Health & Safety Checklist - QUARTERLY

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• HSQ1-1 Is the Health & Safety Policy Folder available to all staff with documentary evidence of staff awareness?

  Yes

  No

  N/A

• HSQ1-2 Are risk assessments in place, current and amended to reflect the Home/Department

  Yes

  No

  N/A

• HSQ1-3<br>Have COSHH assessments been completed for all hazardous products within each department e.g. kitchen, housekeeping, maintenance?

  Yes

  No

  N/A

• HSQ1-4<br>Have specific risk assessments been completed/reviewed as required e.g. Legionella, Pregnant/New Mother, DSE Self-Assessment?

  Yes

  No

  N/A

• HSQ1-5 Is the Business Continuity Plan in place, up to date and available to key members of staff?

  Yes

  No

  N/A

HSQ2 - Health and Safety Audit Checklist

• HSQ2-1<br>Is the following training at a minimum 85% completion health and safety, manual handling, safer people handling?

  Yes

  No

  N/A

• HSQ2-2<br>Is there a current Gas Safety compliance certificate? Please upload copies of each. (e.g. boilers, kitchen, laundry)

  Yes

  No

  N/A

• HSQ2-3 Is there a current Fire Alarm compliance certificate? Please upload a copy.

  Yes

  No

  N/A

• HSQ2-4 Is there a current certificate for Emergency Lighting? Please upload a copy

  Yes

  No

  N/A

• HSQ2-5 Is there a current LOLER certificate for slings and hoists? Please upload a copy.

  Yes

  No

  N/A

• HSQ2-6 If applicable, is there a current LOLER certificate for the passenger lift(s)? Please upload a copy

  Yes

  No

  N/A

HSQ3 - Health and Safety Audit Checklist

• HSQ3-1 Is the Fire Safety Policy Folder available to all staff with documentary evidence of staff awareness?

  Yes

  No

  N/A

• HSQ3-2<br>Is the Fire Risk Assessment in place, current, available for inspection and identified actions addressed and signed off?<br>

  Yes

  No

  N/A

• HSQ3-3 Is the Fire Evacuation Plan in place and cascaded to all staff?

  Yes

  No

  N/A

• HSQ3-4 Are the Personal Emergency Evacuation Plans (PEEPs) in place and current?

  Yes

  No

  N/A

• HSQ3-5 Are the following a minimum of 85% completion and entered on the E-learning tracker- fire training and fire drills

  Yes

  No

  N/A

• HSQ3-6 Are all fire doors compliant? (e.g. free from damage, not faulty)

  Yes

  No

  N/A

HSQ4 - Health and Safety Audit Checklist

• HSQ4-1 Are sharps boxes routinely signed/dated at point of assembly/closure

  Yes

  No

  N/A

• HSQ4-2 Are hot water outlets which are accessible to residents suitably controlled to prevent scalding

  Yes

  No

  N/A

• HSQ4-3 Are Resident bathing/showering water temperatures taken and recorded on relevant form

  Yes

  No

  N/A

• HSQ4-4 Are hot surfaces in resident areas appropriately guarded e.g. radiators, pipework?

  Yes

  No

  N/A

• HSQ4-5 Are sluice rooms kept secure?

  Yes

  No

  N/A

• HSQ4-6<br>Are satellite kitchens kept secure when staff are not in attendance which care for Residents living with dementia

  Yes

  No

  N/A

• HSQ4-7 Are gloves, aprons, plastic bags stored securely which care for Residents living with dementia

  Yes

  No

  N/A

• HSQ4-8 Is appropriate safety signage displayed e.g. fire exit, fire extinguisher, wet floor, caution hot surface

  Yes

  No

  N/A

• HSQ4-9 Are corridors kept free of slip, trip hazards/obstructions?

  Yes

  No

  N/A

• HSQ4-10 Are 1st Aid boxes readily available, easily located and fully stocked?

  Yes

  No

  N/A

• HSQ4-11 Do window restrictors meet current standards?

  Yes

  No

  N/A

HSQ5- Health & Safety Audit Checklist

• HSQ5-1 Refurbishment plan in place for the home?

  Yes

  No

  N/A

• HSQ5-2 Resident bedrooms that have been reviewed and actions taken

  Yes

  No

  N/A

• HAQ5-3 Communal areas that have been reviewed and actions taken

  Yes

  No

  N/A

• HSQ5-4 Kitchen areas that have been reviewed and actions taken

  Yes

  No

  N/A

• HSQ5-5 Fixtures and fittings that have been reviewed and actions taken

  Yes

  No

  N/A

• HSQ5-6 Front of building, Front Garden and pathways reviewed and actions taken

  Yes

  No

  N/A

• HSQ5-7 Rear of building, back garden and walkways reviewed and actions taken

  Yes

  No

  N/A