Health and Safety Inspection Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Name of person seen on site & position

Documentation & Signs

• H&S Policy readily available?

  Yes

  No

  N/A

• H&S Law poster displayed?

  Yes

  No

  N/A

• Suitable signs displayed as required?

  Yes

  No

  N/A

• Risk assessments recorded and available and reviewed annually?

  Yes

  No

  N/A

• Any further comments?

• Score

Communications/Consultation

• Employees briefed on relevant risk assessments?

  Yes

  No

  N/A

• Employees and other relevant parties aware of contact points and reporting procedures?

  Yes

  No

  N/A

• Any further comments?

• Score

Accident Reporting/Recording

• All aware of reporting procedures?

  Yes

  No

  N/A

• Accident forms on LCCC template available and implemented?

  Yes

  No

  N/A

• Any further comments?

• Score

Safe Working Procedures

• Permits to work in place/required?

  Yes

  No

  N/A

• Detailed procedures for hazardous activities?

  Yes

  No

  N/A

• Adequate control of contractors?

  Yes

  No

  N/A

• Any further comments?

• Score

First Aid Provisions

• First Aid box clearly labelled and available?

  Yes

  No

  N/A

• First Aid box contents suitable and sufficient?

  Yes

  No

  N/A

• No unauthorised contents (medicines etc)

  Yes

  No

  N/A

• First aiders/appointed persons available at all relevant times?

  Yes

  No

  N/A

• Names of first aiders displayed?

  Yes

  No

  N/A

• Any further comments?

• Score

Access/Egress

• Safe access/egress for public, employees and contractors?

  Yes

  No

  N/A

• Emergency service access maintained?

  Yes

  No

  N/A

• Restricted access to hazardous areas?

  Yes

  No

  N/A

• Emergency routes clear of obstructions?

  Yes

  No

  N/A

• General housekeeping at a good standard?

  Yes

  No

  N/A

• Any further comments?

• Score

Work Equipment

• All equipment suitable for task and correct tool being used for job?

  Yes

  No

  N/A

• Where applicable have users been suitably trained in equipment use?

  Yes

  No

  N/A

• Guards, isolator switches etc all in place and working?

  Yes

  No

  N/A

• Equipment and serviceable and being maintained?

  Yes

  No

  N/A

• Location in which work equipment is to be used are satisfactory?

  Yes

  No

  N/A

• Any further comments?

• Score

Manual Handling

• Employees trained where applicable?

  Yes

  No

  N/A

• Manual handling assessments completed where applicable?

  Yes

  No

  N/A

• Are suitable lifting aids provided?

  Yes

  No

  N/A

• Is suitable PPE provided?

  Yes

  No

  N/A

• Are there environmental problems (ramps, slips and trips, lack of space etc)

  Yes

  No

  N/A

• Task, Individual, Load, Environmental

  Yes

  No

  N/A

• Any further comments?

• Score

Personal Protective Equipment

• Has PPE been issued to all relevant employees?

  Yes

  No

  N/A

• Is PPE suitable to task?

  Yes

  No

  N/A

• Have users been trained in correct use of PPE?

  Yes

  No

  N/A

• Is PPE suitably stored, maintained, replaced etc?

  Yes

  No

  N/A

• Any further comments?

• Score

COSHH

• Have all hazardous materials been identified, listed and MSDS's obtained?

  Yes

  No

  N/A

• Have COSHH assessments been carried out?

  Yes

  No

  N/A

• Are all hazard signs in place as required?

  Yes

  No

  N/A

• Are all hazardous substances stored in suitable containers and locations?

  Yes

  No

  N/A

• Are users trained in safe use and provided with suitable PPE as required?

  Yes

  No

  N/A

• Is weekly flushing for legionella being conducted and recorded?

  Yes

  No

  N/A

• Are legionella contractor reports being monitored?

  Yes

  No

  N/A

• Any further comments?

• Score

Building Fabric

• Presence of asbestos, registers, maintenance etc?

  Yes

  No

  N/A

• Suitable maintenance procedures including preventative?

  Yes

  No

  N/A

• Any defects or structural hazards?

  Yes

  No

  N/A

• Any further comments?

• Score

Public Safety

• Are public protected from hazards either by restricting access or by risk control?

  Yes

  No

  N/A

• Are traffic/pedestrian routes separated or suitably controlled?

  Yes

  No

  N/A

• Are suitable signs in place to warn of hazards, identify first aid points, detail emergency procedures etc.?

  Yes

  No

  N/A

• Any further comments?

• Score

Electrical Installation/Equipment

• Are all portable appliances regularly checked?

  Yes

  No

  N/A

• Is there a valid fixed installation certificate?

  Yes

  No

  N/A

• Any further comments?

• Score

Display Screen Equipment

• Has a DSE assessment been carried out?

  Yes

  No

  N/A

• Is the workplace suitable (space, light, reflection, chair, desk, cabling etc)?

  Yes

  No

  N/A

• Any further comments?

• Score

Occupational Health

• Are employees made aware of and trained in relevant occupational health hazards and preventions?

  Yes

  No

  N/A

• Are all employees aware of Occ Health initiatives and facilities etc.?

  Yes

  No

  N/A

• Is there designated smoking area?

  Yes

  No

  N/A

• Any further comments?

• Score

Welfare

• Are there suitable welfare facilities and suitably maintained?

  Yes

  No

  N/A

• Are there suitable washing facilities including hot and cold water, soap, drying facilities etc.?

  Yes

  No

  N/A

• Is there suitable ventilation/heating as appropriate?

  Yes

  No

  N/A

• Are there suitable facilities for storage and disposal of waste?

  Yes

  No

  N/A

• Is there somewhere suitable for employees to consume food and drink?

  Yes

  No

  N/A

• Any further comments?

• Score

Falls & Falling objects

• Are all stores/materials stacked safely using suitable and safe racking or equivalent?

  Yes

  No

  N/A

• Are any ladders/steps provided of suitable design, in good condition and fit for task?

  Yes

  No

  N/A

• Is workplace free so far as reasonably practicable of obstructions that cause slips and trips?

  Yes

  No

  N/A

• Are floor surfaces clean, dry and where relevant of non slip material?

  Yes

  No

  N/A

• Are caution signs displayed during cleaning, after spillage etc?

  Yes

  No

  N/A

• Any further comments?

• Score

Noise/Lighting

• Is there adequate lighting in all area?

  Yes

  No

  N/A

• Is it suitably maintained (replacement of bulbs etc)?

  Yes

  No

  N/A

• Are lighting switches suitably located at suitably accessible points to avoid hazards/risks on entry/exit?

  Yes

  No

  N/A

• Have potential noise hazards been assessed and where applicable noise zones established?

  Yes

  No

  N/A

• Have all relevant employees been instructed and trained in noise hazards and protection?

  Yes

  No

  N/A

• Any further comments?

• Score

Training

• Have all employees received induction training?

  Yes

  No

  N/A

• Have employees been trained to a suitable level of competency for their given task?

  Yes

  No

  N/A

• Is all training currently up to date?

  Yes

  No

  N/A

• Have all employees been made aware of relevant risk assessments?

  Yes

  No

  N/A

• Have users been trained in use, maintenance and storage of PPE?

  Yes

  No

  N/A

• Any further comments?

• Score

Means of escape

• Daily check of means of escape (passages, doors etc) conducted?

  Yes

  No

  N/A

• Stairways free from obstruction and combustible materials?

  Yes

  No

  N/A

• Final exit doors clear (both sides) and available?

  Yes

  No

  N/A

• All doors affording means of escape are unlocked and available?

  Yes

  No

  N/A

• All escape signage in place and in good condition?

  Yes

  No

  N/A

• Any further comments?

• Score

Fire doors

• Weekly checks conducted on fire doors?

  Yes

  No

  N/A

• Are fire doors free from defects i.e. No faulty mechanisms, items broken, doors failing to open or shut properly or which are blocked or needs attention?

  Yes

  No

  N/A

• Any further comments?

• Score

Fire Alarm

• Daily check of alarm panel conducted?

  Yes

  No

  N/A

• Weekly check of alarm points?

  Yes

  No

  N/A

• Fire alarm maintenance conducted?

  Yes

  No

  N/A

• Any further comments?

• Score

Emergency Lighting

• Daily checks that all lamps are lit?

  Yes

  No

  N/A

• Monthly check of emergency lighting (simulating a power failure and ensuring all luminaries are operating)?

  Yes

  No

  N/A

• 6 monthly emergency lighting service (carried out by contractor)?

  Yes

  No

  N/A

• 3 yearly emergency installations (thorough examination carried out by contractor)?

  Yes

  No

  N/A

• Any further comments?

• Score

Fire Extinguishers

• Weekly check of fire fighting equipment?

  Yes

  No

  N/A

• Fire extinguishers serviced/maintained annually?

  Yes

  No

  N/A

• Any further comments?

• Score

Signage

• All signage in place and in good condition?

  Yes

  No

  N/A

• Any further comments?

• Score

Evacuation/Drills

• Has a fire drill been carried out in the last 6 months?

  Yes

  No

  N/A

• Any further comments?

• Score

Log Book

• Has LCCC Fire Log book been implemented and checklist of fire actions entered in log and up to date?

  Yes

  No

  N/A

• Any further comments?

• Score

Housekeeping

• Is good housekeeping practised?

  Yes

  No

  N/A

• Any further comments?

• Score

Staff Training

• Are staff adequately trained with sufficient numbers of fire wardens etc?

  Yes

  No

  N/A

• Any further comments?

• Score

Miscellaneous

• Have all relevant issues been addressed during the inspection?

  Yes

  No

  N/A

• Score