1.0 - Location Being Inspected

  • Office

  • Zone (If Applicable)

  • 1.1 - Have you reviewed the last three months Monthly Workplace EHS Compliance Checklists?

  • 1.2 - Have you reviewed your last Quarterly EHS Compliance Checklist?

  • 1.3 - Have EHS Compliance checklists been discussed at EHS meetings and action plans agreed?

  • 1.4 - Are there NO outstanding actions?

2.0 - Fire Prevention

  • 2.1 - Emergency Evacuation Plan current and available for the site and communicated to all staff and visiting contractors?

  • 2.2 - Written Fire Prevention Plan is current and in place and communicated to all staff?

  • 2.3 - Fire evacuation drills planned six monthly?

  • 2.4 - Adequate Fire Wardens to assist with any emergency evacuation appointed for the site, is their training up to date and are they fully aware of their roles and responsibilities?

  • 2.5.- Fire Extinguisher maintenance current and in date?

  • 2.6.- Fire Alarm system maintained and certificated on an annual basis?

3.0 - Electrical Safety

  • 3.1 - When electrical equipment is serviced or maintained is there a system in place to ensure that circuits and switches are Locked Out and Tagged Out?

  • 3.2 - Electrical testing of fixed electrical installation completed and records available?

  • 3.3 - Is there a process in place to ensure that staff carry out a check before use of electrical equipment and report any faults?

4.0 - Chemical Safety (COSHH)

  • 4.1 - Written Hazard Communication Plan is current and in place on site?

  • 4.2 - Material Safety Data Sheets (MSDS) available for all chemicals on site? (Have you checked the chemicals present against the inventory / list of chemicals on site?)

  • 4.3 - Does the chemical inventory / list correspond to the actual chemicals present on site?

  • 4.4 - Are there adequate records of the issue of PPE being maintained on site and is the equipment suitable, in good condition, clean and stored properly?

5.0 - First Aid Facilities

  • 5.1 - Is there a current Emergency Medical Plan in place on the site?

  • 5.2 - Are there sufficient numbers of first Aiders on site and is their training current and up to date?

  • 5.3 - Are up to date details of First Aiders including emergency telephone numbers posted around the site?

6.0 - Accident Reporting

  • 6.1 - Have the last three months accident reports been submitted to the EHS Manager on a monthly basis?

  • 6.2 - Have all accidents been investigated properly and action plans and lessons been learned?

  • 6.3 - Were there NO problems with the monthly accident information, reported by the EHS Manager?

  • 6.4 - Have all notifiable accidents e.g. Inpatient Hospitalisation, amputation or Loss of an eye , been reported to OSHA , as required? (This to be in conjunction with the EHS Manager.)

  • 6.5 - Are adequate records of the OSHA 200 forms and First Report of Injury form 101 being maintained and OSHA 300 form posted as required?

7.0 -Training

  • 7.1 - Have all new starters received Environmental Health & Safety Induction training and are records available?

  • 7.2 - All training, including skills based and job specific, current and up to date and records available?

  • 7.3 -Are toolbox talks being completed on a monthly basis, where required and records available?

8.0 - EHS Documentation

  • 8.1 - Is the site GSH Log Book present on site and is this being completed and used properly?

  • 8.2 - Are Risk Assessments being completed for activities on site and has a sample been reviewed within the Monthly EHS Compliance Checklists?

  • 8.3 - Asbestos Inventory and Management Plan (If applicable to the site.) available?

  • 8.4 - Are known asbestos hazards passed onto contractors and staff who may be affected as part of the asbestos management plan?

  • 8.4 - Have all Video Display Terminal assessments for staff been reviewed in the past 12 months? (To include adjustment of equipment, work postures, sufficient breaks etc.)

  • 8.5 - Health and Safety committee in place with regular meetings with all key stakeholders and are minutes available?

  • 8.6 - Water quality risk assessment available for clients demise and have all control measures been implemented? (E.g. Tap/Faucet outlet temperatures, hot water storage temperatures, cleaning of Cold Water Storage Tanks etc.)

  • 8.6 - Are all Statutory Compliance checks and maintenance up to date? (To include UPS, Fire Suppression, Lifts, Air Conditioning systems, Boilers and Pressure systems, Fire Alarm system, as appropriate to the site.)

  • 8.7 - Is there a current Injury & Illness Prevention Program (IIPP) or equivalent Safety Management System in place on site and is this being followed by all staff?

9.0 - Other EHS issues? (Include reports, other documents, photos or drawings)

  • Add media

  • Add drawing

Sign Off

  • Site Manager

  • Regional FM Manager

  • Select date

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