Health, Safety & Statutory Compliance

• Conducted on

  Date

• Prepared by

• Job Title

• Location
  Address

• Document Number

Part A – Duty Holder Health & Safety Statutory Compliance

Accident Reporting & Investigation

• Reporting of Injuries, Diseases and Dangerous Occurrences Regulations<br>1995

  Compliant

  Non-Compliant

  N/A

• Work-related deaths

• Specified injuries

• Over-three-day injuries

• Over-seven-day injuries

• Work related diseases

• Dangerous occurrences

• Near miss accidents

Asbestos Management

• Control of Asbestos Regulations 2012<br>Health and Safety at Work etc. Act 1974<br>Management of Health and Safety at Work Regulations 1999

  Compliant

  Non-Compliant

  N/A

• The duty holder must nominate a “Responsible Person” to prevent exposure to asbestos and to manage all identified and presumed asbestos containing materials.

  Compliant

  Non-Compliant

  N/A

Confined Spaces

• Confined Spaces Regulations 1997<br>Health and Safety at Work etc. Act 1974<br>Management of Health and Safety at Work Regulations 1999

  Compliant

  Non-Compliant

  N/A

• A suitable and sufficient assessment exists of the risks for all work activities for the purpose of deciding what measures are necessary for safety.

  Yes

  No

  N/A

Control of Substances Hazardous to Health (COSHH)

• Control of Substances Hazardous to Health (COSHH) Regulations 2002 (as<br>amended)<br>Health and Safety at Work etc. Act 1974

  Compliant

  Non-Compliant

  N/A

• If you can’t prevent exposure, are you controlling it ‘adequately’ by<br>applying the “Principles of Good Control Practice” set out in the COSHH<br>Regulations

  Yes

  No

  N/A

• A suitable and sufficient assessment exists of the risks for all COSHH for the purpose of deciding what measures are necessary for safety.

  Yes

  No

  N/A

Construction Design & Management (CDM)

• Construction (Design & Management) Regulations 2007 (CDM)<br>Health and Safety at Work etc. Act 1974<br>Management of Health and Safety at Work Regulations 1999

  Compliant

  Non-Compliant

  N/A

Disability Discrimination

• Disability Discrimination Act 1995 (DDA)

  Compliant

  Non-Compliant

  N/A

• Ensure the building / premises for which you are responsible has a<br>full Access Audit / Report

  Yes

  No

  N/A

• Monitor the building / premises for which you are responsible to<br>ensure continued compliance with DDA.

  Yes

  No

  N/A

Fire Safety Management

• Regulatory Reform (Fire Safety) Order 2005

  Compliant

  Non-Compliant

  N/A

• Carry out a fire-risk assessment identifying any possible dangers and risks

  Yes

  No

  N/A

• Consider who may be especially at risk;

  Yes

  No

  N/A

• Eliminate or reduce the risk from fire as far as is reasonably possible

  Yes

  No

  N/A

• Provide general fire precautions to deal with any possible risk that could be left

  Yes

  No

  N/A

• Take other measures to make sure there is protection if flammable or explosive materials are used or stored

  Yes

  No

  N/A

• Create a plan to deal with any emergency (see below for more details on Fire Safety Emergency Plans)

  Yes

  No

  N/A

• Undertake regular fire evacuation training and drills

  Yes

  No

  N/A

• When was the date of the last drill?

  Date

• Is this within 12 months?

  Pass

  Fail

  N/A

• Keep a record of your findings

  Yes

  No

  N/A

• Review your findings when necessary

  Yes

  No

  N/A

First Aid arrangements

• Health and Safety (First Aid) Regulations 1981<br>Health and Safety at Work etc. Act 1974<br>Management of Health and Safety at Work Regulations 1999

  Compliant

  Non-Compliant

  N/A

• A suitably stocked first-aid box

  Yes

  No

  N/A

• An appointed person to take charge of first-aid arrangements

  Yes

  No

  N/A

• Information for employees about first-aid arrangements

  Yes

  No

  N/A

Lifting Operations & Lifting Equipment (LOLER)

• Lifting Operations and Lifting Equipment Regulations 1998<br>Health and Safety at Work etc. Act 1974

  Compliant

  Non-Compliant

  N/A

• Sufficiently strong, stable and suitable for the proposed use? Similarly, the load and anything attached (e.g. timber pallets, lifting points) must be suitable.

  Yes

  No

  N/A

• Positioned or installed to prevent the risk of injury, e.g. from the equipment or the load falling or striking people?

  Yes

  No

  N/A

• Visibly marked with any appropriate information to be taken into account for its safe use, e.g. safe working loads? Accessories, e.g. slings, clamps etc, should be similarly marked.

  Yes

  No

  N/A

Managing Contractors

• Construction (Design & Management) Regulations 2007 (CDM)<br>Health and Safety at Work etc. Act 1974<br>Management of Health and Safety at Work Regulations 1999<br>Control of Substances Hazardous to Health (COSHH) Regulations 2002 (as<br>amended)

  Compliant

  Non-Compliant

  N/A

• Do you always know who’s on site?

  Yes

  No

  N/A

• Assess contractors’ competence in health and safety and check for<br>evidence before they get the job

  Yes

  No

  N/A

• Look into contractors’ procedures for health and safety to make sure<br>they can fit in with yours

  Yes

  No

  N/A

• Plan for the contractor’s job and assess the hazards at each stage

  Yes

  No

  N/A

• Inform them of the hazards on site and of your emergency<br>procedures before they start

  Yes

  No

  N/A

• Keep track of their progress until the job finishes

  Yes

  No

  N/A

• Keep records

  Yes

  No

  N/A

Manual Handling

• Manual Handling Operations Regulations 1992 (as amended)<br>Health and Safety at Work etc. Act 1974

  Compliant

  Non-Compliant

  N/A

• Consider the risks from manual handling to the health and safety of<br>your staff

  Yes

  No

  N/A

• Consult and involve the workforce. Our staff and their<br>representatives know first-hand what the risks in the workplace are<br>and can probably offer practical solutions to controlling them

  Yes

  No

  N/A

• Avoid hazardous manual handling operations so far as is reasonably practicable, for example by redesigning the task to avoid moving the load or by automating or mechanising the process.

  Yes

  No

  N/A

• Make a suitable and sufficient assessment of any hazardous manual<br>handling operations that cannot be avoided.

  Yes

  No

  N/A

• Reduce the risk of injury from those operations so far as is<br>reasonably practicable. Where possible, you should provide<br>mechanical assistance, for example a sack trolley or hoist. Where<br>this is not reasonably practicable, look at ways of changing the task,<br>the load and working environment

  Yes

  No

  N/A

Monitoring health and safety

• Management of Health and Safety at Work Regulations 1999<br>Health and Safety at Work etc. Act 1974

  Compliant

  Non-Compliant

  N/A

• Are there active systems which monitor the achievement of plans and the<br>extent of compliance with standards?

  Yes

  No

  N/A

• Are there reactive systems, which monitor accidents, ill health and incidents.<br>Monitoring health and safety performance against pre-determined plans<br>and standards is a line management responsibility.

  Yes

  No

  N/A

• Reporting injuries and cases of ill health (including monitoring of sickness absence records)

  Yes

  No

  N/A

• Reporting other losses, such as damage to property

  Yes

  No

  N/A

• Reporting incidents, including those with the potential to cause injury, ill health or loss

  Yes

  No

  N/A

• Reporting hazards

  Yes

  No

  N/A

• Reporting weakness or omissions in H&S performance standards

  Yes

  No

  N/A

Movement of people and vehicles

• Workplace (Health, Safety & Welfare) Regulations 1992<br>Health and Safety at Work etc. Act 1974<br>Management of Health and Safety at Work Regulations 1999

  Compliant

  Non-Compliant

  N/A

• There are documented site rules for vehicle and pedestrian activities and that these rules are distributed to all those affected by those activities

  Yes

  No

  N/A

• Supervisors, drivers and others, including contractors and visiting drivers, are aware of the site rules and ensure they are aware of their responsibilities in terms of helping to maintain a safe workplace and environment

  Yes

  No

  N/A

• That a risk assessment is completed for all workplace transport hazards

  Yes

  No

  N/A

• The level of supervision is sufficient to maintain safe standards

  Yes

  No

  N/A

• Sanctions are applied when employees, contractors, etc fail to maintain these standards

  Yes

  No

  N/A

• Adequate steps are taken to detect unsafe behaviour of drivers of both site and visiting vehicles as well as pedestrians and ensure the underlying reasons are investigated in order to correct unsafe behaviour

  Yes

  No

  N/A

• There is good co-operation and liaison on health and safety matters between staff and those who collect or deliver goods

  Yes

  No

  N/A

Noise at Work

• Control of Noise at Work Regulations 2005<br>Health and Safety at Work etc. Act 1974

  Compliant

  Non-Compliant

  N/A

• Assess the risks to your employees from noise at work

  Yes

  No

  N/A

• Take action to reduce the noise exposure that produces those risks

  Yes

  No

  N/A

• Provide your staff with hearing protection if you cannot reduce the noise exposure enough by using other methods

  Yes

  No

  N/A

• Ensure that where hearing protection is provided it is used

  Yes

  No

  N/A

• Ensure any other controls are properly used

  Yes

  No

  N/A

• Make sure the legal limits on noise exposure are not exceeded

  Yes

  No

  N/A

• Provide your staff with information, instruction and training

  Yes

  No

  N/A

• Carry out health surveillance where there is a risk to health

  Yes

  No

  N/A

• Review what you are doing if anything changes that may affect the noise exposures where you work

  Yes

  No

  N/A

Permits to work

• Health and Safety at Work etc. Act 1974<br>Management of Health and Safety at Work Regulations 1999<br>Confined Spaces Regulations 1997<br>Electricity at Work Regulations 1989<br>COSHH Regulations 2002 (as amended)<br>Dangerous Substances and Explosive Atmospheres Regulations 2002<br>Ionising Radiations Regulations 1999<br>Pressure Systems Safety Regulations 2000<br>LOLER 1998<br>PUWER 1998

  Compliant

  Non-Compliant

  N/A

• A senior manager is assigned responsibility to ensure an appropriate permit-to-work system is introduced

  Yes

  No

  N/A

• Appropriate procedures are established and maintained for all work done under the permit-to-work system

  Yes

  No

  N/A

• Arrangements are made for the workforce to be made aware of the permits and systems, and trained in their operation

  Yes

  No

  N/A

• The permit-to-work system is monitored to ensure that it is effective and correctly applied

  Yes

  No

  N/A

• The permit-to-work system is audited and reviewed

  Yes

  No

  N/A

• Copies of permits, or records of their issue, are kept for a specified period to enable auditing or incident investigation

  Yes

  No

  N/A

• Sufficient resources are provided to enable the permit-to-work system to be properly implemented

  Yes

  No

  N/A

• All work requiring a permit-to-work is identified

  Yes

  No

  N/A

• The permit contains a clear description of the work to be done, its location, start time and duration

  Yes

  No

  N/A

• Permits for work activities that may interact or affect other site activity are adequately controlled

  Yes

  No

  N/A

• All other work that would create a hazard if undertaken at the same time is suspended and made safe

  Yes

  No

  N/A

• Limitations on the timing and scope of the work are defined as well as actions to be taken in the event of site emergencies

  Yes

  No

  N/A

• All personnel engaged in the preparation of permits, and responsible for the supervision and performance of the work, are identified and competent

  Yes

  No

  N/A

• Sufficient information is given to oncoming shifts about work for which there is a permit and which has not been completed

  Yes

  No

  N/A

• All personnel (including contractors) working within the permit system have sufficient knowledge and competence to carry out their duties

  Yes

  No

  N/A

Risk Assessment

• Management of Health and Safety at Work Regulations 1999<br>Health and Safety at Work etc. Act 1974<br>Regulatory Reform (Fire Safety) Order 2005<br>Control of Asbestos Regulations 2006<br>Confined Spaces Regulations 1997<br>Control of Noise at Work Regulations 2005<br>Control of Substances Hazardous to Health (COSHH) Regulations 2002 (as<br>amended)<br>Health and Safety (Display Screen Equipment) Regulations 1992 (as<br>amended)<br>Health and Safety (First Aid) Regulations 1981<br>Manual Handling Operations Regulations 1992 (as amended)

  Compliant

  Non-Compliant

  N/A

• Managers are responsible for ensuring that suitable and sufficient risk assessments are carried out for workplaces, work process or work areas under their control?

  Yes

  No

  N/A

• Managers examine and assess all premises and areas under their control<br>on a regular basis to identify significant risks to the health and safety of their<br>staff and other persons and to take appropriate measures to ensure their<br>health and safety?

  Yes

  No

  N/A

• Have you identified all hazards?

  Yes

  No

  N/A

• Decide who might be harmed and how?

  Yes

  No

  N/A

• Evaluated the risks and decide on precautions?

  Yes

  No

  N/A

• Record the findings and implement them?

  Yes

  No

  N/A

• Review the assessment and update if necessary?

  Yes

  No

  N/A

• Undertake risk assessments for any building or services related<br>works that are planned?

  Yes

  No

  N/A

• Act on the outcome of the risk assessments in order to remove the<br>risk completely or reduce it to an acceptable level?

  Yes

  No

  N/A

• Carry out and record basic assessments of the risks associated with<br>workplace hazards?

  Yes

  No

  N/A

• Recommend suitable control measures?

  Yes

  No

  N/A

Work at Height

• Work at Height Regulations 2005 (as amended)<br>Health and Safety at Work etc. Act 1974

  Compliant

  Non-Compliant

  N/A

• All work at height is properly planned and organised?

  Yes

  No

  N/A

• All work at height takes account of weather conditions that could endanger health and safety?

  Yes

  No

  N/A

• Those involved in work at height are trained and competent?

  Yes

  No

  N/A

• The place where work at height is done is safe?

  Yes

  No

  N/A

• Equipment for work at height is appropriately inspected?

  Yes

  No

  N/A

• The risks from fragile surfaces are properly controlled?

  Yes

  No

  N/A

• The risks from falling objects are properly controlled?

  Yes

  No

  N/A

Provision and Use of Work Equipment (PUWER)

• Provision and Use of Work Equipment Regulations 1998<br>Health and Safety at Work etc. Act 1974

  Compliant

  Non-Compliant

  N/A

• You must ensure that the work equipment provided meets the requirements<br>of PUWER

  Yes

  No

  N/A

• Suitable for use, and for the purpose and conditions in which it is<br>used?

  Yes

  No

  N/A

• Maintained in a safe condition for use so that people’s health and safety is not at risk?

  Yes

  No

  N/A

• Inspected in certain circumstances to ensure that it is, and continues to be, safe for use. You must ensure that a competent person carries out the inspections and that a record is kept until the next inspection.

  Yes

  No

  N/A

Workplace Safety

• Health and Safety at Work etc. Act 1974<br>Workplace (Health, Safety & Welfare) Regulations 1992<br>Management of Health and Safety at Work Regulations 1999

  Compliant

  Non-Compliant

  N/A

• Undertake regular routine health and safety building checks and regular<br>formal recorded health and safety inspections to ensure the following items<br>are provided and maintained to the level required by legislation. Formal<br>recorded health and safety inspections must be carried out quarterly as a<br>minimum:

  Yes

  No

  N/A

Health

• Ventilation

  Yes

  No

  N/A

• Temperatures in indoor workplaces

  Yes

  No

  N/A

• Work in hot or cold environments

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Cleanliness and waste materials

  Yes

  No

  N/A

• Room dimensions and space

  Yes

  No

  N/A

• Workstations and seating

  Yes

  No

  N/A

Safety

• Maintenance

  Yes

  No

  N/A

• Floors and traffic routes

  Yes

  No

  N/A

• Falls into dangerous substances

  Yes

  No

  N/A

• Transparent or translucent doors, gates or walls and windows

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

• Doors and gates

  Yes

  No

  N/A

• Escalators and moving walkways

  Yes

  No

  N/A

Welfare

• Sanitary conveniences and washing facilities

  Yes

  No

  N/A

• Drinking water

  Yes

  No

  N/A

• Accommodation for clothing and facilities for changing

  Yes

  No

  N/A

• Facilities for rest and to eat meals

  Yes

  No

  N/A

• Yes

  No

  N/A

Part B – Building Services Statutory, Mandatory & Essential Schedules of Maintenance

• Gas & Oil fired boilers, appliances heaters & Controls

• Inspect clean and report any defects on boilers, flues and ancillary equipment

  Date

• Inspect, clean, service, adjust and overhaul boilers and flues, controls and ancillary equipment

  Date

• Arrange thorough examination report by a competent person

  Date

• Annual Landlords CP12 Gas Safety Inspection & Gas Certificate for all gas-fired installations required.

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Pressure vessels

• The Pressure Systems Safety Regulations 2000, The Pressure Equipment Regulations 1999

  Compliant

  Non-Compliant

  N/A

• A Written “Scheme of Examination” by a competent person is mandatory for most pressure systems as a requirement of the Pressure System Safety Regulations 2000. A trained and competent person must examine the pressure system in accordance with the Written Scheme of Examination

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• LPG installations

• Carry out a visual inspection, testing, calibration and servicing and provide proper records suitable to meet HSE requirements

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Gas detection equipment

• Refer to BS EN 50073 (BSI 1999) clauses 6.4, 7 & 8 and COGDEM (1999)

  Compliant

  Non-Compliant

  N/A

• Date of last inspection (Frequency of maintenance, testing and calibration is to be guided by the manufacturer/supplier)

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Fuel oil storage tanks and pipework

• Control of Pollution (Oil Storage)(England) Regulations 2001 - These regulations require anyone in England who stores more than 200 litres of oil to provide more secure<br>containment facilities for tanks etc. to prevent oil escaping into the environment.

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Sewage plant

• The Water Resources Act 1991 as amended by The Environment Act 1995 Consent to Discharge section stipulates that ‘a log of maintenance shall be kept for inspection by Agency Officers for a period not less than five years’. The 2002 Building Regulations Part H2 states that ‘regular maintenance and inspection should be carried out in accordance with the manufacturers instructions’ and ‘the owner is legally responsible to ensure that the system does not cause pollution, a health hazard or a nuisance.’

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• L.E.V. Systems

• All works to be carried out in strict accordance with HSE publications HS(G)37, HS(G)54<br>respectively and Control of Substances Hazardous to Health Regulation 9 (COSHH) 2002. Only competent persons (as defined by the COSHH Regulation 2002) will be authorised to carry out Inspection and Testing.

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Lifts and lifting equipment including: Mechanical and Electrical. Passenger & Goods Lifts/Disabled Manual Lifting equipment/hoists/ropes/ slings/etc.

• The Lifting Operations and Lifting Equipment Regulations (LOLER) 1998 apply to any lifting equipment used at work for lifting or lowering loads whether it is goods or people, including all attachments used for anchoring, fixing or supporting it.

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 6 months?

  Pass

  Fail

  N/A

• Air Supply Handling Systems

• Workplace (Health, Safety & Welfare) Regulations 1992, Sections 4 & 5

  Compliant

  Non-Compliant

  N/A

• Hygiene maintenance - Annually: Conduct hygiene inspection of air handling systems components and internal areas.

  Date

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Abrasive wheels

• Provision and Use of Work Equipment Regulations 1998 (PUWER 98), Supply of Machinery (Safety) Regulations 1992 (as amended) and HSE’s Guidance Document ‘Safety in the Use of Abrasive Wheels’ (HSG17)

  Compliant

  Non-Compliant

  N/A

• Have you informed and adequately trained those involved in the use, mounting, and supervision of persons to mount abrasive wheels?

  Yes

  No

  N/A

• Have you recorded relevant details of the above training and distribution of information, instructions, etc.?

  Yes

  No

  N/A

• Do you have a procedure/system for maintaining your grinding machine?

  Yes

  No

  N/A

• Do you keep records of maintenance/inspections of machines?

  Yes

  No

  N/A

• Do you provide & maintain suitable eye protection/shields/dust protection?

  Yes

  No

  N/A

• Do you provide suitable storage for abrasive wheels?

  Yes

  No

  N/A

• Do you check that safety precautions are being observed?

  Yes

  No

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Fire suppression equipment

• Fire extinguishers BS5306 Part 3: 2003

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Fixed electrical installations

• The electricity at work regulations 1989, BS 7671: 2001 Requirements for electrical installations. IEE Wiring Regulations 17th edition. Electricity at work - safe working practices HSG85 (Second edition) HSE Books 2003 ISBN 0 7176 2164 2 and guidance notes INDG231

  Compliant

  Non-Compliant

  N/A

• Date of testing and inspection of fixed electrical installations in areas of the building jointly used by the public.

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Testing and inspection of fixed electrical installations of whole building

  Date

• Statutory inspection within 5 years?

  Pass

  Fail

  N/A

• Portable electric appliances

• Maintaining portable and transportable electrical equipment HSG107 (Second edition) HSE Books 2004 ISBN 0 7176 2805 1 and Maintaining portable electrical equipment in offices and other low-risk environments INDG236 HSE Books 1996

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 24 months?

  Pass

  Fail

  N/A

• Lightning conductors

• Lightning protection, conductor systems should be visually inspected and tested at regular intervals in accordance with the recommendations of the British Standard 6651-1999.

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Emergency lighting

• British Standard 5266: Part8, 2004 (BS EN 50172:2004) – Emergency Lighting Systems and Regulatory Reform (Fire Safety) Order 2005

  Compliant

  Non-Compliant

  N/A

• Daily visual check to ensure that emergency lighting systems are operating correctly and that indicators are working. This will be carried out by the ‘responsible person’ delegated to the task by the Head of Facilities. Any faults should be logged and corrected asap.

  Yes

  No

  N/A

• Monthly – Check all luminaires for signs of damage or disrepair. Briefly test all emergency lights to ensure that they operate in the event of mains electricity supply failure. This will usually be carried out by the ‘responsible person’. Any faults should be logged and corrected asap.

  Yes

  No

  N/A

• 6-monthly – 3rd of battery duration discharge test and inspection.

  Yes

  No

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Annually – A full system inspection and duration/discharge test of the emergency lights should be performed by a ‘competent person’, this being a person with the necessary skills, training and knowledge to perform emergency lighting maintenance and servicing. Compliance with BS5266 should be considered and produced in the emergency lighting certification report. Any faults should be rectified.

  Yes

  No

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Fire alarm systems

• Regulatory Reform (Fire Safety) Order 2005, British Standards BS 5839:2002

  Compliant

  Non-Compliant

  N/A

• Weekly – user tests consisting of the operation of one manual call point ensuring that the alarm panel processes the fire signal and operates the alarm sounders, with a record of each test in the company’s log book. This should be combined, for Grade A systems, with periodic inspection and testing of the system by a ‘competent’ person based on a risk assessment.

  Yes

  No

  N/A

• 3-Monthly – Service, test and inspections of control panels etc. Carry out maintenance in accordance with BS5839

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 3 months?

  Pass

  Fail

  N/A

• 6-Monthly – Full test, inspection and maintenance of the whole system to be conducted and a certificate issued by the specialist contractor

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 6 months?

  Pass

  Fail

  N/A

• Security / Access systems & CCTV

• Annually - Carry out a full test, inspection, service and maintenance of system.

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Hot & Cold Water Services

Hot water systems

• Arrange for samples to be taken from hot water calorifiers drain valve, in order to note condition of drain water and test for legionella

  Compliant

  Non-Compliant

  N/A

• Check temperatures in flow (>60.0°C) (LBM 66.0°C) and return (>50.0°C) (LBM 55.0°C) pipework at calorifiers. Check water heaters are operating at 60.0°C (LBM 66.0°C)

  Compliant

  Non-Compliant

  N/A

• Check water temperature at one minute to see if it has reached >50.0°C (LBM 55.0°C) in the sentinel taps. If sentinel tap is TMV protected then measure the temperature to the TMV at one minute.

  Compliant

  Non-Compliant

  N/A

• Visually check on internal surfaces of calorifiers for scale, sediment and sludge.

  Compliant

  Non-Compliant

  N/A

• Check representative taps for temperature as above on a rotational basis

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

Cold Water Systems

• Check cold-water storage tank water temperature remote from the float valve and mains water temperature at the float valve. Note maximum temperatures recorded by fixed max/min thermometers where fitted. (Desired <20.0°C)

  Compliant

  Non-Compliant

  N/A

• Check that temperature is below 20.0°C after running the water for up to two minutes at the sentinel taps.

  Compliant

  Non-Compliant

  N/A

• Visually inspect cold-water tanks for rust, algae, contamination, stagnation, bio films etc. and carry out remedial work where necessary.

  Compliant

  Non-Compliant

  N/A

• Check all cold water taps (as for sentinel) for temperature (desired <20.0°C) on a rotational basis.

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 6 months?

  Pass

  Fail

  N/A

Showerheads

• Dismantle, clean, descale and disinfect showerheads and hoses

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 3 months?

  Pass

  Fail

  N/A

Little Used Outlets

• Flush through and purge to drain immediately before use, without release of aerosols

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within the last 7 days?

  Pass

  Fail

  N/A

Legionella sampling

• A specialist contractor is to take samples from all risk assessment identified high risk locations for analysis by an accredited laboratory

  Yes

  No

  N/A

• Date of last inspection

  Date

• Statutory inspection within the last 12 months?

  Pass

  Fail

  N/A

TMV’s, Mixing valves and Thermoscopic taps

• Conduct a fail-safe test on every installation. Ensure water from outlets is controlled to <41.0°C.

  Yes

  No

  N/A

• Date of last inspection

  Date

• Statutory inspection within the last 12 months?

  Pass

  Fail

  N/A

• General Repairs to Building Fabric – Internal & External

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Intruder alarm systems

• Carry out a full test, inspection, service and maintenance of the system

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Kitchen Extract/Ventilation systems

• Gas Safety (Installation and Use) Regulations 1998 & ACOP L56: These Regulations will apply to gas appliances found in most catering premises. Some gas appliances will be a type (known as type B) that requires a flue to comply with the Regulations. Where extraction is provided to serve that purpose it will be considered to be a flue and will require an appropriate interlocking system connecting the airflow to the gas supply.

  Compliant

  Non-Compliant

  N/A

• Gas interlocking system

  Compliant

  Non-Compliant

  N/A

• Ductwork clean

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Emergency call systems

• Specialist contractor to work to the following: BS EN 60950-1:2006 Information technology equipment – safety, BS7671: 2001 Requirements for Electrical Installations, IEE Wiring Regulations. 17TH Edition HS (G) 107 Maintaining portable electrical equipment, BS EN 61000 Electromagnetic Compatibility, Electromagnetic Compatibility Amendment Regulation 1995, Electricity at Work Regulation 1989

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 6 months?

  Pass

  Fail

  N/A

• Automatic Doors

• BS 7036:1996 is the code of practice for safety at powered doors for pedestrian use. It is published in five parts, part one is general, parts two to five are specific to door type. It is not a mandatory requirement to adhere to its recommendation but it is a generally accepted wisdom to do so and most often a specified requirement. Should an action be brought as the result of an incident the standard will certainly be referenced by investigators

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Activity & Play Equipment

• In House – Monthly: Conduct a visual inspection for integrity, wear, damage, and security and report any defects to the Facilities Team. Decommission items until suitable repairs have been made.

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 1 month?

  Pass

  Fail

  N/A

• Machinery & Dangerous machines

• The Provision and Use of Work Equipment Regulations 1998 and The Supply of Machinery (Safety) Regulations 2008 must be read and strictly adhered to for all workshop equipment and machines used on the premises.

  Compliant

  Non-Compliant

  N/A

• Before each use: Conduct a visual inspection for integrity, wear, damage, security, safety and report any defects to the Head of Facilities. Decommission items until suitable repairs have been made

  Pass

  Fail

  N/A

• Annually – Conduct a safety test and inspection and any specialist servicing and maintenance tasks required.

  Pass

  Fail

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• Access equipment – Ladders and Stepladders

• Working At Height Regulations (WAHR) spells out the need to check and maintain ladders. WAHR are not requiring anything new, but they are clearly stating the general requirements of PUWER to maintain and inspect work equipment (Regulations 5 and 6 (2)).

  Compliant

  Non-Compliant

  N/A

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A

• All other building services

• Date of last inspection

  Date

• Statutory inspection within 12 months?

  Pass

  Fail

  N/A