Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Previous Audits

Previous Inspections and Audits

  • Total Number of day students. Total number of residential students

  • Has the Audit from the Previous Audit been Reviewed & Signed Off?

  • What areas and topics formed the inspection during the last audit?

  • How many Corrective Actions were raised last audit?

  • Have ALL Corrective Actions raised from last Audit been completed?

Staff

STAFF RECORDS

  • Are staff records for annual leave, time off, overtime and hours taken in lieu in place and up to date?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is there a program for delivering training at a local level?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are training records for staff up to date that show local on site training delivered?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is there a process to identify any training needs for staff?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

ADMINISTRATION

  • Are staff debriefed following incidents, near misses and adverse events?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are recorded debriefs suitable, sufficient and comprehensive?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are beginning of shift checks and duties completed and recorded?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is beginning of shift documentation completed comprehensively?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are staff / shift hand overs recorded, suitable, sufficient and comprehensive?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

COMMUNICATION

  • Is there a communication process in place to handover information between departments and in particular education on a daily basis?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

Students

SUPERVISION OF STUDENT REQUIREMENTS

  • Are student food and nutrition plans followed, checked and recorded?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are periodic checks made to ensure students have their timetables & lesson plans before leaving for class and is this recorded?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are periodic checks carried out to ensure that students leave in sufficient time to get to class and is this recorded?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is their an adequate programme of enrichment for students and does it take into account individual needs?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is a record kept of all enrichment activities and trips out undertaken by students?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

CARE PLANS

  • Sample a Minimum of 4 Care Plans for Relevance and Updates / Reviews to Risk Assessments - Record Details Below

  • Do paper copies of all care plans correlate with electronic copies?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are student risk assessments in place, suitable, sufficient and reviewed regularly?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Where student risk assessments have been updated, where are previous assessments kept?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all behaviour plans up to date?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all care plans up to date and reviewed as necessary?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Where care plans have been updated, where are previous plans filed?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Do / have all staff signed care plans when they have read them?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

Accident / Incident / Near Miss

ACCIDENT / INCIDENT / NEAR MISS REPORTING

  • Have all Accident Forms in the 'Accident File' been logged? (Note Date of Last Accident Report Sheet and Log Entry)

  • How many of the following have been reported over the past 30 days?

  • Accidents to STAFF

  • Accidents to SERVICE USERS

  • Accidents to OTHERS

  • Incidents to STAFF

  • Incidents to SERVICE USERS

  • Incidents to OTHERS

  • Near Miss to STAFF

  • Near Miss to SERVICE USERS

  • Near Miss to OTHERS

  • If reportable under 'RIDDOR' has this happened? (if 'YES', record details)

Fire Safety

FIRE SAFETY - Look for Gaps in the Records

  • Has the Fire Alarm Test Record been completed correctly? (Insert Date of last check)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Has the Fire Extinguisher Test Record been completed correctly? (Insert Date of last check)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Has the Emergency Lighting Test Record been completed correctly? (Insert Date of last check)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Has there been a Fire Drill in the last six months? (Insert date of Last Drill)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are fire sufficient fire notices in place

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all fire escape routes and final exits clear of obstruction?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are fire exits available for use and do they open easily?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

Infection Control

INFECTION CONTROL

  • Are Waste Bin 'Foot / Knee' pedals in working order?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is the Service currently 'Clear' of 'Special' Infection Control Measures? If 'NO' record details of current status.

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are All Required PPE Items available for Staff? (Gloves, Aprons, Paper Towels, Hand Gels etc)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are 'Hand Gels / Sanitisers' available throughout the premises? (check if empty)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is the policy and process to control infection clearly understood by all staff?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

COSHH

CONTROL OF SUBSTANCES HAZARDOUS TO HEALTH (COSHH)

  • Is there a suitable and sufficient COSHH folder available?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are ALL Substances stored as detailed in the COSHH Risk Assessment?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is a Hazard Data Sheet available for all substances used?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is suitable and sufficient Clothing and PPE available for the use of the substances?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

Medication

MEDICATION - GENERAL

  • Is Medication Stored Safely and Appropriately? (Locked Cabinet / Trolley. Note: Trolley must be securely Stored also)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is 'STOCK' medication Stored Correctly? (Locked Cupboard / Room - Internal Meds separate from External Meds)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is 'ALL' Medication Received into the Service appropriately Checked & Signed for? (Check latest records)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is a 'Medication Stock Check' carried out weekly?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Medicines that are No Longer Required / Out of Date, disposed of correctly and documented? (Check 'Disposal Records')

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Does the Fridge Used for Medication Storage Have a 'Working' Lock Fitted?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Does the Fridge Used for Medication Storage have a 'Calibrated' Max. / Min. Thermometer?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Fridge Temperatures (Max & Min) Recorded Daily? (look for gaps in log - Should Read Between 2 & 8 Deg. C)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are the contents of the Fridge Correct? If 'NO' record findings

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Check selection of MAR sheets - Are they completed correctly (No gaps etc) if 'NO' Record Details

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Medications given as 'PRN' Recorded Correctly?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • How Many Medication Errors have been Reported this Month?

  • Do Staff have access to appropriate, up to date info about Medications they administer? e.g. British National Formula (BNF)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

MEDICATION - CONTROLLED DRUGS

  • Are 'CD' Stored Safely and Appropriately? (Locked Wall Cupboard, Bolted to wall)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is the 'CD Register' up to date? (look for gaps / missing drug info etc)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is there an up to date 'Sample Staff Signatures' Record

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • On the 'CD'' MAR Sheet, have 'TWO' Staff Signed?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

Manual Handling

MANUAL HANDLING

  • Are there Risk Assessments for ALL Manual Handling Activities?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Do 'Care Plans' contain appropriate Risk Assessments for Moving and Handling? (Make a note of Sample Files Checked)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

Kitchens

KITCHEN / UTILITY AREAS

  • Is there evidence of a 'Cleaning Schedule'?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Doorways 'Clear of Obstacles' that may hinder passage?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Floor Coverings in Good Condition and Clear of Obstructions?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is there any evidence of 'Spillage' today?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all Work-Surfaces Clean, in Good Condition and Free from Clutter?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Do all 'Opening Windows' have Fly Screens Fitted?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are 'Hot Water' Warning Signs displayed as required?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is a BURNS KIT located in Kitchen?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is there a fire blanket available in the kitchen and is it secure?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

  • FOOD HYGIENE

  • Do all staff involved with the preparation of food have appropriate training and certificates? (List Staff Files Checked & Note Expiry Dates of certs)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Colour Coded Chopping Boards available?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Do staff Know the 'Colour Coding' of Chopping Boards?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is there a 'Guide' to the Colour Coding? (WHITE- Bakery & Dairy, GREEN - Salad & Fruit, RED - Raw Meat, YELLOW - Cooked Meat, BROWN - Vegetables, BLUE - Raw Fish)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are there any 'Out of Date' or 'Mouldy' Food items in cupboards etc?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Have all Fridge Temperatures Been Logged 'Daily' (Record last 3 dates and temperatures / Note: Temp should be 5C @ middle shelf)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Have all Freezer Temperatures Been Logged 'Daily' (Record last 3 dates and temperatures / Note: Temp should be -18 to -23)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Fridges

  • Are Raw and Cooked Meats Stored Separately?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is Raw Meat Stored on the Bottom Shelf?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is all food covered and stored in Plastic, Glass or EarthenWare containers? (Not in 'Tins")

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is all 'Opened' food labelled with the 'Opened & Use By' Date?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are there any 'Out of Date' items?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • If Staff use the fridge to store their own food items, are they clearly labelled to identify this?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Appliances

  • Are all Appliances, Kitchen Equipment and Cupboards Clean?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Have Appliances been Tested as required? (Check PAT Test Label & Log)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is a Food Temperature Probe available?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Food Temperature Checks Recorded as required? (Record Date of last entry inc. Item & Temp.)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

Buildings & Environment

HALLWAYS / STAIRS / LANDINGS

  • Are all Areas Free from 'Odour' problems?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all Floor Coverings, inc. Rugs / Mats etc in Good Condition and Clean?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Stair Carpets 'Free' from any Looseness / Wear?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Is there sufficient Contrast between Stair Case Elements? e.g. Steps & Risers

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Stairs Clear of Obstacles and Equipment?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all Fittings Fixed Securely e.g. Handrails / Gates etc

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

LIVING ROOMS / DINING ROOMS

  • Are all Areas Free from 'Odour' problems?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all Floor Coverings, inc. Rugs / Mats etc in Good Condition and Free from Obstructions?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all items of Furniture / Equipment in Good condition and Clean?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are All Electrical Cables Stored appropriately so as not to cause an Obstruction or Trip-Hazard?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

BATHROOMS / TOILETS

  • Are Liquid Soap / Paper Towels / PPE / Hands-Free waste Bins available?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Bathmats available and 'Clean'? (check underside)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Emergency Call Points Operational?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Any 'Odour' problems?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are 'Hot Water' Warning Signs displayed as required?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all Floor Coverings, inc. Rugs / Mats etc in Good Condition and Free from Obstructions?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all items of Bathroom Furniture / Equipment in Good condition and Clean?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Can Doors be Locked?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Can locked doors be opened from the outside in an emergency? (Test)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

EXTERNAL CHECKS

  • Are Doorways Clear of Obstacles that may hinder passage?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Can External Doors be opened easily when Un-Locked?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Do ALL the Locks on External Doors work correctly?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are External Areas around doorways well lit?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are any External Steps in Good Condition and Clear of Obstructions?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are External Mats / Coverings in Good Condition?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Do External Mats / Coverings Prevent Slipping, especially when wet?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are Pathways in Good Condition and Clear of Obstructions?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are any Items of Garden Furniture and Equipment Safe and in Good Condition?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are all Doors and Windows in a Good State of Repair?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

Equipment

Maintenance of Equipment

  • Are the following in good working order & free from defects and wear & tear. Record details

  • Note: check for evidence of maintenance and regular disinfection cleaning routines

  • Are all Doors and Windows in a Good State of Repair?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Mop head / toilet brushes / cleaning equipment

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Hoist & slings (note any clips & rings for damage or wear

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Are records kept and up to date for the daily / weekly checks for fixed and portable hoists and slings?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Lift chairs / turning aids

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Wheelchairs?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Frames and other moving / stability aids?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Handling belts?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Slide sheets / Transfer boards?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Note the location of ALL FIRST AID KITS and when their contents were last checked?

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • Detail any Bulbs Not Working i.e. Type/Wattage/Fitting

Additional Comments

Any Additional Comments:

  • Is there no requirement to make additional comments or raise concerns? (Concerns MUST be Reported to a Manager immediately and Corrective Action Plans completed)

  • Action Required

  • By Who

  • Date for Completion

  • Date Completed

  • Sign

  • How many Corrective Actions were raised from this audit?

  • Audit Completed By:

  • Audit Reviewed By:

  • Review Date:

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.