Title Page
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Site conducted
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Document No.
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Client
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Site / Store
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Conducted on
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Conducted by
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Location
Cleaning Operations
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Are the sales floors free from avoidable trips, slips and falling hazards during the cleaning operation?
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Please detail the name of the employee(s) requiring the risk assessment and create a task to ensure completion :
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Are sufficient wet floor signs deployed during cleaning and In appropriate visible places as per GSA Training Guide 14?<br>
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Please detail the next steps actions to ensure compliance:
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Do any of our cleaning operatives have any disabilities requiring a risk assessment?<br>
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Please detail the next steps actions to ensure compliance:
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Are there any pregnant workers who would require a risk assessment to be completed?
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Please detail the name of the employee(s) requiring the risk assessment and create a task to ensure completion:
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Do any operatives require Personal Emergency Evacuation Plan assistance? (For employees who are deaf or disabled)
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Please detail the name of the employee(s) requiring the assistance and create a task to ensure completion:
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Are all staff trained on fire evacuation procedures and fire assembly point? (ask operatives to confirm location)
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Please detail the next steps actions to ensure compliance:
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Are the operatives trained to carry out their tasks as per the 'Safe System of Work'?
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Please detail the next steps actions to ensure compliance:
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Are the staff aware of any unsafe working conditions, that have NOT been addressed?
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Please detail the next steps actions to ensure compliance:
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Are the staff aware of the accident and near miss reporting process?
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Please detail the next steps actions to ensure compliance:
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Are the floor scrubber dryers / vacuums in good working order? (no trails of water left on the floor, bags emptied and filters cleaned)
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Please detail the next steps actions to ensure compliance:
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Are any visible cables from any electrical equipment in use being safely routed and warning signs deployed over them?
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Please detail the next steps actions to ensure compliance:
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Are staff using appropriate Personal Protective Equipment for the tasks they are undertaking?
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Please detail the next steps actions to ensure compliance:
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Are any of the cleaning team being asked by the client to carry out tasks which are not relevant to the cleaning specification which have additional risks attached?
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Please detail the next steps actions to ensure compliance:
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Is waste being managed and disposed of appropriately in line with the client's requirements?
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Please detail the next steps actions to ensure compliance:
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Are the risk assessments for each task undertaken on site, and appropriate to the environment being worked in?
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Please detail the next steps actions to ensure compliance:
Storage & Maintenance
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Is the storage area large enough and safe for operatives to work, and have the appropriate internal foul water and drain facilities required?
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Please detail the next steps actions to ensure compliance:
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Is the charger for the batteries dry and safely stored without risk or damage from falling water?
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Please detail the next steps actions to ensure compliance:
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Are only approved chemicals being used on site in accordance to the supplied COSHH sheets provided by GSA?
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Please detail the next steps actions to ensure compliance:
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Are the cleaning chemicals stored safely and securely? (low enough level storage and with capped containers)
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Please detail the next steps actions to ensure compliance:
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Is the electrical equipment in a safe clean condition / no broken plugs or cables?
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Please detail the next steps actions to ensure compliance:
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Is the Portable Appliance Testing up to date and documented by stickers on the relevant mains powered equipment?
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Please detail the next steps actions to ensure compliance:
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Are any of our operatives discarding used dirty water outside of the building? (environmental issues which can be traced back to any source)
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Is the site Licensed to do so?
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Please ensure this is reported to the GSA Helpdesk and training is undertaken immediately.
Training & Documation
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Are completed training induction records available or all employees on site? (check all names against current payroll timesheet)
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Please detail the next steps actions to ensure compliance:
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Is the H&S folder on site, and does it contain all up to date paperwork, and are staff aware of it's purpose and location?
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Please detail the next steps actions to ensure compliance:
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Are the GSA Pictorial Training Guides available / displayed for training purposes?
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Please detail the next steps actions to ensure compliance:
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*** An example of the H&S at Work Act Poster can be located here: ***
http://www.hse.gov.uk/contact/images/newlawposter.jpg -
Is the current Health & Safety at Work Act Poster and company employee liability insurance poster displayed?
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Please detail the next steps actions to ensure compliance:
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Is the current "When an Accident Occurs Guidelines" poster visible?
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Please detail the next steps actions to ensure compliance:
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Is there an accident book available? (should be located inside the H&S folder)
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Please detail the next steps actions to ensure compliance:
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Are there any issues to be addressed by the client? (i.e. areas without sufficient lighting to be cleaned, or poor water / drain access)
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Please detail the next steps actions to ensure compliance:
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Has there been any accidents or near misses which have occurred and have they been reported and investigated?
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Please detail the next steps actions to ensure compliance:
Finalize
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Auditor Sign Off
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Additional Sign Off
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Photo of Signature