Title Page

  • Company Name

  • Conducted on

  • Prepared by

  • Location

Introduction

  • Introduction

Executive Summary

  • Executive Summary

Significant Findings

  • Significant Findings

1. Policy

  • Does the Company have an in date H&S policy?

  • Is this signed by top management?

  • Has the policy been communicated to all personnel?

  • Does the company operate other policies?

  • Are all other policies signed by top management?

2. Risk Assessment

  • Does the company employ five persons or more?

  • Does the company have written risk assessments for specific tasks?

  • Is there an office risk assessment in place?

  • Have risk assessments been communicated to all relevant staff

3. COSHH

  • Does the company have COSHH assessments for the products it uses?

  • Is there corresponding up to date material safety data sheets?

  • How are data sheets maintained and who is responsible?

  • Have COSHH assessments been communicated to all relevant staff?

4. Manual Handling

  • Are manual handling assessments in place?

  • Have persons involved in manual handling activities been appropriately trained?

  • How is training refreshed and has this been carried out?

5. Safe Systems of Work

  • Do operatives receive method statements for specific works?

  • Are these signed off by a manager?

  • Is there evidence of communication of the safe systems of work?

  • How often are these reviewed?

6. DSE

  • Do office staff use computer screen for more than an hour per day?

  • Have users of DSE screen equipment undertaken DSE assessment?

  • Are these retained as evidence?

  • Has any concerns been highlighted and what was the outcome?

7. Documentation

  • Is the HSE law poster clearly displayed with correct details inserted?

  • Does the company have in date employers and public liability insurance?

  • Are the company registered to trade organisations e.g. NICEIC, GAS safe?

  • Are fire action notices available?

  • Is there a current fire risk assessment in place?

  • If the building is built before the year 2000, is there an asbestos register in place?

8. Contractor Management

  • Does the organisation use contractors e.g. scaffolding, hire companies.

  • Have all contractors completed our PQQ?

  • Have insurances been provided?

  • Have policies and assessment documentation been provided?

  • Are contractors competent and how is this checked?

9. Services

  • Does the company operate gas central heating

  • Has the gas boiler been serviced in the last 12 months?

  • Does the company operate electric boilers?

  • Has the electric boiler been serviced in the last 12 months?

10. Electrical

  • Has all office equipment been PAT inspected as per guidelines?

  • Has all kitchen equipment been PAT inspected as per guidelines?

  • Has operatives tools and equipment been PAT inspected as per guidelines?

  • Does the company have calibration records of its measuring devices?

  • Has fixed wire testing been carried out in the last five years?

  • Do visual inspections take place?

11. Incidents and First Aid

  • Do we have an incident reporting procedure?

  • Are all incidents being recorded and retained?

  • Are RIDDOR incidents being reported?

  • Are near misses being recorded and retained?

  • Are incident report forms protected under GDPR?

  • Is there are first aider within the office?

  • Are operatives first aid trained?

  • Do all vehicles have a first aid box?

Welfare

Drivers and Vehicles

  • Have all licences been checked for the current year period?

  • Is there insurance in place for all vehicles?

  • Is there service records for all vehicles?

  • Do all vehicles have current MOT certificates?

  • Are all vehicles taxed?

  • Is there evidence of van inspection from users?

  • Is there evidence of van inspections from managers?

12. PPE

  • Is there evidence if PPE being issued to all staff?

  • Are PPE issue forms signed and retained for 3 years?

  • Is PPE free of charge to users?

13. Health

  • Do operatives complete health questionnaires?

  • Is there a process for reporting health concerns?

14. Storage

  • Is the storage area clean and tidy?

  • Is all racking safe and within correct weight limits?

  • Are all items in reaching distance?

  • Are flammables stored away from other materials, in locked cages or containers?

  • Are items stored neatly to prevent falls?

  • Are heavy items placed at lower levels?

  • Are mechanical aids present for handling?

  • Are regular stock checks being carried out?

15. Access Equipment

  • Are all ladders inspected by a competent person and evidence retained?

  • Are users of ladders trained in inspection?

  • Is other access equipment available?

  • Is there evidence of training for other access equipment e.g. PASMA?

16. Inspections

  • Are inspections of work being carried out?

  • Do inspections address H&S and quality issues?

  • How are issues identified and reported?

17. Communication

  • Is there evidence of safety team meetings?

  • Is there evidence of toolbox talks?

18. Internal Damage

  • Lighting

  • Slips, trips and falls

  • Barriers and handrails

  • Doors

  • Flooring

  • Ceiling

19. External Damage

  • Walkways

  • Handrails

  • Shutters

  • Lighting

  • Exterior

  • Flooring

20. Other

  • Security including CCTV

  • Waste

Signatures

  • Assessor

  • Manager or representative

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.