• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Summary of significant activities and buildings inspected.

1. Health And Safety Management

  • Who is the director responsible for health and safety for the organisation?

  • Who is responsible for day-to-day health and safety for the organisation?

  • Has this person received any formal health and safety training in this job or a previous job?

  • Is there a health and safety policy in place?

  • What was the date of the last policy review?

  • Is there evidence to confirm that the system is in use across all areas of the business?

  • Are arrangements in place to address risk assessment, training, emergency procedures and consultation?

  • Are monitoring arrangements in place to ensure the effectiveness of the safety management system?

  • Is there a training plan relating to health and safety in place across the organisation?

2. Insurance

  • Employers Liability Insurance (insurer, policy number, expiry date)?

  • Public Liability Insurance (insurer, policy number, expiry date)?

  • Is the insurance certificate on display or easily accessible to staff?

3. Induction Process

  • Is there an induction programme for staff (including self-employed tutors)?

  • Are checks conducted on the suitability of trainers? If so what do these checks consist of?

  • Details of the last person inducted and areas covered (if applicable)?

  • Is there an induction programme for users of the Gym (insert details of the process)?

4. Risk Assessment

  • Has a strategic risk register been developed for the organisation, if so detail significant risks?

  • Are risk assessments in place for significant activities / tasks?

  • Who conducts the risk assessments and what training have they received?

  • Is there a need for a young person's risk assessment?

  • Is there a need for a pregnant worker or nursing mother risk assessment?

5. Fire Safety

  • Is there a fire risk assessment in place, conducted within the last 12 months?

  • Are fire instructions clearly displayed?

  • Are fire extinguishers provided, suitably positioned and serviced within the last year?

  • Are there maintenance procedures in place for fire alarms, detection systems and emergency lighting?

  • Has a fire drill been conducted and the results recorded within the last 6 months?

  • Are employees provided with basic fire safety awareness training?

  • Have fire wardens and deputies been appointed for each area or department?

6. Asbestos Management

  • Was the building erected before 2000?

  • If answering yes to the previous question has an asbestos survey been carried out?

  • Did the survey identify any asbestos containing materials (acm's)?

  • Has an asbestos register and management plan been put in place?

  • Are arrangements in place to communicate the presence of asbestos to contractors?

  • Have personnel on-site received appropriate training?

7. Environment

  • Is there adequate ventilation?

  • Is the area free from odors?

  • Is the temperature comfortable?

  • Is the lighting adequate?

  • Is there adequate space for all personnel and equipment in the area?

  • Is the flooring of the correct type?

  • Is the flooring adequately maintained?

  • External areas are level and free of trip hazards?

  • External lighting provided and well maintained?

8. Emergency Procedures

  • Evacuation procedures and exit routes/doors are displayed?

  • Emergency, warning and hazard signage is clearly visible and in good condition?

  • Escape routes and internal fire doors are suitable and sufficient?

  • Exit routes and final escape doors are suitable and sufficient?

  • Procedures are in place for isolated workers?

  • Spill kits are available?

9. First Aid Facilities

  • Has a first aid assessment been conducted and the results recorded?

  • There are appropriate first aid and emergency facilities in the near vicinity for employees and clients?<br>Employees are aware of them?

  • First aid kits are signed, correctly stocked and the contents are in-date?

  • Names and contact details of first aid personnel are displayed and up to date?

  • 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

  • Washing facilities are clean and functional?

  • Is there hot and cold water available for hygiene purposes?

  • Is there suitable and sufficient area(s) provided for staff welfare?

  • Are the stairs, passageways and store rooms well lit?

  • Walls, windows, doors and furniture are in good condition?

  • External areas adequately maintained and suitable lighting provided?

  • Laundry areas are clean, tidy and well ventilated?

  • Are cleaning schedules documented?

11. Manual Handling

  • Where applicable, manual handling standard operating procedures are available?

  • All manual task-related incidents have been adequately risk assessed with control measures implemented and periodically reviewed?

  • Trolleys or mechanical lifting equipment is available?<br>Are these being considered for heavy items or loads?

  • Personnel conducting manual handling have received appropriate training?

12. Storage

  • Racking is securely fixed to floor or wall?

  • Heavy items are stored on lower shelves to minimise lifting problems?

  • Materials are stored in racks and bins wherever possible and not above shoulder height?

  • Step ladders or safe steps are available?<br>Are these being considered for accessing light items stored on high shelves?

13. Slips And Trips

  • Warning signs are available and erected near spills?

  • There is special provision for slip resistance in wet areas?

  • Guard rails and slip resistance are provided on ramps and stairs?

  • Walkways are free of slip or trip hazards?

14. Electrical Safety

  • Are residual current devices (RCD) installed at switchboards or into fixed sockets?

  • Are portable residual current devices available?

  • Are flexible cords and extension leads in good condition?

  • Are power points suitable for the location and positioned safely?

  • Power boards are used rather than double adapters?

  • Is there a process to identify and report faulty equipment and removed from use?

  • All portable equipment has a current test certificate or tag?<br>(To be conducted by IVC approved contractor every 2 years)

  • Has a fixed installation test of the building been conducted within the required timescales?

15. Chemical Aspects

  • Is there an up-to-date list/register of all chemicals on site?

  • Are material safety data sheets (not older than 5 years) available for workers reference?

  • Has a CoSHH assessment been completed for all harmful substances stored and used at the workplace?

  • Have investigations been conducted to find out whether alternative safer chemicals are available?<br>Have actions been taken to control risks?

  • Are original containers used and/or the manufacturer's label?

  • Are chemicals stored according to compatibility?<br>Are they bunded, in flammable or corrosive cabinets?

  • Are minimal amounts of corrosives stored, and/or used?

  • Are there spill kits available for hazardous substances?

  • Are flammable gases stored on site?<br>What are the storage facilities (internal/external)?

  • Is oil stored on site?<br>What are the storage facilities (tank)?

16. Personal Protective Equipment

  • Required PPE is available?

  • Instruction and information relating to PPE is available?

  • The requirement for PPE is displayed on equipment?<br>Visible, correctly located and in good condition?

  • The requirement for PPE is displayed at locations (inside and outside)?<br>Visible, correctly located and in good condition?

  • Storage facilities for PPE is available and maintained?

17. Noise And Vibration

  • Has a risk assessment been conducted on activities where noise or vibration may effect workers?

  • Have control measures been put in to place to reduce the risk of injury as a result of noise and/or vibration?

  • Have employees receive information and training in relation to noise or vibration?

  • Employees compliant with control measures?

  • Are the controls effective at reducing and controlling noise levels?

18. Legionella

  • Is there a hot water storage system on site?

  • Is there a cold water storage system on site?

  • Have there been any significant changes to the pipe work system?

  • Are there showers on site?<br>If so, is there a procedure for flushing them through periodically?

  • Is a written scheme of examination required to manage the risk of legionella?

19. Display Screen Equipment

  • Have users of DSE been identified?

  • Have DSE self-assessments been conducted?

  • Have users received instruction on the correct setting up of their workstation?<br>And the reporting of defects and health problems?

  • Is there a policy on the provision of eye sight tests and spectacles where necessary?

20. Company Vehicles

  • Does the organisation have any company vehicles (cars, vans etc)?

  • Are vehicles maintained in accordance with the manufacturers recommendations?

  • Is there a policy relating to the use of company vehicles?

  • Has a risk assessment for driving company vehicles been conducted?

  • Are records maintained of vehicle checks carried out by employees?

  • Are copies of the employees driving license obtained for company records?

  • Does the organisation permit the use of personal vehicles for business use?

  • Where personal vehicles are used does the company request and hold copies of insurances and MOT certificates?

21. Gas Safety

  • Have gas boilers been serviced within the last 12 months?

  • Are there any LPG systems on site?<br>If so, what are the quantities, storage and method of delivery to point of use?

  • Are there any underground LPG pipe work systems on the site?

  • Are there any other compressed gases on site?

  • Is there an emergency plan to deal with leaks / fires?

22. Violence And Aggression

  • Is there a policy in place?

  • Has a risk assessment for violence and aggression been conducted and recorded?

  • Have there been any incidents of violence or aggression reported?

23. Managing Contractors

  • Is an approved list of contractors available?

  • Are risk assessments obtained before any works are carried out?

  • Are contractors provided with basic health and safety information before work commences?

  • Are contractors issued with and sign the contractor's induction checklist?

24. Waste Management

  • Are contracts in place for various waste categories?

  • Is waste segregated correctly (general, hazardous, pharmaceutical, sharps etc.)?

  • Is a copy of the waste carriers licenses held on file?

25. Pressure Systems

  • Are there any systems on site that are covered by the Pressure Systems Safety Regulations 2000?<br>(e.g. autoclave)

  • Are safe operating procedures displayed at the point of use?

  • Is there a written scheme of examination in place?

  • Are safe operating procedures displayed at the point of use?

  • Has an annual inspection of the equipment been conducted by a competent person?

26. Lifting Equipment

  • Is there equipment on site covered by the LOLER Regulations? (If so then state which)

  • Are there Pre-use checks conducted?

  • Are certificates of thorough examination available and in date?

  • Is there an emergency procedure in place to free people that may be trapped in the lift?

27. Work Equipment

  • Are maintenance / service contracts in place for critical equipment (eg. Lifts, Refrigeration))?

  • Are staff trained to conduct pre-use checks of equipment?

  • Is there evidence of pre-use inspections being conducted?

  • Equipment observed during the audit is free of defects?

  • Equipment observed during the audit is free of defects?

28. Food Safety

  • Has a food safety management system been introduced (state type of system)?

  • What checks are conducted on the supply chain?

  • Are records of delivery checks maintained?

  • Are records relating to refrigeration and freezer checks maintained?

  • Are hot-holding or reheating temperatures recorded?

  • How are allergens identified within the products?

  • What information is provided to customers relating to allergens in the products?

  • Have food handlers received Training in relation to food safety (insert certificate details)?

29. Significant Findings

30. Confirmation Of Issue And Receipt Of Report

  • 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.

  • Select date

  • UKHSE Representative

  • UKHSE Representative

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