• Summary of significant activities and buildings inspected.

1. Insurance

  • Employers liability insurance (provide policy number, date and insurer).

  • Public liability insurance (insert policy number, date and expiry).

2. Induction Process

  • Is there an induction programme?

  • Insert details of last person inducted and areas covered (if applicable).

3. Health And Safety Policy

  • Who is the Director responsible for health and safety?

  • Who is responsible for day-to-day health and safety?

  • Health and safety policy in place?

  • Date of last policy review?

  • Arrangements in place to address risk assessment, training, emergency procedures and consultation?

  • Are monitoring arrangements in place to ensure the effectiveness of the safety management system?

  • Is there a procedure in relation to safeguarding?

  • Is there a training plan relating to health and safety in place across the organisation?

4. Risk Assessment

  • Are risk assessments on place for significant activities / tasks?

  • Who conducts the risk assessments and what training have they received?

  • Is there a need for a young persons risk assessment?

  • Fire risk assessments in place, suitable and sufficient (less than 12 months old)?

5. Fire Safety

  • Are fire instructions clearly displayed?

  • Are fire extinguishers provided, suitably positioned and serviced within the last year?

  • Are there maintenance procedures in place for fire alarms, detection systems and emergency lighting?

  • Has a fire drill been conducted and the results recorded within the last 6 months?

  • Are employees provided with basic fire safety awareness training?

  • Have fire wardens and deputies been appointed for each area or department?

6. Asbestos Management

  • Was the building erected before 2000?

  • If answering yes to the previous question has an asbestos survey been carried out?

  • Did the survey identify any asbestos containing materials (acm's)?

  • Has an asbestos register and management plan been put in place?

  • Are arrangements in place to communicate the presence of asbestos to contractors?

  • Have personnel on-site received appropriate training?

7. Environment

  • There is adequate ventilation?

  • Area is free from odors?

  • Temperature is comfortable?

  • Lighting is adequate?

  • Is there adequate space for all personnel and equipment in the area?

8. Emergency Procedures

  • Written evacuation procedures and exits displayed?

  • Escape routes and emergency doors are clear?

  • Procedures are in place for isolated workers?

  • Emergency and hazard signage is clearly visible?

  • Are spill kits for hazardous substances available?

9. First Aid Facilities

  • Has a first aid assessment been conducted and the results recorded?

  • Are there appropriate first aid and emergency facilities in the near vicinity and workers' are aware of them?

  • Kits are clearly signed, stocked and contents are in-date?

  • Names and contacts of first aiders, displayed and up to date?

10. General Facilities

  • Washing facilities are clean and functional?

  • Are the stairs, passageways and store rooms well lit?

  • Warning and safety signage is in good condition?

  • Walls, windows, doors and furniture are in good condition?

  • External areas adequately maintained and suitably lighting provided?

  • Laundry area clean, tidy and well ventilated?

  • Equipment and procedures are in place for infection control?

11. Manual Handling

  • Where applicable manual handling Standard Operating Procedures (SOP) are available?

  • Step ladders or safe steps are available to access light items stored on high shelves?

  • All manual task-related incidents have been adequately risk assessed and control measures implemented and reviewed?

  • Trolleys or mechanical hoists are available and are being considered for inanimate heavy items or loads?

  • Personnel conducting manual handling have received appropriate training?

  • Small aids or mechanical equipment are available and are being considered for the moving and handling of people?

12. Storage

  • Are materials stored in racks and bins wherever possible and not above shoulder height?

  • Is storage designed to minimize lifting problems i.e. heavy objects not stored on upper racks?

  • Is racking securely fixed to floor or wall?

13. Slips And Trips

  • Flooring is of the correct type and adequately maintained in a suitable condition?

  • Warning signs are available and erected near spills?

  • There are special provisions for slip resistance in wet areas?

  • Guard rails and slip resistance are provided on ramps and stairs?

  • Walkways are free of hazards, such as electrical leads?

14. Electrical Safety

  • All portable equipment has current certification or test tags?

  • Residual current devices (RCD) are installed at switchboards or into fixed sockets? (it should be clearly marked on socket)

  • Flexible cord, plugs and extension leads are in good condition and have either moulded or transparent type plugs?

  • Power points are suitable for the location and are positioned safely?

  • Power boards used, not double adapters?

  • Faulty equipment is tagged out or removed from use?

  • Portable RCD devices are available and have been tested?

  • Has a fixed installation test of the building and external facilities been conducted within the required timescales?

15. Chemical Aspects

  • MSDS (not older than 5 years) are available for workers reference and included in the hazardous substances register?

  • There is an up to date easy to find and read list/register summary of all chemicals used?

  • Actions have been taken to control risks. For example, an investigation has been done to find out whether an alternative safer chemical is available?

  • A coshh assessment has been completed for all chemicals and harmful substances stored and used at the workplace?

  • Origional containers have the manufacturer's label?

  • Chemicals stored according to compatibility i.e. in flammable or corrosive cabinets?

  • Are there any flammable gases on site, if so what are the storage facilities available?

  • Are minimal amounts of corrosives stored, and/or used?

16. Personal Protective Equipment

  • Required PPE is available?

  • Instruction and information on PPE use is available?

  • PPE store available well maintained and in good condition?

  • Signage of PPE requirements displayed on equipment?

17. Noise And Vibration

  • Has a risk assessment been conducted on activities where noise or vibration may effect workers?

  • Control measures have been put in place to reduce the risk of injury as a result of noise and vibration?

  • Workers have received information and training in relation to noise from the workplace?

18. Legionella

  • Is there a hot water storage system on site?

  • Is there a cold water storage system on site?

  • Are the temperatures of the sentinel taps recorded?

  • Have there been any significant changes to the pipe work system?

  • Is there a shower on site, if so is there a procedure for flushing it through periodically?

  • Is a written scheme of examination required to manage the risk of legionella?

19. Display Screen Equipment

  • Have users of DSE been identified?

  • Have DSE self assessments been conducted?

  • Is there a policy on the provision of eye sight tests and spectacles where necessary?

  • Have users received instruction on the correct setting up of their workstation and the reporting of defects and health problems?

20. Company Vehicles

  • Does the organisation have any company vehicles (cars, vans etc.)?

  • Is the employees driving license sighted and copies obtained for company records?

  • Are vehicle checks carried out by employees and records maintained?

  • Are vehicles maintained in accordance with the manufacturers recommendations?

  • Has a risk assessment for driving company vehicles been conducted?

  • Is there a policy in place relating to the use of company vehicles, travel distances etc.?

  • Does the organisation permit the use of personal vehicles for business use?

  • Where personal vehicles are used does the company request and hold copies of insurances and MOT certificates?

21. Gas Safety

  • Have gas boilers been serviced within the last 12 months?

  • Are there any LPG systems on site,? If so detail quantities, storage and method of delivery to point of use?

  • Are there any underground LPG pipe work systems on the site?

  • Are there any other compressed gases on site (if yes, specify)?

  • Is there an emergency plan to deal with leaks / fires?

22. Violence And Aggression

  • Is there a policy in place?

  • Has a risk assessment for violence and aggression been conducted and recorded?

  • Have there been any incidents of violence or aggression reported?

23. Managing Contractors

  • Is an approved list of contractors available?

  • Are risk assessments obtained before carrying out any works?

  • Are contractors provided with basic health and safety information before starting work?

  • Are contractors issued with and sign an induction checklist?

24. Pharmacy

  • Are schedule 2 & 3 substances suitably secured?

  • All other medicines and supplies are stored in a designated, suitable location?

  • Drugs requiring temperature controlled storage are kept below 8*C and records retained to support this?

  • Spill kits available for chemotherapy drugs?

  • The destruction and disposal of schedule 2 drugs is authorised by an appropriate authority and recorded?

  • Receipt and issue of controlled drugs recorded where appropriate?

25. Work Equipment

  • All equipment is in good order and adequately maintained?

  • Critical equipment is under a maintenance / service agreement?

  • Staff have received training in the use of critical equipment?

  • A SOP and / or a risk assessment is available for significant activities?

26. Radiation

  • The Ionising Radiation Regulations are available?

  • Company radiation protocols are available?

  • The designated Radiation Protection Adviser has been identified?

  • The Radiation Protection Supervisor has been identified?

  • Designated persons for radiography have been identified and are trained and competent?

  • Dosage meters are worn and the results retained for inspection (not above 2 mSv per annum or 0.75 mSv in a single wear period)?

  • Maintenance and inspection procedures in place for ionising equipment?

  • Pregnant women identified and excluded from X-ray area?

  • Protective clothing available and stored correctly?

  • Appropriate warning signage on display in the area?

27. Waste Management

  • Is the site registered with the Environmental Agency as a producer of hazardous waste?

  • Are contracts in place for various waste categories?

  • Is waste segregated correctly (hazardous, pharmaceutical, sharps etc.)?

  • Is a copy of the waste carriers licenses held on file?

28. Pressure Systems

  • Are there any systems on site that are covered by the the Pressure Systems Safety Regulations?
    (If yes, please identify. eg autoclave)

  • Is there a written scheme of examination in place?

  • Are safe operating procedures display at the point of use?

  • Has an annual inspection of the equipment been conducted by a competent person and retained on file?

29. Significant Findings

  • The action plan provided at the beginning of this report will provide information as to how improvements can be achieved. As a consultancy and training company specialising in helping organisations to be compliant with their legal health and safety responsibilities, we can help with any of the recommendations or other services you may require.

31. Confirmation Of Issue And Receipt Of Report

  • This assessment will be valid upon completion of the follow-up actions and recommendations and will remain so unless there is a change to the premise/processes or a change in legislation that effects the fire safety arrangements.

  • Select date

  • Clients Representative

  • UKHSE Representative

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