Health & Safety Inspection

• Document No.

• Audit Title

• Building Address
  Address

• Property Maintained by:

• Brief Description of Building Use

  Select Admin Hospital Health Centre Clinic

  • Admin
  • Hospital
  • Health Centre
  • Clinic

• Prepared by

• Date of Inspection

  Date

• Personnel

Security Inspection

1. Entering a property

• 1.1 On entering the building, were you challenged or asked who you were?

  Yes

  No

  N/A

• 1.2 Did you show your ID?

  Yes

  No

  N/A

• 1.3 Was there security personnel on site?

  Yes

  No

• 1.3a Who provides this?

2. CCTV

• 2.1 Is there CCTV on site?

  Yes

  No

  Not Checked

  N/A

• 2.2 is the CCTV monitored

• 2.3 Who controls the CCTV?

• 2.4 Is the screen away from public view?

  Yes

  No

• 2.6 Do they all work?

  Yes

  No

  N/A

• 2.5 Is there adequate camera coverage on site?

  Yes

  No

  N/A

• 2.7 Is the correct signage in place? <br>

  Yes

  No

  N/A

3. General Security

• 3.1 Are the outside areas (car park) adequately lit?

  Yes

  No

  N/A

• 3.2 Is the boundary fencing in good repair?

  Yes

  No

  N/A

• 3.3 Is the property gated and secured at night?

  Yes

  No

  N/A

• 3.4 Are garden areas well maintained and not overgrown? (This allows clear visibility)

  Yes

  No

  N/A

• 3.5 Can the roof be easily accessed? (Is it flat / can bins or other structure be used to gain access?)

  Yes

  No

  N/A

• 3.6 Are there any unsecured external areas? (Rear parking / Waste stores etc)

  Yes

  No

  N/A

• 3.7 Are there any reported security issues by building users?

  No

  Yes

  N/A

• 3.8 Is an intruder alarm fitted?

  Yes

  No

  N/A

• 3.8a Is it operational?

  Yes

  No

  N/A

• Additional Information:

Health & Safety Inspection

4. Asbestos

• 4.1 Is there ACM in the building?

  Yes

  No

• 4.2 Is there an Asbestos Survey on site?

  Yes

  No

• Enter date of last Survey

  Date

• 4.3 Has ACM been re-inspected?

  Yes

  No

• Enter date of last inspection

  Date

• 4.4 Is there a local Asbestos Management Plan?

  Yes

  No

5. Legionella

• 5.1 Is there a Water Risk / Monitoring on site?

  Yes

  No

  N/A

• 5.2 Is there a Water Log Book on site?

  Yes

  No

  N/A

• 5.3 Is the Water Log Book up to date?

  Yes

  No

  N/A

• 5.4 Is there a flushing programme?

  Yes

  No

  N/A

• By who?

• 5.5 Is there a temperature monitoring programme?

  Yes

  No

  N/A

6. Gas

• 6.1 Is there Gas on site?

  Yes

  No

• 6.2 Is there a Gas Safe Inspection?

  Yes

  No

  N/A

• 6.3 Has all gas catering equipment been inspected within the last 12 months?

  Yes

  No

  N/A

• Date of last inspection

  Date

7. Electrical Safety

• 7.1 Is there a Periodical Fixed Test on site?

  Yes

  No

• Select date

  Date

• 7.2 Is there a PAT Testing regime in place?

  Yes

  No

• 7.2a Is there any items seen without visual inspection date?

  No

  Yes

  N/A

• 7.3 Are electrical sockets being used correctly? (I.e not overloaded)

  Yes

  No

• 7.4 Is electrical equipment in good working order? (No damage)

  Yes

  No

• 7.5 Is access to live high/low voltage equipment restricted to authorised people only?

  Yes

  No

  N/A

• 7.5 is there adequate warning signs on electrical supplies

  Yes

  No

  N/A

8. Lifts

• 8.1 Are there any lifts?

  Yes

  N/A

• 8.2 Is there evidence if inspection/maintenance?

  Yes

  No

• Select date

  Date

9. Pressure Vessels

• 9.1 Are there pressure vessels within the building?

  Yes

  N/A

• 9.2 Are they stored correctly?

  Yes

  No

• 9.3 Are the connections in good order?

  Yes

  No

10. Medical Gas

• 10.1 Is there piped medical gas on site?

  Yes

  No

• 10.2 Is there a MGPS Operating Procedure on site?

  Yes

  No

• 10.3 Has the system been inspected in the last 6 months under the Pressure Systems Safety Regulations?

  Yes

  No

• 10.4 Is there bottled gas on site?

  Yes

  No

• 10.5 Is the bottled gases store as per HTM?

  Yes

  No

11. Generators

• 11.1 Are generators used at this building?

  Yes

  No

• 11.2 Is there evidence of maintenance on site?

  Yes

  No

• Enter date if last inspection

  Date

12. Windows

• 12.1 Has the building had a window restrictor survey undertaken?

  Yes

  No

  N/A

• 12.2 Has Clinical Provider undertaken a Risk Assessment for falls from windows?

  Yes

  No

  N/A

• 12.3 Are windows and frames in good condition?

  Yes

  No

  N/A

• 12.4 Are windows functioning and fully operational?

  Yes

  No

  N/A

• 12.5 Are blinds in a safe condition?

  Yes

  No

• 12.6 Fully open window gap less than 100mm?

  Safe

  At Risk

  N/A

• 12.7 Tamper proof fixings?

  Safe

  At Risk

  N/A

• 12.8 Fittings could withstand excessive force?

  Safe

  At Risk

  N/A

13. Automatic Doors

• 13.1 Has the property got automatic doors?

  Yes

  No

• 13.2 Is there evidence of maintenance on site?

  Yes

  No

  N/A

14. Chemicals

• 14.1 Are Hazardous Substances used on site?

  Yes

  No

• 14.2 Are they securely stored?

  Yes

  No

  N/A

• 14.3 Are COSHH Risk Assessments available?

  Yes

  No

  N/A

• 14.3a Are safety data sheets available either on site or the LCHS system?

  Yes

  No

15. Housekeeping

• 15.1 Is the standard of cleaning good?

  Yes

  No

• 15.2 Is the building clear of rubbish?

  Yes

  No

• 15.3 Do the Cleaning Contractors have Risk and COSHH Assessments?

  Yes

  No

16. Waste

• 16.1 Is a contract in place for clinical waste?

  Yes

  No

  N/A

• 16.2 Is there any issues with the clinical waste

  No

  Yes

  N/A

• 16.3 Is there any issues with domestic waste?

  No

  Yes

  N/A

17. Lighting

• 17.1 Are there any obvious issues with internal lighting levels?

  No

  Yes

  N/A

• 17.2 Are internal light fittings operable?

  Yes

  No

• 17.3 Are there any obvious issues with external lighting levels?

  No

  Yes

  N/A

• 17.4 Are external light fittings operable?

  Yes

  No

18. Environment (Internal)

• 18.1 Is there adequate space for staff to work safely?

  Yes

  No

• 18.2 Are there any slip, trip, fall hazards?

  Safe

  At Risk

  N/A

• 18.3 Are handrails secured?

  Yes

  No

  N/A

• 18.4 Is floor covering in good condition? (Not worn or damaged)

  Safe

  At Risk

  N/A

19. Environment (External)

• 19.1 Are grit bins provided?

  Yes

  No

  Not Checked

  N/A

• 19.2 Are there any smoking related issues?

  Yes

  No

  Not Checked

  N/A

• 19.3 Are there any slip, trip or fall hazards?

  Safe

  At Risk

  N/A

• 19.4 Any significant deterioration of the building fabric?

  Yes

  No

• 19.5 Are external waste bin storage solutions suitable?

  Yes

  No

• 19.6 Is there adequate separation of vehicles and pedestrians?

  Yes

  No

  N/A

• 19.7 Is there any vehicle traffic related issues?

  Safe

  At Risk

  N/A

20. Welfare

• 20.1 Is a staff room provided?

  Yes

  No

• 20.2 Are the appropriate toilets in good repair?

  Yes

  No

• 20.3 Is hot water available?

  Yes

  No

• 20.4 Are staff changing rooms available?

  Yes

  No

• 20.5 Is drinking water provided?

  Yes

  No

• 20.6 are there lockers provided for staff?

  Yes

  No

21. Radiators

• 21.1 Are radiators covered in public areas?

  Yes

  No

• 21.2 Is there covering to exposed pipe work?

  Yes

  No

22. Contractor Management

• 22.1 Is there contractors working on site?

  Yes

  No

  N/A

• 22.2 Have the contractors been inducted to site?

  Yes

  No

  N/A

• 22.3 Is there a contractors signing sheets?

  Yes

  No

  N/A

23. First Aid

• 32.1 is there a nominated first Aider on site?

  Yes

  No

• 23.2 Does the first Aider have the correct training for the business unit?

  Yes

  No

• 23.3 Do NHS staff have access to a first aid box?

  Yes

  No

• 23.4 Are first aid notices present and up to date?

  Yes

  No

24. Disability Discrimination Act (DDA)

• 24.1 Access / Egress suitable?

  Yes

  No

• 24.2 Adequate disabled spaces available?

  Yes

  No

• 24.3 Any other DDA specific issues present?

  Yes

  No

25. Signage

• 25.1 Appropriate signage in place for specific hazards?

  Yes

  No

  N/A

• 25.2 Any issues with way-marking signage?

  No

  Yes

  N/A

26. Pest Control

• 26.1a Any obvious Pest issues?

  Yes

  No

• 26.1b Controls in place?

  Safe

  At Risk

  N/A

• 26.2 Any situations identified that could cause Pest issues?

  Yes

  No

27 LOLER

• 27.1 Is there any item under LOLER out of date maintenance?

  No

  Yes

  N/A

• 27.3 Is there any equipment that is faulty?

  No

  Yes

  N/A

• 27.2 Do staff know what the maintenance cycle for lifting equipment?

  Yes

  No

28. Equipment

• 28.1 Provision and Use of Work Equipment (PUWER), is there a maintenance regime in place?

  Yes

  No

• 28.2 Is there any equipment that is faulty?

  No

  Yes

  N/A

• 28.3 Do staff know what the maintenance cycle for work equipment?

  Yes

  No

  N/A

Sign Off

• On Site Representative:

  Sign

• Auditor's Signature:

  Sign