Title Page

  • Location

  • Prepared by

  • Signature

  • Date of Audit

  • Date for Next Audit

  • Senior Manager(s)

Internal Audit Checklist

  • Have all H&S actions been resolved and implemented for the 12 months?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all existing and new staff aware of the H&S Policy & Procedures and know where to find it?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Is the following clearly displayed and up to date?

  • Health & Safety Law - What You Should Know Poster evident & fully completed

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Certificate of Employer's Liability Insurance displayed

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • First Aid - First Aider names/tel nos & nearest one. First Aid box locations displayed

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Fire Action Notice, Department Plan, Assembly Point and Fire Certificate location & Fire Alarm test details

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Health & Safety Appointed Persons details - if applicable

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Periodic Lift Inspection Report

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Pressure Vessel (Gas boilers etc.) Inspection Report

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Electrical Portable Appliance Testing Sheet/log

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Fixed Electrical Testing Sheets

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Asbestos Survey & Register

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • General maintenance/service records

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Hazard Log for Department

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Copies of all risk assessments

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Copies of emergency procedures, accidents, First Aid & Fire Action

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Accidents/First Aid

  • Is the Accident Book available?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Have all accidents been recorded in the Accident Book and any serious incidences reports to the manager, etc.?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Has accident investigation been undertaken and recorded, with statements/photographs taken for serious accidents? (If applicable)

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Has appropriate remedial action, to include post-accident risk assessment, been considered, undertaken or taken to prevent re-occurrence?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Have all RIDDOR events been reported?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are there sufficient First Aiders to provide suitable cover including holidays and regular evening or any weekend working?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are the First Aid facilities and First Aid box contents checked regularly and checks recorded? State date when last checked.

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are Defibrillator Batteries available? (These should be in the safe)

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are the sanitary and washing facilities adequate, clean, tidy and functioning satisfactorily?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is there adequate provision for storage of outdoor clothing?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are there adequate facilities for eating food and making drinks?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are staff room/kitchen facilities clean and tidy?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is there adequate natural or artificial ventilation to toilet areas?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Have the following risk assessments been completed?

  • Risk assessments should be updated when refurbishment occurs or other items within the department have altered.

  • General Risk Assessment

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Fire Risk Assessment

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Manual Handling Risk Assessments

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Control of Substances Hazardous to Health (COSHH) Assessment

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Display Screen Equipment Risk Assessments

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Lone Worker Risk Assessments

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Young Persons Risk Assessments

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • New and Expectant Mothers Risk Assessment

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Violence and Aggression Risk Assessment

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Any other Risk Assessments

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Fire Safety

  • Are all fire extinguishers accessible, correctly positioned either on floor bases or fixed to walls, with current pictogram signage?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Have all fire extinguishers and hose reels been serviced by a competent contractor within the past 12 moths and noted on their labels?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all fire exit routes, doors and stairs clear of obstructions through to the evacuation points?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Has an emergency evacuation drill been conducted and recorded as required by the Fire Certificate or where no Fire Certificate exists, within 12 months?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Have fire alarm bell tests been conducted on a weekly basis and recorded?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Has a Fire Evacuation Warden been appointed and trained for the Department?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are local fire procedures current and advised to all staff?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is the Fire Certificate/Fire Risk Assessment readily available for inspection (if issued)?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all conditions on the Fire Certificate complied with?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Control of Substances Hazardous to Health (COSHH)

  • Are staff dealing with hazardous substances aware of the correct procedures for handling and storing from the data sheets or packaging?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all areas free from toxic or nauseous fumes?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are any flammables kept secure and away from sources of heat?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all cleaners' materials kept in a separate designated locked storage area?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are COSHH Risk Assessment details available to staff and for inspection?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Have the following "Hazardous Areas" a facility for locking off or preventing unauthorised access, together with suitable warning notices forbidding unauthorised access and warning of the enclosed danger?

  • Electrical switch rooms or switch areas - all locked off restricted access

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Rooms used to store hazardous machinery, equipment or substances - All locked off restricted access

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all areas in the department free of unauthorised or inappropriate storage or waste?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

The Department (General)

  • Are all areas free from overcrowding?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is the floor and floor covering in good repair, clean, non-slippery, clear of obstruction and without trip hazard?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are walls and ceilings in good repair?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are stairs in good repair, clean, non-slippery, clear of obstruction and without trip hazard?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are stair edges secure and free of slip or trip hazards?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is workplace lighting clean and adequate, particularly on stairs?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are light switches provided at the top and bottom of stairs?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are there adequate power socket outlets, so as not to overload electrical circuits?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all items of electrical wiring, plugs and sockets well maintained and considered safe from visual inspection?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Have all electrical portable appliances been tested and tagged by an electrician within the past 12 months?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is there a thermometer in the department?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is heating adequate to give a comfortable working temperature?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is ventilation adequate to give sufficient fresh or re-circulated air?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are noise levels reasonable?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is the condition of the exterior and grounds of the premises free of any hazard or risk to health and safety? Maintained to a reasonable standard

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Has the Risk Assessment Log/Summary been maintained for the department and action followed up?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Furniture, Equipment & Storage

  • Are all items of furniture in good condition, considered safe and fit for the purpose for which they are used? If not remove from use immediately

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is the furniture and equipment clean, tidy and free from hazards or obstructions? Does furniture comply with the Fire Safety Regulations?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Have all obsolete items of equipment and packaging been disposed of?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are walkways free from trailing cables?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are any dangerous parts of equipment or machinery guarded?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are storage facilities adequate for the operations?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are heavier items stored between waist and shoulder height?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are heavier items broken down into smaller packages where possible?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Are all kick stools or stepladders in good repair?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Is all shelving in good repair and fixed to the wall or floor in a safe manner?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

Has the following staff training & communication been provided?

  • Health & Safety Procedures and instructions as within the Association's Health & Safety Manual (please ensure staff have signed as having read and understood applicable sections)

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Regular H&S updates & information during "Team" Meetings

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Opportunity to raise H&S issues at "Team" Meetings - Location Safety Community or direct contract with H&S teams

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Feedback on issues raised with manager

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

  • Details of H&S issues discussed at "Team" Meetings recorded in Minutes and made available to all staff?

  • Agreed Action

  • Manager Responsible to Action

  • Target Date

  • Additional comments

  • Additional comments

  • Additional comments

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.