Health and Safety Inspectionaaron

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fire Safety

• Does the fire-fighting equipment appear to be in good order and in date? If no please add item below

  Yes

  No

  N/A
Equipment

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are notices relating to equipment visible and appropriately placed?<br>

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are fire routes, fire breaks, doors and exits clear and appear to be in good working order?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are fire records available, compliant and up to date?

  Yes

  No

  N/A

First aid

• Are first aid notices adequate & in easily seen positions?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are first aid boxes/rooms clean and appropriately stocked?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

General working environment and equipment

• Are areas clean and is good housekeeping observed?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Is the physical environment in good condition?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are areas adequately ventilated?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Is waste appropriately controlled?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are temperatures suitable for the environment?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Is lighting adequate?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are noise levels suitable for the environment?

  Yes

  No

  N/A
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are windows/doors/storage units/work stations/ furniture safe? If no list any defects below

  Yes

  No

  N/A
Equipment

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Are there any trip/slip hazards?if yes please list below

  No

  Yes
Slip/trip hazard

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Is equipment suitable and adequately maintained? Applicable to all equipment (electrical, Hand tools, DSE etc). If no please list defects below

  Yes

  No

  N/A
Piece of Equipment

• photo

  Media

• Description of the problem

• Location

• Is the plant room clean and used appropriately?

  Yes

  No

  N/A
Item

• photo

  Media

• Description

• Location

• Are there any issues with the external site? If yes please list below

  No

  Yes
Issue

• Add photo of item

  Media

• Description of the problem

• Location of the item

• Is external access/egress to the building clear of trip/slip hazards and well maintained? Please include photos in either instance

  Yes

  No

  N/A
Item

• Add photo of item

  Media

• Description

• Location of the item

• Any other issues or comments?

  Yes

  No

  N/A
Issue/comment

• photo

  Media

• Description

• Location