Dave Richardson Test 1

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• How many lasers are located in this department?

• Detail each laser here Seismic Visualas YAG III. 1064 50mj 4ns Class 4

• Add a photo of each laser and a photo of any relevant labels.

  Media

1.MANAGEMENT OF 'BEAM' RISK. 1.1 Risk to all persons within the treatment room from injury to eye or skin

• Key or other security control

  Yes

  No

  N/A

• Designation of a controlled area

  Yes

  No

  N/A

• Adequate training and information

  Yes

  No

  N/A

• Written safety information

  Yes

  No

  N/A

• New student/staff supervised

  Yes

  No

  N/A

• PPE (eyewear)

  Yes

  No

  N/A

• Maintenance / service arrangements

  Yes

  No

  N/A

• Reflections minimised

  Yes

  No

  N/A

• Consultation / test patch

  Yes

  No

  N/A

• Manufacturer / supplier information available

  Yes

  No

  N/A

• Client ID procedure in place

  Yes

  No

  N/A

1.MANAGEMENT OF 'BEAM' RISK 1.2 Risk to persons outside the room

• Doors closed

  Yes

  No

  N/A

• Address double-door gaps

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

• Door portholes

  Yes

  No

  N/A

• Ventilation gaps

  Yes

  No

  N/A

1.MANAGEMENT OF 'BEAM' RISK 1.3 Risk to all persons entering the room while the laser is in use

• Area restricted

  Yes

  No

  N/A

• Doors locked

  Yes

  No

  N/A

• Warning signs / notices

  Yes

  No

  N/A

• Information provided to other staff

  Yes

  No

  N/A

• Laser beam to point away from entrances

  Yes

  No

  N/A

• Interlocks

  Yes

  No

  N/A

2.MANAGEMENT OF 'NON-BEAM' RISKS 2.1 Electrical Hazards

• Service / Maintenance

  Yes

  No

  N/A

• Electrical Safety e.g. Portable Appliance Test

  Yes

  No

  N/A

2.MANAGEMENT OF 'NON-BEAM' RISKS 2.2 Fire Hazard

• Flammable materials / chemicals minimised

  Yes

  No

  N/A

• Firefighting equipment available

  Yes

  No

  N/A

• General arrangements

  Yes

  No

  N/A

2.MANAGEMENT OF 'NON-BEAM' RISKS 2.3 Working Environment

• Trailing cables eliminated

  Yes

  No

  N/A

• Area well lit

  Yes

  No

  N/A

• Good ventilation

  Yes

  No

  N/A

• Adequate working area

  Yes

  No

  N/A

• Area kept clean

  Yes

  No

  N/A

• Floor in suitable condition

  Yes

  No

  N/A

2.MANAGEMENT OF 'NON-BEAM' RISKS 2.4 Prosecution under health and safety statutes or civil action

• Appropriate insurance in place

  Yes

  No

  N/A

• Comply with relevant legislation

  Yes

  No

  N/A

• Appropriate documentation in place

  Yes

  No

  N/A

3.Risk Assessment Review

• Review the effectiveness of controls and action where necessary

• Select date

  Date

• Add signature

  Sign