Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Working Environment

  • Is the temperature acceptable?<br>The minimum working temperature is 16°C, there is no upper limit.

  • Is there adequate ventilation?<br>Is there a ventilation system, if so is it working? Can the windows be opened?

  • Is the lighting level adequate?

  • Are dust levels acceptable?

  • Are noise levels acceptable?

  • Are the stairs free from wear or missing treads?

  • Is the inspection area free from sharp edges or corners?

  • Is the inspection area free from worn floor coverings causing trip hazards?

  • Other observations

  • Actions required to rectify

Housekeeping

  • Inspection area tidy, clean, well organised?<br>Is the housekeeping in the inspection area in good order?

  • Are access ways free from obstruction?<br>All access ways must be unobstructed. No items must be left in the access ways.

  • Is the standard of cleaning satisfactory?<br>Is the area dirty? Is there evidence of a poor cleaning regime?

  • All equipment stored under correct conditions?

  • Is there a sufficient number of waste containers and are they emptied regularly? Is the area clean and tidy?

  • Sharps removal procedure in place?

  • Are there 'No Smoking' signs in position?

  • Are mats available for wiping feet?

  • Are wet floor signs used when required?

  • Is there accommodation for clothing and valuables?

  • Are there facilities for rest and eating meals?

  • Other observations

  • Actions required to rectify

Material Storage

  • Are materials correctly stored?<br>Is there material stored correctly ie heavy items at the bottom, lighter items located higher up? No glass items stored above head height.

  • Is the storage of materials and equipment on top of cabinets discouraged and kept to a minimum?

  • Is shelving used correctly not overloaded / stacked correctly?<br>The storage shelving must be in good condition with no broken shelves or makeshift shelves.

  • Shelving in good condition?

  • Are the shelves and cupboards stable?

  • Are the appropriate shelves used?

  • Is there suitable access to high level storage?

  • Is there sufficient storage space?

  • Do filing cabinets have interlocks?

  • Other observations

  • Actions required to rectify

Electrical

  • Is all portable equipment tested and labeled?<br>All portable electrical equipment must have a current in date test sticker in the appliance. If no sticker or test out of date, equipment must not be used until retested. All new equipment purchased has a 12 month PAT in place.

  • Leads / cables un damaged?

  • Is the use of extension leads discouraged?

  • Are electrical sockets used correctly and not overloaded?<br>

  • Is there an electrical test certificate issued to show the installation is safe?

  • Has the electrical installation been checked in the last five years?

  • Is there a register of portable electrical equipment

  • Are all lights functional and suitable for the task?

  • Are fluorescent tubes free from flicker and buzzing?

  • Are the stairs and corridors adequately lit?

  • Is there a system for reporting defects?

  • Other observations

  • Actions required to rectify

Ladders / Step Ladders

  • Is there a procedure for inspection / records?

  • Is the equipment in good condition?

  • Is there a procedure / training for erection?

  • Are step ups / kick stools in use and in good condition?

  • Have staff been trained to work at height?

  • Other observations

  • Actions required to rectify

Kitchen Areas

  • Are safety notices in place (ie for very hot water)?

  • Staff cleaning schedule in place?

  • Is a microwave sticker in place?

  • Is a spillage procedure in place?

  • Is the furniture in reasonable condition?

  • Is there a fridge provided for food only?

  • Is there a reasonable state on hygiene?

  • Is drinking water available and suitably identified?

  • Is drinking water supplied direct from the main?

  • If water is supplied from tanks is there suitable provisions made to prevent and detect exposure to legionella?

  • Other observations

  • Actions required to rectify

Toilet Facilities

  • Is the toilet area clean and tidy?

  • Is there adequate soap?

  • Hand towels / drying facilities in place and working?

  • Adequate toilet paper?

  • Sanitary disposal in place?

  • Sanitary vending in place?

  • Are walls / surfaces clean?

  • Are toilets free of general storage?

  • Are separate toilet facilities for each sex available and appropriately marked?

  • Is there a supply of hot and cold running water?

  • Are the toilets well ventilated?

  • Are the toilets well lit?

  • Are the toilets in good working order?

  • Other observations

  • Actions required to rectify

First Aid

  • Name of appointed person / first wider displayed?

  • Contact details for appointed person displayed?

  • Emergency services telephone number displayed?

  • Is the first aid box fully stocked and contents in date?

  • Does the first aid box meet the required standard?

  • Is the first aid box clearly marked?

  • Is there an accident book?

  • Is the accident book clearly marked?

  • Are the staff aware of the procedure for reporting accidents internally?

  • Are staff aware of the procedure for reporting accidents under 'RIDDOR'?

  • Is the First Aider always in the business?

  • Other observations

  • Actions required to rectify

Fire Precautions

  • Are routes clear of obstructions?

  • Are fire doors easily opened?

  • Are fire doors propped open?

  • Is the emergency lighting adequate and working?

  • Are evacuation routes clearly signed?

  • Are fire extinguishers in place?

  • Are fire extinguishers serviced and in date?

  • Are fire extinguishers the correct type?

  • Is the fire extinguisher identification label in place?

  • Hose reel in test?

  • Smoke / heat detectors checked?

  • Other observations

  • Actions required to rectify

Fire and Emergency Procedures / Instructions

  • Fire procedure / emergency evacuation posters up?

  • Are they undamaged?

  • Current and up to date?

  • Weekly fire alarm test undertaken?

  • Six monthly emergency evacuations undertaken?

  • Evacuation chairs in place?

  • Fire risk assessment completed and up to date?

  • Do you have fire wardens?

  • Have fire wardens received suitable training?

  • Name(s) of fire warden(s) displayed?

  • Other observations

  • Actions required to rectify

COSHH

  • COSHH assessments OK?

  • Exposure adequately controlled?

  • Data sheet information available?

  • Spillage procedure in place?

  • Correctly stored?

  • Correctly disposed of?

  • Disposal of hazardous waste in place?

  • Flammable liquids correctly stored / signed?

  • All electrical cleaning equipment tested?

  • Are 'Wet Floor' signs used when required?

  • Other observations

  • Actions required to rectify

Checklist

  • Daily checklist in place and being used?

  • Weekly checklist in place and being used?

  • Monthly checklist in place and being used?

  • Quarterly checklist in place and being used?

  • Annual checklist in place and being used?

  • Notice board checklist in place and being used?

  • Other observations

  • Actions required to rectify

Machinery

  • Is there a lift?

  • Is the lift in good condition?

  • Is the lift regularly maintained?

  • Is there a Vivreau drinking fountain?

  • Is the drinking unit clean and in good order?

  • Is the drinking unit regularly maintained?

  • Other observations

  • Actions required to rectify

Health and Safety

  • Health and Safety notice displayed?

  • Are staff aware of the 'No Smoking' policy?

  • Are staff required to move or lift loads?

  • Have staff received suitable training?

  • Is mechanical support provided eg trolleys?

  • Has a work station assessment been carried out?

  • Has work station training been carried out?

  • Have all risk assessments been carried out?

  • Have all method statements been carried out?

  • Other observations

  • Actions required to rectify

Outside Areas

  • Roadways in good condition?

  • Pavements in good condition?

  • Access ramps in place?

  • Steps clear of obstructions and clean?

  • Cycle racks being used?

  • Handrails in good condition?

  • All lights working? And is the area adequately lit?

  • All notices in place?

  • Other observations

  • Actions required to rectify

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.