Title Page

  • Site Conducted

  • Date Conducted

  • Prepared by

  • Report Number

  • Location
  • Review date

Displayed Notices

  • Is an up to date employers Liability insurance Certificate Displayed/Available to staff ? (Check if Certificate is Up to date ?)

  • Is The Health and Safety Policy Statement Clearly Displayed and up to date?

  • Are No-Smoking signs Legible and Displayed?

  • Are signs displayed to identify designated smoking areas?

Policy Documentation

  • Has the Organisation got an up to date Written Health and Safety Policy Statement?

  • Has the health and safety policy statement been signed within the past 12 months?

Consultation

  • Do written procedures for consultation with employees exist?

  • Are regular consultation meetings held with employees?

  • Are health and safety meetings documented?

Monitoring

  • Is the monitoring of the organisation's health and safety

Access and egress

  • Is safe access and egress maintained throughout the premises?

  • Is there a procedure in place for external path maintenance?

  • Is there a plan for the prevention of slips, trips and falls?

Accident and Near Miss

  • Is there an accident book available at the premises?

  • Does the accident book comply with the data protection Act?

  • Are completed accident records removed from the accident book?

  • Does the company have a documented accident procedure in place?

  • Does the company carry out accident/incident investigation?

  • Are near miss reported by and progress available for monitoring?

Construction

  • Has the HSE been notified of the construction project being undertaken on the company premises?

  • If relevant, is "The Client" aware of their duties under the CDM to appoint Duty holders and to manage the work?

Contractors

  • Are checks undertaken to confirm contractors health and safety competence?

  • Does the company gain copies of contractors safety policy, risk assessments, method statements, COSHH assessments, insurance details, references, etc, prior to the work commencing?

  • Are contactors required to sign/out in when entering/exiting the premises?

  • Are self-employed individuals, that undertake maintenance activities at the premises, have necessary insurance and safety documentation in place?

  • Are contractors insurance requirement's clear?

  • Are contractors supervised whilst undertaking work activities?

  • Are the work undertaken by contractors checked prior to them leaving?

Disable Discrimination

  • Are parking bays provided for disabled members of staff/visitors?

  • Are access ramps provided at the entrances and exits to the building?

  • Were the disable ramps provided fitted with suitable handrails?

  • Was there a colour contrast in the disabled toilets?

  • Was an alarm provided in the disable toilet facilities?

  • Did the cords fitted to the emergency call points in the disabled toilets reach the floor when inspected?

Electricity

  • Does the company have an electrical installation condition report?

  • Is information available to confirm the issues on the mains electrical installation test report have been completed?

  • Is the documentation available for any new electrical intallations?

  • Have portable electrical appliances labelled in line with the testing scheme?

  • Were PAT test dates labelled on equipment valid and in date?

  • Is access to the electrical distribution board secure?

  • Were electrical extension leads being used correctly?

  • Was the premise's free from the block type multi-plug adapter?

  • Were the floors around premise's free from trialling electrical cables?

  • Was the "daisy chaining" of extension leads prohibited?

  • Was the premises free from redundant wiring?

Fire Safety Management & Documentation

  • Is there a "Responsible Person" appointed to ensure compliance with current fire safety requirements?

  • Is there a fire risk assessment in place?

  • Has the fire risk assessment been reviewed?

  • Was there a documented fire procedure in place/Displayed?

  • Was there a fire log book available and in use?

  • Is there a documented evidence of staff been nominated receiving instruction and training in fire procedures??

  • Has any member of staff been nominated to undertake routine checks on the organisation's fire arrangements?

  • Have fire wardens or those taking primary roles been suitable trained?

  • Has there been an emergency fire drill undertaken within the last twelve months (check log book)

  • Are emergency drills recorded?

  • Was there a procedure in place for evacuation disabled persons from the premises in the event of an emergency?

  • Is fire extinguishers training delivered and documented?

  • Is the fire alarm serviced on a regular maintenance contract ? (check records)

Fire safety Site Observations

  • Is there a means of raising the alarm?

  • Was the fire alarm panel free from faults when inspected?

  • Were fire alarm activation points clearly marked?

  • Were the fire alarm activation points securely fastened to the structure of the building?

  • Were the fire exits free from obstructions?

  • Are fire assembly points clearly identified?

  • Was the assembly pint sign clearly visible and not obstructed?

  • Are fire escapes routes clearly marked?

  • Are the fire direction signs displayed around the premises up to date?

  • Are fire doors installed where needed?

  • Are fire doors suitably marked?

  • Were all intumescent strips/cold smoke seals on the fire doors in good order (e.g. not damage or missing)

  • Were all fire doors fitted with automatic doors closures?

  • Are fire doors closures checked regularly? (check the speed of the latching on sample doors)

  • Do "two-way" fire doors, located within the corridors, close correctly against the frame?

  • Was there a safe exit from fire doors that open into the roadway at the side of the premises?

  • Was the exit from fire doors that open into the car park free from parked vehicles?

  • Were all crash/push bars fitted to fire exit doors in good working order when inspected?

  • were all non-electromagnetic fire doors closed(e.g. not wedged open)?

  • Do fire doors close fully when released from the magnetic alarm catch?

  • Had the voice communication systems, located in the disable refuge are, been tested?

  • Have evacuation chairs been provided to assist in the evacuation of disabled members of staff and visitors from the premises?

  • Are external escape routes included in fire monitoring?

  • Was there any emergency lighting installed in the premises?

  • Was a "Fish" key available to test the function of emergency lights?

  • Are occupants made aware of the company fire procedures?

  • Was there any firefighting equipment on the premises?

  • Was there adequate numbers of fire appliances located on the premises?

  • Were all fire extinguishers in their allocated place?

  • Were all fire extinguishers clearly identify?

  • Is all firefighting equipment serviced and maintained on a regular basis?

  • Are the fire extinguishers all within their annual service date?

  • Have all "spare" fire appliances being stored in/around the premises been serviced?

  • Were all the security tags on the fire appliances intact?

  • Were all the fire appliances, located around the premises, in good working order(e.g. not discharged)?

  • Were fire extinguishers in their allocated place & not holding doors open?

  • Do members of staff smoke away from areas of high risk(e.g. oxygen storage)?

  • Had the fire hose, located on the premises, been serviced?

  • Was the location of the "shut off" switches and valves for the main building services clearly identify?

  • Are all flammable liquids put away in a designated area after use?

  • Were wooden pallets and other combustibles stored safely(e.g. not against the side of the building)?

First Aid

  • Has the first aid risk assessment has been completed?

  • Does the company provide the first aid kits?

  • Is an employee nominated to check the content of the first aid kits?

  • Are the contents of the first aid kits in date?

  • Does the company provide first aid kits in company Vehicles?

  • Was the first aid kit stored appropriately and free from damage e.g. Dust, damp ?

  • Was the first aid kit free from medication?

  • Does the company have qualified trained first aiders/ Appointed persons?

  • Are the first aid training certificates current?

  • If there is no requirement for First Aider, is an appointed person nominated?

  • Does the company have notices displayed to explain the first aid arrangement?

  • Are eye wash stations provided?

  • Were eye wash stations in good order?

  • Had First Aiders been trained in first aid for electrical emergencies?

Gas

  • Are all gas appliances inspected by a registered engineer (e.g. Gas Safe)?

  • Do all gas appliances have documentation from the company who carried out the inspections?

  • Are all gas fire appliances maintained by an accredited engineer (e.g. Gas safe registered)?

  • Has a suitable sticker been applied to the boiler indicating the date of the gas service?

  • Are oil fire appliances maintained by an accredited engineer (e.g. OFTEC approved)?

  • Are all oxygen cylinders restrained by chains or straps for storage?

  • Is all metallic pipework carrying LPG vapour work inspected regularly?

  • Are the whereabouts of the gas shut-off valves clearly identified?

  • Is all combustible materials stored away from the tank to reduce fire?

  • Are all bulk gas tanks subject to periodic inspection?

  • Was there a carbon monoxide(CO) detector fitted with the fuel-burning appliance?

Health Screening

  • Have all members of staff completed a health screening questionaire?

  • Are all night workers offered a free health check?

  • Are all staff offered Hepatitis B vaccination?

  • Does the organisation have systems in place to pro-actively manage work-related ill-health?

Legionella

  • Has the potential risk of Legionella been assessed?

  • Although the risk of exposure to legionella maybe considered low, has a risk assessment been carried out to confirmed this?

  • Has the potential risk of legionella been assessed for the water features on the premises?

  • Has the legionella risk assessment been reviewed?

  • Are the monitoring records, as determined by the legionella risk assessment, up to date?

  • Is there documentation to confirm that the shower heads are regularly disinfected?

  • Were all showers in the premises regularly used?

Lone workers

  • Have all lone working activities been assessed?

  • Are all lone working risk assessments reviewed ?

  • Was there a lone working policy or procedures in place to assist lone workers in an emergency?

Risk assessment : General, Young Person and Expectant Mothers

  • Have risk assessments been completed? (Check Assessments)?

  • Do the documentation risk assessments cover all of the work activity?

  • Do the risk assessment provide sufficient detail?

  • Have risk assessments been reviewed?

  • Are all employees made aware of the risk assessments completed?

  • Have Young Person's risk assessments been carried out?

  • Have Young Persons risk assessment been reviewed?

  • Are individual assessments completed for new & expectant mothers?

  • Are individual risk assessments for new and expectant mothers reviewed?

Safety Systems of Work

  • Were there documented safety systems of work in place covering higher risk activities?

  • Was a permit to work(PTW) system been used?

  • Were method statements being complied to control work activity?

  • Were there Standard Operation Procedures (SOP) in place at the Practice?

  • Was there documentation to confirm that the emergency shower has been tested?

  • Has a Plan Preventive Maintenance (PPM) schedule been compiled?

  • Is there a regular inspection regime in place for checking the anaesthetic scavenging machines?

  • Were "Safety" knives in use throughout the premises?

  • Was there any documented evidence to confirm competence in the use of chainsaws?

Training

  • Has health and safety training been provided to members of staff?

  • Have suitable records been kept for the Health and Safety training undertaken by members of staff?

  • Has the Health and Safety appointed person received formal health and safety training?

  • Do members of staff appear to be familiar with the organisation health and safety arrangements?

  • Do all employees undertake Health and Safety induction training?

  • Has Health and safety training been undertaken by managers within the business?

  • Has the Construction Skills Certification Scheme(CSCS) cards up to date?

Visitors

  • Is there a signing in/out process for all visitors?

  • Is the Health and Safety information provided to visitors?

Workplace Health and Safety

  • Is there a way of measuring the temperature within the workplace?

  • Is there a dedicated area for employees to take breaks, lunch's etc?

  • Is the rest room/area suitable for staff (e.g. free from contamination)?

  • Was the current rest area suitable for employees to eat and drink?

  • Are staff rest rooms maintained in a hygienist condition to stop infections?

  • Is the microwave oven in the staff room in a clean and hygienic conduction?

  • Is the fridge in the staff room maintained in a clean and hygienic conduction?

  • Were all "Smoke free" areas being observed?

  • Is all glass and glazing suitably protected or made from safety materials?

  • Is the lighting considered adequate for the premises?

  • Are toilets facilities sufficient for the premises?

  • Is ventilation, within the toilet facilities, adequate?

  • Are sanitary bins available for use in the female toilets?

  • Are there adequate washing facilities?

  • Is there soap, hand dryers/towels and toilet paper in all toilets?

  • Are all toilet seats in good order (e.g. not broken)?

  • Is there clean potable drinking water available?

  • Are changing and storage facilities provided for employees to store work and personal clothing?

  • Is the glazing of the windows and doors etc. monitored regularly?

  • In accordance with building Regulations, do all "Critical Locations" have safety glass in them?

  • Has large and uninterrupted areas of transparent glass been made noticeable by 'Manifestation'?

  • Are all fragile roofs identify with warning signs?

  • Are all gangways defined in order for staff and visitors to walk safely?

  • Are good housekeeping practices maintained in the offices

  • Are cupboards, within the offices, free from items stored above head height?

  • Are all carpets checked regularly for damage(e.g. no slack)?

  • Are all lights checked regularly?

  • Is there a safety systems of work for the control of vehicles entering and departing the car park?

  • Are the floor surfaces of the car park are(e.g. tarmac, walkways etc.) in good condition?

  • Is there a risk assessment and subsequent control measures (e.g. a traffic management plan) in place to ensure the segregation of the vehicles and the pedestrians?

  • Is the equipment, owned by staff, secured against any unauthorised use?

  • Are the exhaust filters on clothes dryers cleaned regularly?

  • Are records available to confirm that the dryer filters are cleaned regularly?

  • Are the handling of car air bags and seat belts licenced?

  • Are warning signs displayed where the razor wire is located on the perimeter fence?

  • Is there a cleaning log at the water dispenser?

Asbestos

  • Was it certain that the premises was free from asbestos?

  • Is the asbestos survey available?

  • Has the asbestos register and management system been complied?

  • Is the condition of asbestos monitored and the management plan reviewed regularly?

  • Are warning signs displayed around the premises advising of the presence of asbestos?

  • Have staff undergone asbestos awareness training?

Display Screen Equipment (DSE)

  • Have display screen assessments been completed for computer users?

  • Have completed display screen assessments been reviewed?

  • Have assessments been conducted for users of portable computers?

  • Were the chairs, used in the office, suitable for DSE work?

Hazardous Substances (COSHH)

  • Has the company identified all hazardous substances that employees are exposed to? (check substances used by maintenance and gardener are included)

  • Are all Safety data sheets available? (check data sheets)

  • Do relevant persons have a clear understanding of how to conduct COSHH assessments?

  • Have COSHH assessments been completed? (Check assessments)

  • Have COSHH assessments been reviewed? (check assessments)

  • Are monitoring checks carried out to show that control is adequate?

  • Have employees been trained to use chemical substances?

  • Have Local Exhaust Ventilation (LEV) systems been tested within the last 14 months?

  • Was Health Surveillance undertaken for those employees who are exposed to harmful substances?

  • Are suitable records of health surveillance maintained in accordance with DPA?

  • Are adequate storage facilities in place for hazardous substances?

  • Are all lids fitted onto solvent containers?

  • Are all containers labelled correctly?

  • Are all unused substances and packaging disposed of safely?

  • Was there documented evidence available to demonstrate competence in undertaking pesticides spraying activities?

  • Is respirable crystalline silica (RCS) dust adequately controlled within the organisation's work activities?

Lifting Equipment

  • Has thorough examination of all lifting equipment & lifting accessories been performed at the required timescales?

  • Are all the inspection certificates available and up ton date for all the lifting equipment & lifting accessories?

  • Was a register of lifting equipment available?

  • Are all lifting operations risk assessments being competed?

  • Are all lifting operation assessments being reviewed regularly?

  • Are lifting plans undertaken/reviewed?

  • Is the lift fitted with an emergency call button?

  • Have any employees been trained in emergency procedures to release the lift carriage should it become stuck?

  • Has the passenger lift or dumb waiter had a thorough examination?

  • Are lifting slings stored correctly?

  • Are all lifting slings in good condition?

  • Do body Hoists have an inspection certificate?

  • Has the roof beam, that the hoist is attached to, been subjected to a statutory inspection?

  • Are all weight limits marked on the side of all vehicles jacks and axle stands used for lifting?

  • Are safety procedures in place for the passenger lift?

Manual Handling

  • Has the organisation carried out individual manual handling assessments? (Check Assessments)

  • Has the organisation reviewed manual handling assessments?

  • Have employees received manual handling training? (Check training records)

  • Have staff who assist service users received manual handling training?

  • Has the organisation eliminated where possible or reduced the risk?

Personal Protective Equipment (PPE)/ Respiratory Protective Equipment (RPE)

  • Is there a risk assessment to determine if personal protective equipment (PPE) is required?

  • Have written records and instructions been given to employees on the correct use of PPE?

  • Is PPE being worn by members of staff/employees?

  • Is all PPE that has been issued stored correctly?

  • Is all PPE in good condiction?

  • Is there a risk assessment to determine if RPE is required?

  • Have written records and instructions been given to employees on the correct use of RPE?

  • Is RPE being worn by members of staff/Employees?

  • Was RPE being stored correctly?

  • Is RPE in good condition?

  • Had face fit testing been undertaken by a competent person?

Waste

  • Are waste transfer notes retained for 2 years?

  • Are 'sharps' containers checked regularly for overflowing?

  • Is commercial waste, carried in the company vehicles, covered by waste carries licence

  • Is waste electrical equipment disposed of correctly?

  • Is hazardous waste segregated?

  • Are external waste facilities kept secure?

Observations

  • Are any hazards that has the potential to cause harm which may have not covered by the audit questionaries?

Summary

  • Report Sumary

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.