• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Basic Info

  • 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.

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

  • Designation of a controlled area

  • Adequate training and information

  • Written safety information

  • New student/staff supervised

  • PPE (eyewear)

  • Maintenance / service arrangements

  • Reflections minimised

  • Consultation / test patch

  • Manufacturer / supplier information available

  • Client ID procedure in place

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

  • Doors closed

  • Address double-door gaps

  • Windows

  • Door portholes

  • Ventilation gaps

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

  • Area restricted

  • Doors locked

  • Warning signs / notices

  • Information provided to other staff

  • Laser beam to point away from entrances

  • Interlocks

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

  • Service / Maintenance

  • Electrical Safety e.g. Portable Appliance Test


  • Flammable materials / chemicals minimised

  • Firefighting equipment available

  • General arrangements

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

  • Trailing cables eliminated

  • Area well lit

  • Good ventilation

  • Adequate working area

  • Area kept clean

  • Floor in suitable condition

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

  • Appropriate insurance in place

  • Comply with relevant legislation

  • Appropriate documentation in place

3.Risk Assessment Review

  • Review the effectiveness of controls and action where necessary

  • Select date

  • Add signature

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.