Health & Safety and Security Inspection (South West) Version 2

• Building Name and Address:

• Add media

  Media

• Brief description of building:

• Property Occupied by:

• Building Use

  Admin

  Hospital

  Health Centre

• Building Services:

• Review Date:

  Date

• Building Inspection Attendees:

Desktop Review (This is to be undertaken pre-site visit)

• 0.1 Asbestos Survey: (Yearly)

  Yes

  No

  N/A

• Select date

  Date

• 0.2 Legionella/Water Risk Assessment: (Two Yearly)

  Yes

  No

• Select date

  Date

• 0.3 Gas Certificate: (Yearly)

  Yes

  No

  N/A

• Select date

  Date

• 0.4 5 Yearly Electrical Certificate:

  Yes

  No

• Select date

  Date

• 0.5 Fire Risk Assessment: (In-patients buildings yearly, clinics two yearly and admin/office buildings three yearly)

  Yes

  No

• Select date

  Date

• 0.6 Piped Medical Gas: (Yearly)

  Yes

  No

  N/A

• Select date

  Date

• 0.7 Pressure Vessels: (Yearly)

  Yes

  No

  N/A

• Select date

  Date

• 0.8 Window Restrictor Survey: (Yearly)

  Yes

  No

  N/A

• Select date

  Date

• 0.9 Lift Servicing: (6 monthly)

  Yes

  No

  N/A

• Select date

  Date

• 0.10 Generator Full Load Test: (Yearly)

  Yes

  No

  N/A

• Select date

  Date

Actions arising from statutory compliance check

• Subject:

• Action required:

• Action owner:

• Date of completion:

  Date

Security Inspection

1. General Security

• 1.1 Are the outside areas (car park) adequately lit?

  Yes

  No

• 1.2 Is the boundary fencing in good repair?

  Yes

  No

  N/A

• 1.3 Is the property gated and secured at night?

  Yes

  No

  N/A

• 1.4 Are garden areas well maintained and not overgrown? (This allows clear visibility)

  Yes

  No

  N/A

• 1.5 Can the roof be easily accessed? (Note if it is flat / can bins or other structure be used to gain access?)

  Yes

  No

• 1.6 Are all external areas secure? (Rear parking / waste stores etc)

  Yes

  No

• 1.7 Are there any reported security issues by building users?

  Yes

  No

• 1.8 Is Proximity Access in use?

  Yes

  No

• 1.9 Are there any other Security Devices used within the building? (E.g Trellis-Guarding at windows)

• 1.10a Is an intruder alarm fitted?

  Yes

  No

• 1.10b If so, is it operational?

  Yes

  No

• Additional Information:

2. Environment (External)

• 2.1 Are grit bins provided?

  Yes

  No

• 2.2 Are there any smoking related issues?

  Yes

  No

• 2.3 Are there any slip, trip or fall hazards?

  Yes

  No

• 2.4 Any significant deterioration of the building fabric?

  Yes

  No

• 2.5 Are external waste bin storage solutions suitable?

  Yes

  No

• 2.6 Is there adequate separation of vehicles and pedestrians?

  Yes

  No

• 2.6 Is there any vehicle traffic related issues?

  Yes

  No

3. Accessibility

• 3.1 Access / Egress suitable?

  Yes

  No

• 3.2 Adequate disabled spaces available?

  Yes

  No

• 3.3 Any other accessibility specific issues present?

  Yes

  No

4. CCTV

• 4.1 Is there CCTV on site?

  Select Yes No

  • Yes
  • No

• 4.2 Who maintains the CCTV?

• 4.3 Who is the data controller?

• 4.4 Is the screen away from public view?

  Yes

  No

  N/A

• 4.5 How many cameras are there on site?

• 4.6 Do they all work?

  Yes

  No

  N/A

• 4.7 Is the correct signage in place? <br>

  Yes

  No

  N/A

5. Entering a property

• 5.1 On entering the building, were you challenged or asked who you were?

  Yes

  No

• 5.2 Did you show your ID?

  Yes

  No

• 5.3a Was there security personnel on site?

  Yes

  No

• 5.3b If yes, who provides this?

Health & Safety Inspection

6. Asbestos

• 6.1 Is there an Asbestos Survey on site?

  Yes

  No

  N/A

• 6.2 Is there ACM requiring management in the building?

  Yes

  No

• 6.3 Is there a local Asbestos Management Plan?

  Yes

  No

  N/A

7. Legionella

• 7.1 Is there a Water Risk Assessment on site?

  Yes

  No

• 7.2 Is there a Water Log Book on site?

  Yes

  No

• 7.3 Is the Water Log Book up to date?

  Yes

  No

• 7.4 Is there a flushing programme?

  Yes

  No

• By whom?

• 7.5 Is there a temperature monitoring programme?

  Yes

  No

8. Gas

• 8.1 Is there a Gas Safe Inspection?

  Yes

  No

• 8.2 Has all gas catering equipment been inspected within the last 12 months?

  Yes

  No

  N/A

9. Electrical Safety

• 9.1 Is there a Periodical Fixed Test on site?

  Yes

  No

• 9.2 Is there a PAT regime in place?

  Yes

  No

• 9.3 Are electrical sockets being used correctly? (I.e not overloaded)

  Yes

  No

• 9.4 Is NHS PS electrical equipment in good working order? (No damage)

  Yes

  No

  N/A

• 9.5 Is access to live high/low voltage equipment restricted to authorised people only?

  Yes

  No

  N/A

10. Lifts

• 10.1 Is there evidence of inspection/maintenance?

  Yes

  No

11. Pressure Vessels

• 11.1 Are there pressure vessels within the building?

  Yes

  No

• 11.2 Is there an written scheme on site?

  Yes

  No

  N/A

12. Medical Gas

• 12.1 Is there piped medical gas on site?

  Yes

  No

• 12.2 Is there a MGPS Operating Procedure on site?

  Yes

  No

  N/A

• 12.3 Has a designated nursing officer been named?

  Yes

  No

  N/A

• 12.4 Is there bottled gas on site?

  Yes

  No

• 12.5 Is the bottled gases store as per HTM?

  Yes

  No

  N/A

13. Generators

• 13.1 Are generators used at this building?

  Yes

  No

• 13.2 Is there evidence of maintenance on site?

  Yes

  No

  N/A

14. Windows

• 14.1 Has the building had a window restrictor survey undertaken?

  Yes

  No

  N/A

• 14.2 Has Clinical Provider undertaken a Risk Assessment for falls from windows?

  Yes

  No

  N/A

• 14.3 Are windows and frames in good condition?

  Yes

  No

• 14.4 Are windows functioning and fully operational?

  Yes

  No

• 14.5 Fully open window gap less than 100mm?

  Yes

  No

  N/A

• 14.6 Tamper proof fixings?

  Yes

  No

  N/A

• 14.7 Fittings could withstand excessive force?

  Yes

  No

  N/A

• 14.8 Additional control measures required (if any):

• 14.9 Are blinds in a safe condition?

  Yes

  No

15. Automatic Doors

• 15.1 Has the property got automatic doors?

  Yes

  No

• 15.2 Is there evidence of maintenance on site?

  Yes

  No

16. Chemicals

• 16.1 Are Hazardous Substances used on site?

  Yes

  No

• 16.2 Are they securely stored?

  Yes

  No

  N/A

• 16.3 Are COSHH Risk Assessments available for substances used by NHS PS?

  Yes

  No

  N/A

17. Housekeeping

• 17.1 Is the standard of cleaning good?

  Yes

  No

• 17.2 Is the building clear of rubbish?

  Yes

  No

18. Waste

• 18.1 Are there any issues with Clinical Waste?

  Yes

  No

• 18.2 Are there any issues with Domestic Waste?

  Yes

  No

19. Lighting

• 19.1 Are internal lighting levels adequate? (Offices = 500LUX / Meeting rooms = 300LUX)

  Yes

  No

• 19.2 Are internal light fittings operable?

  Yes

  No

• 19.3 Are external light levels adequate?

  Yes

  No

• 19.4 Are external light fittings operable?

  Yes

  No

20. Environment (Internal)

• 20.1 Is there adequate space for staff to work safely?

  Yes

  No

• 20.2 Are there any slip, trip, fall hazards?

  Yes

  No

• 20.3 Are handrails secured?

  Yes

  No

  N/A

• 20.4 Is floor covering in good condition? (Not worn or damaged)

  Yes

  No

21. Welfare

• 21.1 Is a staff room provided?

  Yes

  No

• 21.2 Are the toilets in good repair?

  Yes

  No

• 21.3 Is hot water available?

  Yes

  No

• 21.4 Are staff changing rooms available?

  Yes

  No

• 21.5 Is drinking water provided?

  Yes

  No

22. Radiators

• 22.1 Are radiators covered in public areas?

  Yes

  No

  N/A

• 22.2 Is there covering to exposed pipe work in public areas?

  Yes

  No

23. Contractor Management

• 23.1 Is the Health and Safety file available?

  Yes

  No

• 23.2 Have the contractors been inducted to site?

  Yes

  No

  N/A

• 23.3 Is there a contractors signing sheet to say they will abide to NHS PS procedures?

  Yes

  No

24. First Aid

• 24.1 Do (NHS PS) staff have access to a first aid box?

  Yes

  No

  N/A

• 24.2 Do (NHS PS) staff have access to a first aider?

  Yes

  No

  N/A

• 24.3 Are first aid notices present and up to date?

  Yes

  No

  N/A

25. Signage

• 25.1 Appropriate signage in place for specific hazards?

  Yes

  No

• 25.2 Any issues with way-finding signage?

  Yes

  No

26. Pest Control

• 26.1a Any obvious Pest issues?

  Yes

  No

• 26.1b Controls in place?

  Yes

  No

  N/A

• 26.2 Are there any situations identified that could cause Pest issues?

  Yes

  No

27. Best Practice

• 27.1 Names of people who deserve recognition for good work with an e-card:

28. Health and Safety Law Poster

• 28.1 Is there a Health and Safety Law Poster on site (new version - where NHS PS staff are based)

  Yes

  No

  N/A

29. Any Additional Issues

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  Media

30. Actions

Actions arising from inspection

• Subject:

• Action required:

• Action owner:

• Date of completion:

  Date

Actions arising from inspection

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Actions arising from inspection

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Actions arising from inspection

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Actions arising from inspection

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Actions arising from inspection

• Subject:

• Action required:

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