Background
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Nearest A and E Department
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Travel route
Accident Records
Accident Record
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Name of insurers
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Photos of accident book records
Hazards
Car park
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Is there adequate lighting available in the car park
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Is the car park road surface in good condition
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Other comments
Injury risks
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Risk
Risk Details
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Risk Type
- slips,trips,falls
- minor cuts to hands
- major lacerations
- hot surface burns
- chemical burns to skin
- chemical burns to eyes
- strains and sprains
- illness and vomitting
- heart attack
- physical violence
- other
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Detail other.
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Additional Information - cause of risk
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Risk Factor
First Aid Requirements
First Aid Arrangements
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First Aider cover requirements
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Numbers Required
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Current First Aiders
FA
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First Aider Name
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Expiry Date
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Training company. Name and contact details
Action Plan
Conclusions
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Conclusions
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Auditor Sign off
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Date of Next Review