layout & tidiness

  Safe

  At Risk

  N/A

• 1.7 - Workplace infrastructure & condition

  Safe

  At Risk

  N/A

2.0 - Fire

• 2.1 - Evacuation plan displayed and understood

  Yes

  No

  N/A

• 2.2 - All occupants accounted for

  Yes

  No

  N/A

• 2.3 - Escape routes clearly marked & unobstructed

  Yes

  No

  N/A

• 2.4 - Area free of combustible materials

  Yes

  No

  N/A

• 2.5 - Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)

  Yes

  No

  N/A

• 2.6 - Exits clear of obstructions?

  Yes

  No

  N/A

3.0 - welfare

• 3.1 - First Aid (equipment/eyewash)

  Yes

  No

  N/A

• 3.2 - toilets

  Yes

  No

  N/A

• 3.3 - Washing facilities (hot water & Soap

  Yes

  No

  N/A

• 3.4 - Storage of ppe & clothing

  Yes

  No

  N/A

• 3.5 - Rest & Eating Areas

  Yes

  No

  N/A

4.0 - Personal protective Equipment

• 4.1 - Worn in accordance with signage

  Yes

  No

  N/A

• 4.2 - Suitable clean and in good order

  Yes

  No

  N/A

• 4.3 - Eye wash stations /emergency showers

  Yes

  No

  N/A

5.0 - Signs barriers & workplace layout/design/function

• 5.1 - Information & warning signs

  Safe

  At Risk

  N/A

• 5.2 - Safe routes /protective barriers

  Safe

  At Risk

  N/A

• 5.3 - Obstacles, protruding objects

  Safe

  At Risk

  N/A

• 5.4 - Fixed guarding

  Safe

  At Risk

  N/A

6.0 - Working environment

• 6.1 - Lighting

  Safe

  At Risk

  N/A

• 6.2 - Dust/vapours/fumes/ventilation

  Safe

  At Risk

  N/A

• 6.3 - Paint markings

  Safe

  At Risk

  N/A

• 7.3 - Temperature

  Safe

  At Risk

  N/A

• 7.4 - Mirrors

  Safe

  At Risk

  N/A

• 8.3 - Noise

  Safe

  At Risk

  N/A

7.0 - Electricity

• 7.1 - Cable management/ Socket use

  Safe

  At Risk

  N/A

• 7.2 - Pat testing user checks

  Yes

  No

  N/A

8.0 - Working at height

• 8.1 - Ladders / Stepladders (numbered used correctly)

  Yes

  No

  N/A

• 8.2 - prevention of falling objects

  Safe

  At Risk

  N/A

9.0 - Hazardous Substances

• 9.1 - Identified and known to workers(COSHH)

  Yes

  No

  N/A

• 9.2 - Correctly stored and used

  Yes

  No

  N/A

10.0 - Working practices

• 10.1 - Appear safe and controlled

  Yes

  No

  N/A

• 10.2 - Storage of goods

  Safe

  At Risk

  N/A

• 10.3 - Vehicle safety

  Safe

  At Risk

  N/A

• 10.4 - Flt signed

  Yes

  No

  N/A

11.0 Enviromental Aspects

• 11.1 - Waste storage and segregation

  Safe

  At Risk

  N/A

• 11.2 - Spill provision and staff knowledge

  Safe

  At Risk

  N/A

• 11.3 - Energy management

  Safe

  At Risk

  N/A

Additional checks selectan example of 2 from the list

• select one of the following

  Select Risk Assessment Training Noticeboards / communication Work Authority / Permits COSHH HACCP First Aid Waste management accident follow up Emergency procedures Operating procedures LOAs E stops Vehicle keys

  • Risk Assessment
  • Training
  • Noticeboards / communication
  • Work Authority / Permits
  • COSHH
  • HACCP
  • First Aid
  • Waste management
  • accident follow up
  • Emergency procedures
  • Operating procedures
  • LOAs
  • E stops
  • Vehicle keys

• Was the check satisfactory?

  Yes

  No

  N/A

• Select one of the following

  Select Risk Assessment Training Noticeboards / communication Work Authority / Permits COSHH HACCP First Aid Waste management accident follow up Emergency procedures Operating procedures LOAs E stops Vehicle keys

  • Risk Assessment
  • Training
  • Noticeboards / communication
  • Work Authority / Permits
  • COSHH
  • HACCP
  • First Aid
  • Waste management
  • accident follow up
  • Emergency procedures
  • Operating procedures
  • LOAs
  • E stops
  • Vehicle keys

• Was the check satisfactory?

  Yes

  No

  N/A

Sign Off

• Has any remedial action been logged onto SHE

  Yes

  No

  N/A

• Auditor's signature

  Sign

• Person responsible for area signature

  Sign