Health and Safety Appraisal HASP10

• Health and Safety Appraisal

• Client / Site

• Conducted on

  Date

• Prepared by

EMPLOYER DETAILS

• COMPANY NAME

• NUMBER OF EMPLOYEES

• DATE

  Date
• WORKPLACE ADDRESS
  Address

• NATURE OF BUSINESS

• EMPLOYERS LIABILITY INSURANCE : INSURER

• EMPLOYERS LIABILITY INSURANCE: POLICY NUMBER

• EMPLOYERS LIABILITY INSURANCE : EXPIRY DATE

• CONTACT PERSON

• HEALTH AND SAFETY CONTACT

• PHONE NUMBER

• TYPE OF WORK CARRIED OUT BY LEARNER

• TRAINING 2000 DEPARTMENT :

• CDA NAME

AUTHORISATION

• RISK BANDING

  Select HIGH MEDIUM LOW

  • HIGH
  • MEDIUM
  • LOW

• authorisation

  Select fully approved conditionally approved subject to completion of development plan unsatisfactory

  • fully approved
  • conditionally approved subject to completion of development plan
  • unsatisfactory

• authorising officer - print

  Sign

• authorising officer - sign

  Sign

development plan

• action 1

• action 2

• action 3

• action 4

• action 5

• it is recommended the organisation is regarded as as a provider of work experience / on the job training for training 2000 ltd

  Select fully approved conditionally approved subject to completion of development plan unsatisfactory

  • fully approved
  • conditionally approved subject to completion of development plan
  • unsatisfactory

1 health and safety policy

• is there a clear commitment to H&S and welfare ? ( written policy if 5 or more employees )

  yes

  no

  not applicable

• are the responsibilities for H&S clearly stated ? ( recorded if more than 5 employees)

  yes

  no

  not applicable

• Are arrangements for H&S clearly stated ? ( recorded if more than 5 employees)

  yes

  no

  not applicable

• How are the commitment,responsibilities and arrangements communicated to employees?

  Verbally only

  Verbally, Written

  Written only

• assessment of standard 1

  Select met part met not met

  • met
  • part met
  • not met

2 Risk assessment and control

• have risk asssessments been carried out on procedures / substances and risks identified ?

  yes

  no

  not applicable

• have significant findings and any groups at risk been recorded ? ( mandatory if 5 or more employees)

  Yes

  No

  N/A

• have controls been identified and put in place as a result of risk assessment?

  Yes

  No

  N/A

• Will the assessments take account of young persons given their age immaturity and lack of risk awareness?

  Yes

  No

  N/A

• Will the assessments take account of special needs such as disability / health conditions?

  Yes

  No

  N/A

• will the employer put in place suitable controls for the learner informing the learner and their supervisor?

  Yes

  No

  N/A

• How are the risks explained to employees and others ?

  Verbally only

  Verbally, Written

  Written only