Title Page

  • Conducted on

  • Prepared by

  • Company name

  • Location
  • Document Number

Overview of the Organisation.

  • undefined

Certification Review.

  • Does the Company have ISO 9001:2015

  • Does the Company have ISO 45001

  • Does the Company have ISO 14001

Confined Space.

  • Every effort is made to avoid entry in to confined space?

  • A safe system of work for confined space has been developed?

  • Risk assessments have been carried out for confined space work?

  • A permit to work system is in place for confined space work?

  • Atmospheric tests are carried out prior to starting confined space work?

  • A standby man is always in place when carrying out confined space work?

  • An emergency escape plan is in place?

  • The standby man has full understanding of his duties under the confined space permit to work.

  • A toolbox talk is carried out prior to any confined space work taking place?


  • A substance register has been developed and is maintained?

  • MSDS have been obtained for all substances hazardous to health?

  • A COSHH purchasing guide is in place and is controlled by a manager or supervisor?

  • LEV is in use and is thoroughly tested every 14months and records kept?

  • Hazardous substances are stored safely?

Electrical Safety.

  • The fixed electrical installation for the premises is inspected and tested at the prescribed intervals by a competent person?

  • Consumer units and isolation switches are suitably labelled?

  • All portable electrical appliances are inspected and tested by a competent person or contractor and records kept?

  • Employees report details of any damaged or faulty appliances observed, which are then taken out of service until repaired or replaced. Portable electrical appliances are in good visual condition?

  • Residual current devices are fitted to mains electrical supplies within the premises?

  • Unobstructed access is provided to all electrical switchgear equipment?

  • Low voltage portable electrical appliances are used where there is an increased risk of electrical hazards in the workplace?

Fire Safety Management.

  • The person responsible for fire safety in the premises has been identified?

  • A specific fire risk assessment has been carried out?

  • A fire evacuation drill is undertaken at suitable intervals and records kept?

  • A fire warning system is in place and tested at weekly intervals?

  • The fire warning system is serviced and examined by a competent service engineer at six-monthly intervals?

  • Fire escape routes are clearly identified with the appropriate signs, including directional arrows?

  • Fire escape routes are unobstructed and are readily available for use in an emergency?

  • Fire escapes are clearly marked with "fire exit signs"?

  • Suitable fire extinguishers are provided and distributed in the workplace?

  • Fire extinguishers are annually inspected and serviced by a competent person and are marked "in date"?

  • Some employees have been trained on the operational use of portable fire extinguishers?

  • Emergency lighting is in place and tested at monthly intervals?

  • Smoking is only allowed in designated smoking areas?

Fork Lift Trucks.

  • Suitable signs are displayed to warn that fork lift trucks operate in the premises

  • Audible warning devices are fitted on the fork lift trucks to give warning of movement

  • Amber flashing lights are fitted to the fork lift trucks to provide additional warning of movement

  • Fork lift trucks are restricted to employees who are trained to the prescribed standard by an accredited training provider

  • To prevent unauthorised use of fork lift trucks, keys are removed from the ignition and and kept in a secure place when fork lift trucks are left on attended.

  • All lifts are properly planned beforehand and a routine lift plan is in place.

  • The fork lift truck is fitted with a restraining belt.

Health and Safety Management.

  • A senior manager has taken responsibility for health and safety

  • A current health and safety policy and an environmental policy statement is displayed within the work place

  • The standards of health and safety are regularly monitored and detailed records kept.

  • Suitable consultation arrangements have been made with employees on health and safety issues

  • Accidents are recorded in the accident book

  • All accidents and or incidents are investigated to determine the probable cause

  • The accident book is reviewed regularly to identify causation and trends

  • Have any improvement or enforcement actions been received in the last 12 months

  • The employer has identified the health and safety training needs for each of the employees and has a arranged the relevant training to be carried out and has maintained accurate individual training records

  • Adequate information and instruction is given to employees on health and safety issues

  • Plant and equipment is inspected regularly under the PUWER regulations

  • Records of statutory examination and tests are maintained and are available for inspection

  • An assessment of first aid needs have been carried out

  • Health surveillance is provided where the need has been identified by the risk assessments

Lifting Equipment and Accessories

  • All lifting operations are properly planned before work commences to reduce the risk of an accident involving the lifting equipment or the load being lifted. A routine lift plan is in place.

  • Prior to use lifting equipment and accessories are checked for obvious defects by the user

  • Lifting equipment and accessories are marked with the safe working load and a unique identification number

  • There is an inventory of all lifting equipment and accessories showing the specification and date of test and insurance inspections

  • Once used lifting equipment is returned to a safe storage area

  • Lifting operations are only carried out by trained and competent personnel

Manual Handling.

  • Mechanical aids are in place to reduce the need for manual handling

  • Key workers ensure that other persons follow the correct lifting practices and that they are trained in ergonomic techniques

  • Employees have undertaken manual handling training and records are available

  • Wherever possible manual handling tasks have been reduced by the use of mechanical handling aids


  • Noise risk assessments have been carried out

  • Hearing protection is available to all employees working in areas where average noise exposure levels reach the lower exposure action value of 80 dB

  • Suitable hearing protection is provided and worn by all employees working in areas where average noise exposure levels reach the upper exposure action value of 85 dB

  • Areas with average noise exposure levels above 85 dB are clearly identified as hearing protection zones with the mandatory hearing protection warning signs displayed


  • Personal protective equipment needs have been identified

  • With more than one item of personal protective equipment is worn it is ensured that the items are compatible

  • Personal protective equipment is maintained in an efficient state

  • Reasonable steps are taken to make sure employees use personal protective equipment properly and training is given where necessary

Risk Assessments.

  • Suitable and sufficient risk assessments have been carried out for activities and issues identified as being of significant risk by a competent person

  • The significant findings of the risk assessments are shared with employees and other persons affected by the risks. Employees have signed to say they understand the risk assessments.

  • Risk assessments are reviewed on a regular basis

Storage Areas.

  • Racking is free from obvious signs of damage

  • Storage racking is securely fixed to the building fabric

  • The maximum load capacity of the racking is clearly displayed

Workplace Safety.

  • The work place is clean, tidy and in good order

  • The work place is adequately ventilated

  • The work place is well let with adequate lighting

  • The floor areas are in good condition and free from slip and trip hazards

  • The work place provides adequate space for the employees

  • Suitable handrails are fitted to stairways

  • Adequate welfare facilities are provided and maintained for both male and female employees

  • Safety signs are provided as indicated by risk assessments

Overall Notes.

  • What is the condition of the workplace?

  • Are the any general comments or findings?

Sign Off.

  • Signature

  • Date and time

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.