• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Summary of significant activities and buildings inspected.

1. Insurance

  • Employers liability insurance (provide policy number, date and insurer).

  • Public liability insurance (insert policy number, date and expiry).

2. Induction process

  • Is there an induction programme?

  • Insert details of last person inducted and areas covered (if applicable).

3. H&S policy

  • Policy in place?

  • Date of last policy review?

  • 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?

  • Who is the Director responsible for health and safety?

  • State the person with day-to-day responsibility for health and safety

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

4. Risk Assessment

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

  • If young persons are/were employed would a specific risk assessment be conducted

  • Fire risk assessments in place, suitable and sufficient (less than 12 months old)?

5. Fire Safety

  • 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

  • There is adequate ventilation.

  • Area is free from odors.

  • Temperature is comfortable.

  • Lighting is adequate.

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

  • Flooring is of the correct type and adequately maintained?

8. Emergency procedures

  • Written evacuation procedures and exits displayed.

  • Are spill kits available?

  • Escape routes and emergency doors are clear.

  • Procedures are in place for isolated workers.

  • Emergency and hazard signage is clearly visible.

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 and workers' are aware of them.

  • Kits are clearly signed, stocked and contents are in-date.

  • Names and contacts of first aiders, displayed and up to date.

10. General Facilities

  • Washing facilities are clean and functional.

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

  • Warning and Safety signage in good condition.

  • Walls, windows, doors and furniture is in good condition.

11. Manual Handling

  • Where applicable manual handling Standard Operating Procedures (SOP) are available.

  • Trolleys or mechanical hoists are available and are being considered for heavy items or loads.

  • Personnel responsible for receiving deliveries are trained in manual handling.

  • Step ladders or safe steps available to access light items stored on high shelves.

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

12. Storage

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

  • Storage designed to minimize lifting problems I.e. heavy objects not stored on upper racks.

  • Racking securely fixed to floor or wall.

13. Slips and trips

  • Warning signs are available and erected near spills.

  • There are special provisions for slip resistance in wet areas.

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

  • Walkways are free of hazards, such as electrical leads.

14. Electrical safety

  • All portable equipment has current test tags.

  • Residual current devices (RCD) are installed at switchboards or into fixed sockets. (It should be clearly marked on socket).

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

  • Portable RCD device is available and has been tested.flexible cord, plugs and extension leads are in good condition and have either moulded or transparent type plugs.

  • Power points are suitable for the location and are positioned safely.

  • Power boards used. (not double adapters).

  • Faulty equipment is tagged out or removed from use?

15. Chemical Aspects

  • MSDS (not older than 5 years) are available for workers reference and included in the hazardous substances register.

  • There is an up to date easy to find and read list/register summary of all chemicals used.

  • Actions have been taken to control risks. For example, an investigation has been done to find out whether an alternative safer chemical is available.

  • A coshh assessment has been completed for all chemicals and harmful substances stored and used at the workplace.

  • Original containers have the manufacturer's label.

  • Chemicals stored according to compatibility and bunded I.e in flammable or corrosive cabinets.

  • Are there any flammable gases on site, if so what are the storage facilities available?

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

16. Personal Protective Equipment

  • Instruction and information of PPE are available.

  • PPE store available well maintained and in good condition.

  • Signage of PPE requirements displayed on equipment.

  • Required PPE available.

  • Appropriate signs displayed to standard requirements visible, correctly located and in good condition. (inside and outside).

17. Noise & Vibration

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

  • Control measures have been put in place to reduce the risk of injury as a result of noise and vibration (details measures adopted)?

  • Workers have received information and training in relation to noise at the workplace.

18. Legionella

  • Is there a hot water storage system on site

  • Is there a cold water storage system?

  • What is the temperature of the sentinel taps?

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

  • Is there a shower on site, if so is there a procedure for flushing it through periodically?

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

19. Display Screen Equipment

  • Have users of DSE been identified?

  • Have DSE self assessments been conducted?

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

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

20. Company Vehicles

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

  • Are both parts of the employees driving license sighted and copies obtained for company records?

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

  • Are vehicles maintained in accordance with the manufacturers recommendations?

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

  • Is there a policy in place relating to the use of company vehicles, travel distances etc?

  • 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,? If so detail quantities, storage and method of delivery to point of use?

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

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

22. Significant findings

23. Recommendations

24. Confirmation of issue and receipt of report.

  • Select date

  • Clients representative

  • Consultants Name

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.