Health & Safety Assessment - with Condition

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Preliminary Information

• Are building plans available?

  Yes

  No

  N/A

• Is there a lift?

  Yes

  No

  N/A

• Are defects apparent?

  Yes

  No

  N/A

• Have defects been reported?

  Yes

  No

  N/A

First Aid

• Are all of the contents of the first aid kit within expiry date?

  Yes

  No

  N/A

• Is the first aid kit checked regularly?

  Yes

  No

  N/A

• Are eye wash, emergency numbers and resuscitation charts included?

  Yes

  No

  N/A

Fire Safety - Desktop Inspection

• Has the fire alarm system been tested and recorded?

  Yes

  No

  N/A

• Are fire all alarm points recorded?

  Yes

  No

  N/A

• Is fire extinguisher servicing up to date?

  Yes

  No

  N/A

• Are fire evacuation records up to date?

  Yes

  No

  N/A

• Have fire drills been recorded?

  Yes

  No

  N/A

Water Safety

• Is the water hygiene log book up to date?

  Yes

  No

  N/A

• Have thermostatic valves and mixer taps been tested?

  Yes

  No

  N/A

COSHH

• Are all chemicals kept in a COSHH cupboard and records kept?

  Yes

  No

  N/A

• Is the location suitable and the cupboard lockable?

  Yes

  No

  N/A

Staff

• Are staff personal attack buttons tested and recorded?

  Yes

  No

  N/A

• Do staff wear ID badges / name cards?

  Yes

  No

  N/A

Visitors

• Are welfare facilities provided for visiting engineers / operatives?

  Yes

  No

  N/A

Health & Safety Inspection - Safety Systems

• Are fire alarm system fittings unobstructed?

  Yes

  No

  N/A

• Are fire signs clearly visible?

  Yes

  No

  N/A

• Are fire action notices clearly visible?

  Yes

  No

  N/A

• Is evacuation information and signage clear?

  Yes

  No

  N/A

• Is the provision of emergency lighting sufficient?

  Yes

  No

  N/A

• Is there a H&S Law notice clearly displayed?

  Yes

  No

  N/A

Health & Safety Inspection - Internal

• Are floor coverings in a safe condition?

  Yes

  No

  N/A

• Are walls secure and in a safe state of repair?

  Yes

  No

  N/A

• Are internal doors satisfactory and do they operate safely?

  Yes

  No

  N/A

• Are the windows in a safe condition and do they open?

  Yes

  No

  N/A

• Do ceilings appear in a safe condition?

  Yes

  No

  N/A

• Are blinds in satisfactory condition and do they provide adequate shading?

  Yes

  No

  N/A

• Do sanitary facilities function satisfactorily?

  Yes

  No

  N/A

• Do electrical sockets appear to be in a safe condition?

  Yes

  No

  N/A

• Do electrical sockets appear to be free from overloading?

  Yes

  No

  N/A

• Do lighting levels appear to be adequate?

  Yes

  No

  N/A

• Does the lighting system appear to be in a safe condition?

  Yes

  No

  N/A

• Are room temperatures adequate? (check Comms room)

  Yes

  No

  N/A

Health & Safety Inspection - External

• Are there any leaks?

  Yes

  No

  N/A

• Is the roof in a safe condition?

  Yes

  No

  N/A

• Do the walls appear in a sound condition?

  Yes

  No

  N/A

• Are the external doors in satisfactory condition and do they operate correctly?

  Yes

  No

  N/A

• Do windows appear to be in a safe condition?

  Yes

  No

  N/A

• Is external lighting sufficient and does it operate?

  Yes

  No

  N/A

• Is signage clear, legible and secure?

  Yes

  No

  N/A

• Do the perimeter walls and fences secure the building?

  Yes

  No

  N/A

Health & Safety Inspection - Plant Room

• Is there adequate signage warning of danger?

  Yes

  No

  N/A

• Is the plant room lockable?

  Yes

  No

  N/A

• Is the lighting in the plant room sufficient?

  Yes

  No

  N/A

• Is emergency lighting provided and operating?

  Yes

  No

  N/A

• Is emergency lighting checked regularly?

  Yes

  No

  N/A

• Is the plant room of adequate size?

  Yes

  No

  N/A

• Are control panels easily accessible?

  Yes

  No

  N/A

• Are control panels kept locked?

  Yes

  No

  N/A

• Are distribution boards easily accessible?

  Yes

  No

  N/A

• Are distribution boards kept locked?

  Yes

  No

  N/A

• Are distribution boards labelled and scheduled with no blanks?

  Yes

  No

  N/A

• Are safety mats provided in front of control panels and distribution boards?

  Yes

  No

  N/A

Satisfactory Condition? - External

• Roof?

  Yes

  No

  N/A

• Walls?

  Yes

  No

  N/A

• Windows?

  Yes

  No

  N/A

• Doors?

  Yes

  No

  N/A

• External decoration?

  Yes

  No

  N/A

• Rainwater goods - gutters and rainwater pipes?

  Yes

  No

  N/A

• Drainage?

  Yes

  No

  N/A

• Car parks and paths?

  Yes

  No

  N/A

• Perimeter walls?

  Yes

  No

  N/A

• Outbuildings?

  Yes

  No

  N/A

• External lighting?

  Yes

  No

  N/A

Satisfactory Condition? - Internal

• Floors?

  Yes

  No

  N/A

• Walls?

  Yes

  No

  N/A

• Ceilings?

  Yes

  No

  N/A

• Windows?

  Yes

  No

  N/A

• Doors and ironmongery?

  Yes

  No

  N/A

• Sanitary appliances?

  Yes

  No

  N/A

• Fixtures and fittings?

  Yes

  No

  N/A

• Decoration?

  Yes

  No

  N/A

• Electrical power and lighting?

  Yes

  No

  N/A

• Heating?

  Yes

  No

  N/A