Initial Information

  • Document No.

  • Name of Contractor:

  • Conducted on:

  • Auditor

  • Site Contact:

  • Location
  • Contract:

  • Sites Serviced:

Audit Summary

  • What are the main risks identified from the audit?

  • Areas to follow up:

  • Audit score:

  • Overall audit summary:

Background/Previous Audit Notes

Background Information

  • HSE check complete?

  • Any other relevant checks under taken?

Financial Information

  • Has a Dunn and Bradstreet risk review been undertaken?

  • Risk score

  • Details:

  • Have the company Directors been subject to a Directors check?

  • Details:

Company Information

  • Registered company name:

  • Managing Director:

  • Does the cleaning contractor have a parent company?

  • Parent company details:

  • Does the cleaning contractor have any subsidiary companies?

  • Subsidiary company details:

Section 1.0 Licences & Permits

1.1 Site Information

  • Information:

  • 1.11Does the cleaning contractor require a waste carriers licence?

  • Waste carrier licence information:

  • Waste carriers licence
  • Name of registered carrier:

  • Registered as:

  • Registration number:

  • Licence address:

  • Date of registration:

  • Date of expiry:

  • 1.12 Is the cleaning contractor registered as a hazardous waste producer?

  • Registration reference:

  • Start date:

  • Expiry date:

1.2 Transport Information

  • 1.21 Does the cleaning contractor require a operators licence?

  • Licence number:

  • Licence address:

  • Date issued:

  • Review date:

  • Last review date:

  • Number of vehicles:

  • Number of trailers:

  • 1.22 Does the cleaning contractor have valid MOT certificates? (2 examples required)

  • MOT certificate information

  • MOT certificate
  • Test certificate number:

  • Vehicle:

  • Start date:

  • End date:

  • 1.23 Are the cleaning contractors vehicles fitted with GPS tracking systems?

  • 1.24 Are the cleaning contractors vehicles fitted with a Safe Cycle system? (e.g. FORS scheme in London)

Section 2.0 Insurances

2.1 Insurance Documentation

  • Information:

  • 2.11 Does the cleaning contractor have valid insurance documentation?

  • Insurance document information:

  • Insurance
  • Type of Insurance:

  • Insurer:

  • Policy holder:

  • Policy number:

  • Issue date:

  • Expiry date:

Section 3.0 Waste Transfer Notes

3.0Waste Transfer Documents

  • Information:

  • 3.11What is the cleaning contractorsSIC code?

  • 3.12 Does the cleaning contractor maintain waste transfer notes or consignment notes?

  • Waste transfer note information:

  • Waste transfer note
  • Site name:

  • Date:

  • EWC code:

  • SIC code:

  • Commitment to waste heirachy:

  • Description of the waste:

  • Waste producer details:

  • Signature of waste producer:

  • Waste transferee details:

  • Signature of waste transferee:

  • Final disposal details:

  • Signature of final disposal:

  • 3.13 Has the cleaning contractor heard of EDOC?

  • Does the cleaning contractor have any plans to implement EDOC?

Section 4.0 Investigations

  • All comments given below are the answers provided by the cleaning contractor representitive. A signature is required to confirm the information provided in Section 4.0 is correct to the best of their knowledge.

  • Information:

4.1 Complaints

  • 4.11Has the cleaning contractor received any complaints from local businesses or residents with regards to its operations?

4.2 RIDDOR

  • 4.21 Has the cleaning contractor reported any RIDDOR incidents?

  • Contractor representative signature:

Section 5.0 Policies

5.1 Policy Statements

  • Information:

  • 5.11 Does the cleaning contractor have a Health and Safety Policy?

  • Date:

  • Management endorsement:

  • 5.12 Does the cleaning contractor have an Environmental Policy?

  • Date:

  • Management endorsement:

  • 5.13 Does the cleaning contractor have a Quality Policy?

  • Date:

  • Management endorsement:

  • 5.14 Does the cleaning contractor have a Data Protection Policy?

  • Date:

  • Management endorsement:

  • 5.15 Does the cleaning contractor have a Corporate Social Responsibility Policy?

  • Date:

  • Management endorsement:

  • 5.16 Does the cleaning contractor have an Equal Opportunities Policy?

  • Date:

  • Management endorsement:

  • 5.17 Does the cleaning contractor have a Lone Working Policy?

  • Date:

  • Management endorsement:

5.2 Health and Safety

  • 5.21 Who is the designated Health and Safety representative? (note if site or area)

  • Name of representative:

  • Any relevant qualifications:

  • 5.22 Does the cleaning contractor have a Health and Safety handbook?

  • Issue date:

  • Review date:

  • Management endorsement:

  • Document control:

5.3 Risk Assessments

  • 5.31 Has the cleaning contractor carried out risk assessments? (COSHH to be documented in section 8.2)

  • On site risk assessments?

  • Name of risk assessment:

  • Start date:

  • Review date:

  • Document control:

  • Hazards highlighted:

  • Control measures:

  • Off site risk assessments?

  • Name of risk assessment:

  • Start date:

  • Review date:

  • Document control:

  • Hazards highlighted:

  • Control measures:

5.4 Business Continuity

  • 5.41 Does the cleaning contractor have a Business Continuity/Disaster Plan?

  • Is the Business continuity plan provided compliant?

  • Issue date:

  • Review date:

  • Owner/Author:

  • On site and off site procedures?

  • Tested or desktop based?

Section 6.0 Procedures

6.1 Procedures

  • Information:

  • 6.11 Does the cleaning contractor have any emergency procedures in place?

  • 6.12 Does the cleaning contractor conduct routine emergency drills? (Document evidence)

  • 6.13 Are employees required to wear PPE on and off site?

  • Does the cleaning contractor perform equipment checks on employee PPE?

  • 6.14 Does the cleaning contractor have a written accident reporting procedure?

  • 6.14 Has the cleaning contractor produced Method Statements/Safe Working Practises/ Safe Operating Procedures?

  • On site procedures?

  • Name of procedure:

  • Start date:

  • Review date:

  • Document control:

  • Off site procedures?

  • Name of procedure:

  • Start date:

  • Review date:

  • Document control:

Section 7.0 Training

7.1 Employee Training

  • Information:

  • 7.11 How are policies and procedures communicated?

  • 7.12 Does the cleaning contractor have an induction process for new employees?

  • 7.13 Does the cleaning contractor provide regular training for employees?

  • Internal training:

  • External training:

  • 7.14 Does the cleaning contractor have a training matrix?

  • Dates trained:

  • Refresher training dates:

Section 8.0 Waste Streams

8.1 Safety Data Sheets

  • Information:

  • 8.11 Does the cleaning contractor hold the safety data sheets?

  • 8.12 Details of at least two examples

8.2 COSHH (Control Of Substances Hazardous to Health)

  • 8.21 Does the cleaning contractor have COSHH risk assessments?

  • Name and Date of assessment

  • Has the cleaning contractor developed COSHH data sheets?

Section 9.0 Sub-Contractors

9.1 Subcontractor Information

  • The risk ranking for the contractors identified in the following section is subject to change if the sub-contractors are identified as a high risk.

  • Information:

  • 9.11 Does the cleaning contractor utilise sub-contractors/ third parties on M&S sites?

  • Sub-contractor/ Third party details:

  • Sub-contractor
  • Name of contractor:

  • Tasks undertaken?

  • How does the cleaning contractor choose a sub-contractor?

  • How does the cleaning contractor monitor their sub contractors?

  • Are KPIs set?

  • Does the Sub contractor require a audit?

  • Contact name:

  • Email address/Phone number:

  • Date of audit:

  • Audit ref:

Section 10.0 Certificates/Awards

10.1 Certificates

  • Information:

  • 10.11 Does the SP have any certifications?

  • Certificate information:

  • Certificate
  • Type of certificate:

  • Start date:

  • Expiry date:

10.2 Awards

  • 10.21 Does the cleaning contractor hold any industry awards?

  • Awards information:

  • Award
  • Type of award:

  • Start date:

  • Expiry date:

Section 11.0 Site Inspection

11.1 Name of site?

  • Information:

  • 11.11 Does the site have copies of COSHH assessments?

  • 11.12 Does the site have copies of Risk Assessments?

  • 11.13 Does the site have procedures?

11.2 Site employees

  • 11.21 Is PPE used correctly on site?

  • 11.22 Are chemicals stored in a secure place?

  • 11.23 Are chemicals stored in the correct containers with labels?

  • Off site contact signature

11.3 Site Observations

  • 11.31 Any general observations?

Signatures

  • Signature of of main site contact

  • Auditors Signature:

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.