H&S Compliance Management Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Names of those present

First Aid

• Has the village got sufficient numbers of First Aid Trained Personnel

  Yes

  No

  N/A

• Are the names of first aiders displayed?

  Yes

  No

  N/A

• Is the FA box fully stocked and in contents in date?

  Good

  Fair

  Poor

  N/A

• Has the FA Box been checked within the last month

  Yes

  No

  N/A

• adequate eye wash?

  Yes

  No

  N/A

• Is a burns kit available

  Yes

  No

  N/A

• Are the contents of grab bag in date and fully stocked?

  Yes

  No

  N/A

AED

• Is there an AED on the village?

  Yes

  No

  N/A

• Has the AED been checked within the past month?

  Yes

  No

  N/A

• Date of last recorded check

  Date

• Are pads in date

  Yes

  No

  N/A

• Is the battery healthy?

  Yes

  No

  N/A

• Is the AED support pack in place - Scissors, Razor, Towel and Face Mask

  Yes

  No

  N/A

• Are spare pads available?

  Yes

  No

  N/A

Policies & Documents

• Does the village have a Fire Strategy?

  Yes

  No

  N/A

• Is the visitor/contractor signing in book in use?

  Yes

  No

  N/A

• Is the EL insurance certificate displayed and in date?

  Yes

  No

  N/A

• Is the H&S policy statement displayed?

  Yes

  No

  N/A

• Is the Environmental policy statement displayed?

  Yes

  No

  N/A

• Has the HSE poster been completed and displayed

  Yes

  No

  N/A

• Is the Emergency Handover Plan in date and accessable?

  Yes

  No

  N/A

• Is there asbestos within the village?

  yes

  no

• Is there an asbestos register?

  Yes

  No

  N/A

• Is asbestos managed appropriately?

  Yes

  No

  N/A

• Has an internal asbestos survey been conducted within the past 6 months?

  Yes

  No

  N/A

• Date of last inspection

  Date

Compliance checks

• Are FM monthly compliance checks being conducted?

  Yes

  No

  N/A

Mandatory Safety Certificates

• Is the FGas register available?

  Yes

  No

  N/A

• Have registered assets been serviced within the past 12 months?

  Yes

  No

  N/A

• Does the village have a gas supply?

  Yes

  No

  N/A

• Is the Gas safety for communal boilers certificate dated within the last 12 months

  Yes

  No

  N/A

• Have At Risk recommendations been addressed?

  Yes

  No

  N/A

• Is the Gas Safety certificate for the laundry dated within the last 12 months

  Yes

  No

  N/A

• Have At Risk recommendations been addressed?

  Yes

  No

  N/A

• Is the Gas certificates for the kitchen dated within the last 12 months

  Yes

  No

  N/A

• Have At Risk recommendations been addressed?

  Yes

  No

  N/A

• Does the village have lifts?

  Yes

  No

  N/A

• Has a LOLER inspection been conducted within the last 6 months?

  Yes

  No

  N/A

• Have A and B notices been rectified within 30 days of the report?

  Yes

  No

  N/A

• Does the village have a mansafe system?

  Yes

  No

  N/A

• Has the mansafe system been certified within the past 12 months?

  Yes

  No

  N/A

• Have all areas of non compliance been actioned?

  Yes

  No

  N/A

• Have eye bolts been tested within the past 6 months

  Yes

  No

  N/A

• Have non conformists been rectified?

  Yes

  No

  N/A

• Has the annual emergency lighting depletion test been conducted within the past 12 months?

  Yes

  No

  N/A

• Have all non conformists been addressed?

  Yes

  No

  N/A

• Is the electricity test certificate dated within the last 5 years

  Yes

  No

  N/A

• Have C1 and C2 notices been actioned with the 28 day timeframe recommended

  Yes

  No

  N/A

Fire

• Has the kitchen extraction system been cleaned and serviced within the past 12 months?

  Yes

  No

  N/A

• Has furniture within communal areas received a fire rating?

  Yes

  No

  N/A

• Does the village have a fire suppressant system?

  Yes

  No

  N/A

• Have systems been serviced within the past 12 months?

  Select Fire Curtain Fire shutter Fire dampers Dry Risers Wet risers AOV Extraction systems

  • Fire Curtain
  • Fire shutter
  • Fire dampers
  • Dry Risers
  • Wet risers
  • AOV
  • Extraction systems

• Does the village have Fire sprinkler system?

  Yes

  No

  N/A

• Has the system been serviced with the past 12 months?

  Yes

  No

  N/A

• Have non conformists been actioned?

  Yes

  No

  N/A

• Has the fire panel been serviced within the past 12 months?

  Yes

  No

  N/A

• Is the fire panel free of faults?

  Yes

  No

  N/A

• Have residents front doors (opening on to enclosed communal corridors) been inspected within the past 12 months?

  Yes

  No

  N/A

• Have non conformists been actioned?

  Good

  Fair

  Poor

  N/A

• Have communal fire doors been inspected within the last 3 months

  Yes

  No

  N/A

• Have non conformists been rectified?

  Good

  Fair

  Poor

  N/A

• Has the village received a SF21 inspection?

  Yes

  No

  N/A

• Have non conformists been rectified?

  Yes

  No

  N/A

• Has a fire evacuation been conducted within the last 6 months

  Yes

  No

  N/A

• Have non conformists been actions?

  Yes

  No

  N/A

• Has the village had a Fire RA within the last 2 years?

  Yes

  No

  N/A

• Have all non conformists been rectified?

  Good

  Fair

  Poor

  N/A

• Have fire extinguishers been tested with the last 12 months?

  Yes

  No

  N/A

• Are fire escapes free clear of blockages?

  Yes

  No

  N/A

Risk Assessments

• Do Risk Assessments cover all activities

  Yes

  No

  N/A

• Date of last review

  Date

• RA signed

  Yes

  No

  N/A

Water Risk Assessment

• Does the village have a water risk assessment dated within the last 24 months?

  Yes

  No

  N/A

• Have open actions been addressed

  Good

  Fair

  Poor

  N/A

Chemicals

• Are chemical bunds in place and being used appropriately?

  Yes

  No

  N/A

• Are pesticides being stored separately from other chemicals?

  Yes

  No

  N/A

• Are flammable liquids stored appropriately

  Yes

  No

  N/A

• Does the village have gas bottles?

  Yes

  No

  N/A

• Are bottles stored safely and within a cage away from sources of ignition?

  Yes

  No

  N/A

• Have all chemicals been approved with an associated COSHH sheet?

  Yes

  No

  N/A

• Are chemicals stored appropriately?

  Yes

  No

  N/A

• Do chemical bottles have labels?

  Yes

  No

  N/A

• Are chemicals disposed of correctly?

  Yes

  No

  N/A

Contractors

• Are contractors working within the village?

  Yes

  No

  N/A

• Are they working safely?

  Yes

  No

  N/A

• Are the approved?

  Yes

  No

  N/A

• Have RAMs been approved for current works

  Yes

  No

  N/A

• Have the contractors signed in at reception

  Yes

  No

  N/A

• Have any PTW been issued?

  Yes

  No

  N/A

• Are the contractors working to the PTW

  Yes

  No

  N/A

DSE

• Do all DSE users have an assessment in date?

  Yes

  No

  N/A

Building Safety

• Is furniture over 1.2m tall secured to the wall?

  Yes

  No

  N/A

• Are basements locked?

  Yes

  No

  N/A

• Are roofs secured?

  Yes

  No

  N/A

• Is there adequate lighting throughout basement areas?

  Yes

  No

  N/A

Guest suits

• Is fire information up to date?

  Yes

  No

  N/A

• Are smoke alarms tested and in working order?

  Yes

  No

  N/A

• Has electrical equipment been PA tested?

  Yes

  No

  N/A

• Are shower heads descaled?

  Yes

  No

  N/A

• Are water outlets flushed?

  Yes

  No

  N/A

Wellbeing

• Are all records in a locked cabinet?

  Yes

  No

  N/A

• Is equipment fit for purpose and calibrated?

  Yes

  No

  N/A

• Have WBA access to accident reporting?

  Yes

  No

  N/A

• Is there a camel chair within the village

  Yes

  No

  N/A

• Is the chair on charge?

  Yes

  No

  N/A

• Are HCL trained how to use the chair?

  Yes

  No

  N/A

• Has the chair been serviced within the past 12 months?

  Yes

  No

  N/A

• Does the village store pharmacy perscription?

  Yes

  No

  N/A

• Is it stored in a lockable cabinet?

  Yes

  No

  N/A

• Is there an audit train of prescriptions held?

  Yes

  No

  N/A

Facilities

• Do you have Grounds and Maintenance Personnel?

  Yes

  No

  N/A

Equipment

• Has all equipment been stored appropriately?

  Yes

  No

  N/A

• Is all equipment in good working order?

  Yes

  No

  N/A

• Is there adequate equipment for all users

  Yes

  No

  N/A

• Has all equipment been recorded on the Asset list?

  Yes

  No

  N/A

Machinery

• Does the village have petrol/diesel machinery?

  Yes

  No

  N/A

• Has machinery been serviced within the past 12 months by a approved contractor?

  Yes

  No

  N/A

• Are refueling procedures being followed?

  Yes

  No

  N/A

• Does the village have electrical machinery?

  Yes

  No

  N/A

• Has machinery been PA tested within the past 12 months?

  Yes

  No

  N/A

• Has machinery been serviced within the past 12 months with records kept?

  Yes

  No

  N/A

• Has the dB been recorded with appropriate action taken?

  Yes

  No

  N/A

• Have vibration measures been taken and working time adhered too?

  Yes

  No

  N/A

• Are safety features on machinery fully operational?

  Yes

  No

  N/A

Training

• Are all operatives competent in their tasks?

  Yes

  No

  N/A

• Detail the importance of wearing appropriate PPE

  Pass

  Fail

  N/A

• What would you do if machinery/equipment was broken or damaged

  Pass

  Fail

  N/A

• How would you report an accident or near miss?

  Pass

  Fail

  N/A

• Does the village have a chainsaw?

  Yes

  No

  N/A

• Do chainsaw users have an appropriate license?

  Yes

  No

  N/A

• Does the village use pesticides?

  Yes

  No

  N/A

• Do pesticide users hold the appropriate PA certificate

  Yes

  No

  N/A

• Are pesticide applications recorded - spray logs

  Yes

  No

  N/A

• Have all pesticides been submitted for inclusion in to the PPP register

  Yes

  No

  N/A

• Are safe working practices being followed?

  Yes

  No

  N/A

Pest Control

• Contract in place

  Yes

  No

  N/A

• Copy of log book completed

  Yes

  No

  N/A

• COSHH/MSDS sheets for pestacides/rodantacides

  Yes

  No

  N/A

• Map of bait boxes within the villages

  Yes

  No

  N/A

Fleet management

• Is there a Minibus or road vehicle within the village

  Yes

  No

  N/A

• Have vehicles got appropriate MOT certification?

  Yes

  No

  N/A

• Have vehicles been services within the past 12 months

  Yes

  No

  N/A

• Do vehicles with a tailgate have a LOLER cert within the past 6 months?

  Yes

  No

  N/A

• Do vehicles with a tailgate have weight test certificate within the past 12 months?

  Yes

  No

  N/A

• Are vehicles taxed?

  Yes

  No

  N/A

• Are vehicles insured for use?

  Yes

  No

  N/A

• Seat belts fitted, working and used?

  Yes

  No

  N/A

• Do operatives have the correct driving license for each vehicle?

  Yes

  No

  N/A

PPE

• is there an adequate number of PPE for the team?

  Yes

  No

  N/A

• Is the PPE appropriate to requirements?

  Yes

  No

  N/A

• Has the PPE been provided by RV?

  Yes

  No

  N/A

• Has winter weather clothing been provided?

  Yes

  No

  N/A

• Has sun protection clothing been provided?

  Yes

  No

  N/A

• Has sun cream been provided?

  Yes

  No

  N/A

• Has the PPE register been updated?

  Yes

  No

  N/A

Tree's

• Has a tree survey been conducted within the past 5 years?

  Yes

  No

  N/A

• Tree survey date

  Date

• Have non conformists been rectified in line with recommended timescale?

  Yes

  No

  N/A

Ladders

• Are all ladders listed on the asset list?

  Yes

  No

  N/A

• Are operational ladders in good working order?

  Yes

  No

  N/A

• Do ladders have a visible scaff tag?

  Yes

  No

  N/A

• Have ladders been checked within the past 3 months

  Yes

  No

  N/A

• date of last check

  Date

F&B

• Does the village have an F&B provision?

  Yes

  No

  N/A

Kitchen

Documentation

• Is there a food safety management system in place?

  Yes

  No

  N/A

• it the document in date and a workable document?

  Yes

  No

  N/A

• Are daily due diligence checks in place and in date

  Yes

  No

  N/A

• Are the fridge and freezer temperature checks in date and completed daily?

  Yes

  No

  N/A

• Are food temperature checks taken and recorded daily for each relevant service?

  Yes

  No

  N/A

• Are allergen labels in place?

  Compliant

  Non-Compliant

  N/A

• Are all foods dated and labelled as required?

  Compliant

  Non-Compliant

  N/A

• Is food stored in food safe containers with lids?

  Compliant

  Non-Compliant

  N/A

• Is there an allergen board for each menu item

  Yes

  No

  N/A

• Are all activities conducted in line with Risk Assessments?

  Yes

  No

  N/A

Condition of premises

• Are cleaning schedules in place?

  Yes

  No

  N/A

• Condition of premises

  Good

  Fair

  Poor

  N/A

• Lighting acceptable

  Pass

  Fail

  N/A

Food handling

• Is food handled safely and hygienically during prep and service?

  Compliant

  Non-Compliant

  N/A

• How are deliveries accepted and stored

  Compliant

  Non-Compliant

  N/A

Level of cleanliness

• Outside doors/walls/windows

  Good

  Fair

  Poor

  N/A

• internal fridges/cupboards/ovens

  Good

  Fair

  Poor

  N/A

• Bottoms of tables

  Good

  Fair

  Poor

  N/A

• Floors and corners

  Good

  Fair

  Poor

  N/A

• Textured surfaces regularly disinfection

  Good

  Fair

  Poor

  N/A

• Tidy environment

  Good

  Fair

  Poor

  N/A

Electrics

• PA Test in date

  Yes

  No

  N/A

• Broken over loaded sockets

  Yes

  No

  N/A

• Bare wires

  Yes

  No

  N/A

• Faulty appliances

  Yes

  No

  N/A

Storage & Equipment

• Equipment stored approprately and safely

  Yes

  No

  N/A

• Access to hot water

  Yes

  No

  N/A

• First Aid box fully stocked and in date?

  Yes

  No

  N/A

• Bins and refuse well placed/clean

  Pass

  Fail

  N/A

• Is equipment in clean and good working order?

  Yes

  No

  N/A

• Is equipment being stored in line with SOPS?

  Yes

  No

  N/A

• Are knives being stored appropriately?

  Yes

  No

  N/A

Colour coding

• is equipment colour coded

  Yes

  No

  N/A

• Are staff aware of colour coding

  Yes

  No

  N/A

• Are staff aware of cross contamination?

  Yes

  No

  N/A

Personal hygiene

• Uniform clean and presentable

  Yes

  No

  N/A

• Clean and clear nails

  Yes

  No

  N/A

• visitors hygiene managed

  Yes

  No

  N/A

• hair tied back or covered

  Yes

  No

  N/A

Emergency controls

• Emergency control awareness

  Yes

  No

  N/A

• Emergency restart awareness

  Yes

  No

  N/A

Training

• Are all operatives competent in their tasks?

  Yes

  No

  N/A

• Explain the pre use checks for a specific item of equipment

  Pass

  Fail

  N/A

• What would you do if machinery/equipment was broken or damaged

  Pass

  Fail

  N/A

• How would you report an accident or near miss?

  Pass

  Fail

  N/A

Housekeeping

• Does the village have a housekeeping team?

  Yes

  No

  N/A

Laundry

• Does the village have a laundry?

  Yes

  No

  N/A

• Are the vents clear of debris

  Yes

  No

  N/A

• Have the machines been serviced within the past 12 months

  Yes

  No

  N/A

• Date of last service of machines

  Date

Colour coding

• is equipment colour coded

  Yes

  No

  N/A

• Are staff aware of colour coding

  Yes

  No

  N/A

• Are staff aware of cross contamination?

  Yes

  No

  N/A

Equipment

• Has all equipment been PA tested?

  Yes

  No

  N/A

• Is equipment stored appropriated

  Yes

  No

  N/A

• Is the sufficient equipment for all users

  Yes

  No

  N/A

• Is PPE available and being used?

  Yes

  No

  N/A

• Are residents chemicals being used during weekly cleans

  Yes

  No

  N/A

• Comments on audit

• Name of person conducting audit

• Signature

  Sign