Information
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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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Summary of significant activities and buildings inspected.
1. Health And Safety Management
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Who is the director responsible for health and safety for the organisation?
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Who is responsible for day-to-day health and safety for the organisation?
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Has this person received any formal health and safety training in this job or a previous job?
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Is there a health and safety policy in place?
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What was the date of the last policy review?
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Is there evidence to confirm that the system is in use across all areas of the business?
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Are arrangements in place to address risk assessment, training, emergency procedures and consultation?
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Are monitoring arrangements in place to ensure the effectiveness of the safety management system?
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Is there a training plan relating to health and safety in place across the organisation?
2. Insurance
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Employers Liability Insurance (insurer, policy number, expiry date)?
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Public Liability Insurance (insurer, policy number, expiry date)?
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Is the insurance certificate on display or easily accessible to staff?
3. Induction Process
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Is there an induction programme for staff (including self-employed tutors)?
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Are checks conducted on the suitability of trainers? If so what do these checks consist of?
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Details of the last person inducted and areas covered (if applicable)?
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Is there an induction programme for users of the Gym (insert details of the process)?
4. Risk Assessment
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Has a strategic risk register been developed for the organisation, if so detail significant risks?
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Are risk assessments in place for significant activities / tasks?
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Who conducts the risk assessments and what training have they received?
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Is there a need for a young person's risk assessment?
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Is there a need for a pregnant worker or nursing mother risk assessment?
5. Fire Safety
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Is there a fire risk assessment in place, conducted within the last 12 months?
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Are fire instructions clearly displayed?
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Are fire extinguishers provided, suitably positioned and serviced within the last year?
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Are there maintenance procedures in place for fire alarms, detection systems and emergency lighting?
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Has a fire drill been conducted and the results recorded within the last 6 months?
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Are employees provided with basic fire safety awareness training?
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Have fire wardens and deputies been appointed for each area or department?
6. Asbestos Management
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Was the building erected before 2000?
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If answering yes to the previous question has an asbestos survey been carried out?
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Did the survey identify any asbestos containing materials (acm's)?
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Has an asbestos register and management plan been put in place?
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Are arrangements in place to communicate the presence of asbestos to contractors?
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Have personnel on-site received appropriate training?
7. Environment
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Is there adequate ventilation?
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Is the area free from odors?
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Is the temperature comfortable?
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Is the lighting adequate?
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Is there adequate space for all personnel and equipment in the area?
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Is the flooring of the correct type?
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Is the flooring adequately maintained?
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External areas are level and free of trip hazards?
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External lighting provided and well maintained?
8. Emergency Procedures
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Evacuation procedures and exit routes/doors are displayed?
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Emergency, warning and hazard signage is clearly visible and in good condition?
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Escape routes and internal fire doors are suitable and sufficient?
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Exit routes and final escape doors are suitable and sufficient?
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Procedures are in place for isolated workers?
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Spill kits are available?
9. First Aid Facilities
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Has a first aid assessment been conducted and the results recorded?
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There are appropriate first aid and emergency facilities in the near vicinity for employees and clients?<br>Employees are aware of them?
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First aid kits are signed, correctly stocked and the contents are in-date?
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Names and contact details of first aid personnel are displayed and up to date?
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What is the location of the accident book or accident record forms?<br>Are there details of last accident or trend analysis?
10. General Facilities
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Washing facilities are clean and functional?
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Is there hot and cold water available for hygiene purposes?
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Is there suitable and sufficient area(s) provided for staff welfare?
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Are the stairs, passageways and store rooms well lit?
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Walls, windows, doors and furniture are in good condition?
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External areas adequately maintained and suitable lighting provided?
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Laundry areas are clean, tidy and well ventilated?
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Are cleaning schedules documented?
11. Manual Handling
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Where applicable, manual handling standard operating procedures are available?
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All manual task-related incidents have been adequately risk assessed with control measures implemented and periodically reviewed?
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Trolleys or mechanical lifting equipment is available?<br>Are these being considered for heavy items or loads?
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Personnel conducting manual handling have received appropriate training?
12. Storage
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Racking is securely fixed to floor or wall?
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Heavy items are stored on lower shelves to minimise lifting problems?
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Materials are stored in racks and bins wherever possible and not above shoulder height?
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Step ladders or safe steps are available?<br>Are these being considered for accessing light items stored on high shelves?
13. Slips And Trips
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Warning signs are available and erected near spills?
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There is special provision for slip resistance in wet areas?
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Guard rails and slip resistance are provided on ramps and stairs?
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Walkways are free of slip or trip hazards?
14. Electrical Safety
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Are residual current devices (RCD) installed at switchboards or into fixed sockets?
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Are portable residual current devices available?
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Are flexible cords and extension leads in good condition?
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Are power points suitable for the location and positioned safely?
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Power boards are used rather than double adapters?
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Is there a process to identify and report faulty equipment and removed from use?
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All portable equipment has a current test certificate or tag?<br>(To be conducted by IVC approved contractor every 2 years)
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Has a fixed installation test of the building been conducted within the required timescales?
15. Chemical Aspects
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Is there an up-to-date list/register of all chemicals on site?
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Are material safety data sheets (not older than 5 years) available for workers reference?
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Has a CoSHH assessment been completed for all harmful substances stored and used at the workplace?
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Have investigations been conducted to find out whether alternative safer chemicals are available?<br>Have actions been taken to control risks?
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Are original containers used and/or the manufacturer's label?
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Are chemicals stored according to compatibility?<br>Are they bunded, in flammable or corrosive cabinets?
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Are minimal amounts of corrosives stored, and/or used?
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Are there spill kits available for hazardous substances?
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Are flammable gases stored on site?<br>What are the storage facilities (internal/external)?
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Is oil stored on site?<br>What are the storage facilities (tank)?
16. Personal Protective Equipment
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Required PPE is available?
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Instruction and information relating to PPE is available?
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The requirement for PPE is displayed on equipment?<br>Visible, correctly located and in good condition?
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The requirement for PPE is displayed at locations (inside and outside)?<br>Visible, correctly located and in good condition?
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Storage facilities for PPE is available and maintained?
17. Noise And Vibration
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Has a risk assessment been conducted on activities where noise or vibration may effect workers?
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Have control measures been put in to place to reduce the risk of injury as a result of noise and/or vibration?
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Have employees receive information and training in relation to noise or vibration?
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Employees compliant with control measures?
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Are the controls effective at reducing and controlling noise levels?
18. Legionella
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Is there a hot water storage system on site?
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Is there a cold water storage system on site?
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Have there been any significant changes to the pipe work system?
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Are there showers on site?<br>If so, is there a procedure for flushing them through periodically?
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Is a written scheme of examination required to manage the risk of legionella?
19. Display Screen Equipment
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Have users of DSE been identified?
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Have DSE self-assessments been conducted?
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Have users received instruction on the correct setting up of their workstation?<br>And the reporting of defects and health problems?
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Is there a policy on the provision of eye sight tests and spectacles where necessary?
20. Company Vehicles
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Does the organisation have any company vehicles (cars, vans etc)?
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Are vehicles maintained in accordance with the manufacturers recommendations?
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Is there a policy relating to the use of company vehicles?
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Has a risk assessment for driving company vehicles been conducted?
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Are records maintained of vehicle checks carried out by employees?
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Are copies of the employees driving license obtained for company records?
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Does the organisation permit the use of personal vehicles for business use?
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Where personal vehicles are used does the company request and hold copies of insurances and MOT certificates?
21. Gas Safety
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Have gas boilers been serviced within the last 12 months?
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Are there any LPG systems on site?<br>If so, what are the quantities, storage and method of delivery to point of use?
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Are there any underground LPG pipe work systems on the site?
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Are there any other compressed gases on site?
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Is there an emergency plan to deal with leaks / fires?
22. Violence And Aggression
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Is there a policy in place?
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Has a risk assessment for violence and aggression been conducted and recorded?
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Have there been any incidents of violence or aggression reported?
23. Managing Contractors
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Is an approved list of contractors available?
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Are risk assessments obtained before any works are carried out?
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Are contractors provided with basic health and safety information before work commences?
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Are contractors issued with and sign the contractor's induction checklist?
24. Waste Management
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Are contracts in place for various waste categories?
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Is waste segregated correctly (general, hazardous, pharmaceutical, sharps etc.)?
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Is a copy of the waste carriers licenses held on file?
25. Pressure Systems
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Are there any systems on site that are covered by the Pressure Systems Safety Regulations 2000?<br>(e.g. autoclave)
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Are safe operating procedures displayed at the point of use?
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Is there a written scheme of examination in place?
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Are safe operating procedures displayed at the point of use?
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Has an annual inspection of the equipment been conducted by a competent person?
26. Lifting Equipment
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Is there equipment on site covered by the LOLER Regulations? (If so then state which)
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Are there Pre-use checks conducted?
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Are certificates of thorough examination available and in date?
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Is there an emergency procedure in place to free people that may be trapped in the lift?
27. Work Equipment
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Are maintenance / service contracts in place for critical equipment (eg. Lifts, Refrigeration))?
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Are staff trained to conduct pre-use checks of equipment?
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Is there evidence of pre-use inspections being conducted?
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Equipment observed during the audit is free of defects?
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Equipment observed during the audit is free of defects?
28. Food Safety
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Has a food safety management system been introduced (state type of system)?
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What checks are conducted on the supply chain?
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Are records of delivery checks maintained?
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Are records relating to refrigeration and freezer checks maintained?
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Are hot-holding or reheating temperatures recorded?
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How are allergens identified within the products?
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What information is provided to customers relating to allergens in the products?
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Have food handlers received Training in relation to food safety (insert certificate details)?
29. Significant Findings
30. Confirmation Of Issue And Receipt Of Report
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This assessment will be valid upon completion of the follow-up actions and recommendations and will remain so unless there is a change to the premise/processes or a change in legislation.
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Select date
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UKHSE Representative
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UKHSE Representative