Facilities 6 Monthly Health and Safety Audit

• Audit Title

• Client / Site Name

• Location / Address
  Address

• Conducted on

  Date

• Date of last Audit

  Date

• Personnel

• Prepared by

• Main Work Activity

Summary

• Additional comments

• Level of Risk at Site

  Select Low Medium High

  • Low
  • Medium
  • High

Audit Feed-Back to Health and Safety Department

• Location/Site Manager

  Date

• Initial Facilities Manager

  Date

• Safety Representative

  Date

• Signature

  Sign

Documentation

• Have previous Health and Safety actions identified been closed down. (If no, please list what is outstanding and estimated completion time)

  Yes

  No

  N/A

• Is there First Aider or appointed person lists displayed on the H&S Noticeboard

  Yes

  No

  N/A

• Is there a Fire Warden list displayed on the H&S Noticeboard

  Yes

  No

  N/A

• Is there a location Safety Representative (if applicable)

  Yes

  No

  N/A

• Is there a Health and Safety Law Poster in place and filled in with relevant information

  Yes

  No

  N/A

• Is the Xerox Health and Safety Policy displayed clearly

  Yes

  No

  N/A

• Is the Xerox Employers Liability Insurance and Public Liability Certificate displayed clearly

  Yes

  No

  N/A

• Is the fire evacuation routes plans displayed clearly at fire exits

  Yes

  No

  N/A

• Is there clear directional signage in place (include a review following site changes)

  Yes

  No

  N/A

• Is the Xerox Health and Safety Site Register available (Managed by Initial Facilities Manager)

  Yes

  No

  N/A

• Xerox Health and Safety Register contained all records as per agreed contents matrix

  Yes

  No

  N/A

• Have Building Fire Risk Assessments been reviewed and signed off to confirm that they have been reviewed and approved?

  Yes

  No

  N/A

• Are the Weekly Fire Alarm test records available

  Yes

  No

  N/A

• Are the Six Monthly site evacuation carried out and recorded?

  Yes

  No

  N/A

• Is the 5 year building electrical certification available and in date

  Yes

  No

  N/A

• COSHH. Records reflect all substances held on site. (To be checked during walk around)

  Yes

  No

  N/A

• Is there a record of the emergency lighting monthly flick tests and annual discharge test been inspected

  Yes

  No

  N/A

• Are the Fire Wardens and First Aid training certificates available and in date

  Yes

  No

  N/A

• Is there any training records for manual handling or Forklift Truck Operation available and in date (if applicable)

  Yes

  No

  N/A

• Are there any Display Screen Equipment Risk Assessments available

  Yes

  No

  N/A

• Are there any Risk Assessments for Xerox Machine

  Yes

  No

  N/A

• Is there a current Shelter in Place plan (EPP) available

  Yes

  No

  N/A

• Is the Site Accident Reporting Book available, in date and being used

  Yes

  No

  N/A

• All Safety Signage on site meets requirements of Regulations and Company standards

  Yes

  No

  N/A

• Is there a lone working process and is this being used?

  Yes

  No

  N/A

• Is there a permit to work/hot works permit in place and recorded on the shared drive?

  Yes

  No

  N/A

• Electrical appliance testing (PAT) up-to-date. Records held and items marked

  Yes

  No

  N/A

Visual checks

• Housekeeping. Tops of cupboards clear

  Yes

  No

  N/A

• Housekeeping. Underside of desks clear

  Yes

  No

  N/A

• Housekeeping. Clear desk policy adopted on site

  Yes

  No

  N/A

• Housekeeping. Waste disposed of correctly

  Yes

  No

  N/A

• Housekeeping. Is the cleaning meeting expected standard

  Yes

  No

  N/A

• Housekeeping. Meeting room checks, are telephones working, lite pro's operational, cables tidy and chairs

  Yes

  No

  N/A

• Are there any roof leaks or issues being experienced?

  Yes

  No

  N/A

• Fire safety. Fire exit routes clear

  Yes

  No

  N/A

• Fire safety. Fire doors unblocked and able to be opened in an emergency

  Yes

  No

  N/A

• Fire safety. Fire extinguishers in place on stands

  Yes

  No

  N/A

• Fire safety. Fire extinguishers in test date

  Yes

  No

  N/A

• Fire safety. Fire extinguishers tags in place

  Yes

  No

  N/A

• Fire safety. Fire alarm maintenance records (PPM Schedule)

  Yes

  No

  N/A

• Fire safety. Fire hose reel / dry riser maintenance records

  Yes

  No

  N/A

• Fire safety. Fire Hydrant test records and PPM schedule

  Yes

  No

  N/A

• Furniture. Is furniture in a good condition

  Yes

  No

  N/A

• Furniture. Are chairs in good condition

  Yes

  No

  N/A

• Walkways, corridors and stairways clear and not used for storage and free of trip hazards

  Yes

  No

  N/A

• Electrical Safety. Is all electrical equipment in a safe condition

  Yes

  No

  N/A

• Electrical Safety. Are cables run in a way so as not to pose a trip hazard

  Yes

  No

  N/A

• Electrical Safety. Are cables to desk utilising cable management systems

  Yes

  No

  N/A

• Are all fridges, vending machines plugged directly into a power supply and not extension leads

  Yes

  No

  N/A

• Storage areas. Items stored in a safe manner

  Yes

  No

  N/A

• Storage areas. Kick stools/steps available to reach any items stored above shoulder high

  Yes

  No

  N/A

• Cleaners cupboard: Items stored in a safe manner

  Yes

  No

  N/A

• Cleaners cupboard: Electrical equipment in test date

  Yes

  No

  N/A

• Cleaners cupboard: Items used match COSHH information

  Yes

  No

  N/A

• Plant Rooms. Are not being used for storage

  Yes

  No

  N/A

• Plant Rooms. Are kept locked shut

  Yes

  No

  N/A

• Plant Rooms. Statutory notices displayed

  Yes

  No

  N/A

• Riser/Supply/Distribution type cupboards. Are kept locked shut

  Yes

  No

  N/A

• Riser/Supply/Distribution type cupboards. Are free from waste materials

  Yes

  No

  N/A

• Riser/Supply/Distribution type cupboards. Are not being used for storage

  Yes

  No

  N/A

• Kitchen. Is water signed as potable

  Yes

  No

  N/A

• Kitchen. Vending machines and water coolers are replenished, any faults reported and filters checked / serviced

  Yes

  No

  N/A

• Kitchen. Is the area clean and hygienic

  Yes

  No

  N/A

• Kitchen. Is refrigerator/s clean

  Yes

  No

  N/A

• Kitchen. Are appliances in good order (kettle, etc)

  Yes

  No

  N/A

• First Aid Box. Do the items match the contents list and are in date?

  Yes

  No

  N/A

• First Aid Box. List of first Aiders posted next to the box

  Yes

  No

  N/A

• Welfare facilities. Are there sufficient facilities for the number of staff (inc. disabled)

  Yes

  No

  N/A

• Welfare facilities. Are the facilities clean and hygienic

  Yes

  No

  N/A

• Welfare facilities. Washrooms and mats, have femi-hygiene been serviced, mats replaced, air freshener's working

  Yes

  No

  N/A

• Print Rooms. Has Xerox equipment been tested for safety in the last 6 months

  Yes

  No

  N/A

• Print Rooms. Is paper stored in a safe manner

  Yes

  No

  N/A

• Print Rooms. Is the area free from waste materials

  Yes

  No

  N/A

• Outside. Is the waste compound without risk

  Yes

  No

  N/A

• Outside. Are all final exits clear

  Yes

  No

  N/A

• Outside. Are all walkways free from trip hazards

  Yes

  No

  N/A

• Outside. Are the assembly point clearly identified

  Yes

  No

  N/A

• Outside. External check, external bins emptied, litter collected and in general good condition

  Yes

  No

  N/A

• Outside. Building light checks (any failures not reported)

  Yes

  No

  N/A

• Outside. Security - Has access control been checked, are swipe readers and cards working

  Yes

  No

  N/A

• Outside. CCTV in operation, cameras viewing the right area and if recording equipment is on site is this working?

  Yes

  No

  N/A

• Inside. Internal lighting in good working order / faults reported?

  Yes

  No

  N/A

Environmental

• Environmental Policies incl. Energy, Carbon management & Sustainability

  Yes

  No

  N/A

• Air Quality Risk Assessments including sampling records, Sampling to include: dry bulb,temperature relative humidity,respired carbon dioxide, Ozone, formaldehyde, respirable particle concentrations, airborne bacteria, airborne moulds and yeasts, other specialist tests as necessary. AHU internal hygiene inspection and representative sections of supply and return air duct inspected.

  Yes

  No

  N/A

• Waste Stream Reviews, including Waste Transfer Notes (Section D to be signed) Duty of Care Certificates

  Yes

  No

  N/A

• Pest Control Log Book

  Yes

  No

  N/A

• Water Cooler/Vending Machine Filers 6 monthly change is documentation available?

  Yes

  No

  N/A

• Is there an Asbestos Register on site within 5 years date and areas identified labelled?

  Yes

  No

  N/A

• Is there Riello UPS Maintenance Records on site, are there any remedial requirements?

  Yes

  No

  N/A

• Is there Generator Test Record available and is the PPM Schedule being met?

  Yes

  No

  N/A

• Is the Gas Safety Inspection Certificate which is held within the Maintenance Folder, has the servicing been complete and in date - this is a yearly inspection of all gas fired boilers

  Yes

  No

  N/A

• Are there any Zurich Inspection reports for lifts,Lifting Equipment, Boilers & Pressure Vessels,have they been reviewed and the remedial actions picked up and the portal updated?

  Yes

  No

  N/A

• Have Forklifts, Pallet Trucks, scissor lifts been maintained either 3 monthly, 6 monthly or Yearly, have the work sheets Belen's received, reviewed and remedial pick up

  Yes

  No

  N/A

• Has the Lightening Conductor Service been carried out,is the certificate on site within your H&S folder or the maintenance folder

  Yes

  No

  N/A

• Catering Equipment Maintenance Records including Canopy/Extract cleans

  Yes

  No

  N/A

• Thermal Imaging Inspections and records for proposed remedial works

  Yes

  No

  N/A

Water Quality Assessments

• 2 Yearly Water Risk Assessment available and in date?

  Yes

  No

  N/A

• Water Treatment Testing Certificates are held on site confirming completion?

  Yes

  No

  N/A

• Have the monthly tap temperature recordings been completed and recorded to meet the following : Cold water <20C Hot water at 60C)

  Yes

  No

  N/A

• Are the Quarterly Shower Head Chlorination Records available and show they been completed

  Yes

  No

  N/A

• Shower descaling and infrequently used outlet flushing records

  Yes

  No

  N/A