H&S Management Management System

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Part One - General Information

• Are All Key personnel listed

  Yes

  No

  N/A

• Managers Name and Delegated Responsible Persons Name Listed

  Yes

  No

  N/A

• Names of First Aiders within the department

  Yes

  No

  N/A

• Names of Fire Wardens within the department

  Yes

  No

  N/A

• List of Emergency Contact Details

  Yes

  No

  N/A

• Health and Safety Policy

  Yes

  No

  N/A

• Departmental Health and Safety Policy

  Yes

  No

  N/A

• Health and Safety guidance documents relevant to the area

  Yes

  No

  N/A

Part 2

• Does the Risk Register cover relevant information for the department

  Yes

  No

  N/A

• Is the Risk Register risk rated - High - Medium - Low

  Yes

  No

  N/A

• Does the COSHH register list all Chemicals used within the department (complete inspection of COSHH cupboard)

  Yes

  No

  N/A

• Method statements of how things are done - toolbox talks evidenced

  Yes

  No

  N/A

Part 3

• <br>Departmental Training Matrix evidenced

  Yes

  No

  N/A

• Register of what is trained and who was trained - list of training providers

  Yes

  No

  N/A

• Index of risk assessments that have been completed - indication where risk assessments are kept

  Yes

  No

  N/A

• Are all risk assessments signed dated - and in date

  Yes

  No

  N/A

• Records of Manual Handling Tasks that are completed within the Department - Risk assessments sutiable<br>

  Yes

  No

  N/A

• Evidence of PPE risk assessments

  Yes

  No

  N/A

• PPE register showing list of PPE in stock, when it was last checked

  Yes

  No

  N/A

• Evidence of a system in place for the maintenance, cleaning and replacement and disposal of PPE

  Yes

  No

  N/A

Part 4

• Equipment inventory and asset numbers

  Yes

  No

  N/A

• Evidence of equipment Statutory Tests (Zurich inspection reports)

  Yes

  No

  N/A

• Evidence of remedial action completed on statutory inspections of equipment dated and signed

  Yes

  No

  N/A

• Maintenance records of equipment

  Yes

  No

  N/A

• Check Sheets of visual inspections of equipment signed and dated

  Yes

  No

  N/A

• LEV maintenance records and check sheets with asset numbers (Zurich inspection reports)

  Yes

  No

  N/A

Part 5

• Health and Safety Audit Reports

  Yes

  No

  N/A

• Recommendation sheets that have followed the audit with signatures and dates when the issues were completed

  Yes

  No

  N/A

• Health and Safety guidance and information from Health and Safety Department

  Yes

  No

  N/A

Part 6

• Emergency Procedures - are all emergency procedures listed - evacuation process -

  Yes

  No

  N/A

• Are there maps of the emergency cut off points in each classroom

  Yes

  No

  N/A

• what to do in a power cut

  Yes

  No

  N/A

• what to do if there was a gas leak

  Yes

  No

  N/A

• what to do if there was a water leak

  Yes

  No

  N/A

• What to do if there was an accident/incident/near miss

  Yes

  No

  N/A

• Directives from the emergency planning and business continuity plan for your department

  Yes

  No

  N/A

Part 7

• Accident investigation reports with reviewed risk assessments on controls that have been put in place to prevent a re-occurnce

  Yes

  No

  N/A

• Statical Data stating where the accidents are occurring in the area, information on accident control and prevention

  Yes

  No

  N/A

• Inspection reports from outside agencies i.e. HSE, Fire Brigade, Environmental Health

  Yes

  No

  N/A

• Remedial Action Reports on Health and Safety/Fire issues with actions taken an resolved - dated and signed

  Yes

  No

  N/A

Part 8

• Trips an visits pack stating where going, risk assessment completed

  Yes

  No

  N/A

• Document showing if the trip/visit went well and lessons learnt - what could have been improved

  Yes

  No

  N/A

Part 9

• Any other relevant information

  Yes

  No

  N/A