Hippodrome Bingo Club Monthly Health & Safety Report

• Conducted on

  Date

• Prepared by

• Client / Site

• St. Helens, Corporation Street WA10 1EQ
  Address

• Personnel

1. Outside Building

• 1.1 - Walkway round the club in good repair?

  Yes

  No

  N/A

• 1.2 - Exits Clear?

  Yes

  No

  N/A

• 1.3 - No weeds/rubbish around club?

  Yes

  No

2.0 - Exit Doors

• 2.1 Correctly Signed?

  Yes

  No

  N/A

• 2.2 Any Obstructions?

  Yes

  No

• 2.3 - Panic Bars Operational?

  Yes

  No

  N/A

• 2.4 - Doors Open Freely?

  Yes

  No

  N/A

3.0 - Passages/Stairs

• 3.1 - Correctly Signed?

  Yes

  No

  N/A

• 3.2 - In good repair?

  Yes

  No

  N/A

• 3.3 - Any Obstructions?

  Yes

  No

4.0 - Electrics

• 4.1 - Any obvious defective wiring?

  Yes

  No

• 4.2 - All plugs and sockets in working order?

  Yes

  No

  N/A

• 4.3 - Lighting levels adequate?

  Yes

  No

  N/A

• 4.4 - Secondary lighting in working order?

  Yes

  No

  N/A

• 4.5 - Is portable appliance available

  Yes

  No

  N/A

• 4.6 - Date of last portable test?

  Yes

  No

  N/A

5.0 - Building Fabrics

• 5.1 - Are all carpets in good condition?

  Yes

  No

  N/A

• 5.2 - All floors free from defects?

  Yes

  No

  N/A

• 5.3 - All stairways free from defects?

  Yes

  No

  N/A

• 5.4 - All seating in good repair?

  Yes

  No

  N/A

• 5.5 - All balustrades in good condition?

  Yes

  No

  N/A

• 5.6 - Ceiling in good repair?

  Yes

  No

  N/A

6.0 - Electric plant room

• 6.1 - Is plant room correctly signed?

  Yes

  No

  N/A

• 6.2 - Plant room clear of combustibles?

  Yes

  No

  N/A

• 6.3 - Plant room clear of any obstructions?

  Yes

  No

  N/A

7.0 - Boiler Room

• 7.1 - Is the Boiler Room correctly signed?

  Yes

  No

  N/A

• 7.2 - Is the Boiler Room clear of combustibles?

  Yes

  No

  N/A

• 7.3 - Is the Boiler Room clear from obstruction?

  Yes

  No

  N/A

8.0 - Roof

• 8.1 - Is there safe access to the roof?

  Yes

  No

  N/A

• 8.2 - Is there any defects to the roof/access?

  Yes

  No

  N/A

9.0 - Roof Voids

• 9.1 - Is there safe access to the roof voids?

  Yes

  No

  N/A

• 9.2 Is there adequate lighting in voids?

  Yes

  No

  N/A

• 9.3 - Is roof void clear of debris?

  Yes

  No

  N/A

• 9.4 - Are cross members clearly marked?

  Yes

  No

  N/A

• 9.5 - Are there adequate cat walks?

  Yes

  No

  N/A

• 9.6 - Is there safe access for lamp change?

  Yes

  No

  N/A

• 9.7 - Are hard hats available?

  Yes

  No

  N/A

• 9.8 - Is access correctly signed?

  Yes

  No

  N/A

10.0 - Ladders/Steps

• 10.1 - Is all equipment in good working order?

  Yes

  No

  N/A

• 10.2 - Has monthly inspection been completed?

  Yes

  No

  N/A

11.0 - Firefighting Equipment

• 11.1 - Are all extinguishers fixed with wall brackets?

  Yes

  No

  N/A

• 11.2 - Are fire blankets available?

  Yes

  No

  N/A

• 11.3 - All safety tags fitted on extinguishers?

  Yes

  No

  N/A

• 11.5 - Date of last equipment inspection?

  Yes

  No

  N/A

12.0 - Protective Clothing

• 12.1 - Are industrial gloves available?

  Yes

  No

  N/A

• 12.2 - Are goggles available?

  Yes

  No

  N/A

• 12.3 - Appropriate apron in beer cellar?

  Yes

  No

  N/A

13.0 - Lifts

• 13.1 - Is max safe working load displayed (swl)

  Yes

  No

  N/A

• 13.2 - Do lift doors open freely?

  Yes

  No

  N/A

• 13.3 - Any obstructions?

  Yes

  No

• 13.4 - All lift controls are in working order?

  Yes

  No

  N/A

• 13.5 - Is the lift correctly signed?

  Yes

  No

  N/A

• 13.6 - Date of last maintenance check?

  Yes

  No

  N/A

• 13.7 - Date of last inspection?

  Yes

  No

  N/A

• 13.8 - Is lift access correctly signed?

  Yes

  No

  N/A

14.0 - Bar/Kitchens

• 14.1 - Floors free from grease/hazards?

  Yes

  No

  N/A

• 14.2 - Are wires/cables secure?

  Yes

  No

  N/A

• 14.3 - All tiles clean/grease free?

  Yes

  No

  N/A

• 14.4 - Any cracked tiles?

  Yes

  No

  N/A

• 14.5 - All shelves/surfaces secure?

  Yes

  No

  N/A

• 14.6 - Cleaning materials stored away from food?

  Yes

  No

  N/A

• 14.7 - Anti pest controls in place?

  Yes

  No

  N/A

15.0 - Cellar/Chill rooms

• 15.1 - All routes clear of obstructions?

  Yes

  No

  N/A

• 15.2 - All appropriate notices displayed?

  Yes

  No

  N/A

• 15.3 - Cooling equipment in order guards fitted on fans?

  Yes

  No

  N/A

• 15.4 - Any excessive noise from chiller units/ice machine?

  Yes

  No

• 15.5 - Barrel movers available?

  Yes

  No

  N/A

• 15.6 - Is the ice machine clean?

  Yes

  No

  N/A

16.0 - Service valves/isolators

• 16.1 - Is water stop cock accessible?

  Yes

  No

  N/A

• 16.2 - Is gas shut off valve accessible?

  Yes

  No

  N/A

• 16.3 - All electrics clearly labeled and accessible?

  Yes

  No

  N/A

• 16.4 - Are key staff aware of all above locations?

  Yes

  No

  N/A

17.0 - First Aid

• 17.1 - Are all first aid boxes correctly stocked?

  Yes

  No

  N/A

• 17.2 - Are there sufficient trained first aiders on site?

  Yes

  No

  N/A

18.0 - Documentation Checklist

• 18.1 - Fire equipment certificate?

  Yes

  No

  N/A

• 18.2 - Emergency lighting certificate?

  Yes

  No

  N/A

• 18.3 - H&S law poster?

  Yes

  No

  N/A

• 18.4 - First Aid Notice?

  Yes

  No

  N/A

• 18.5 - Fire procedure notice displayed?

  Yes

  No

  N/A

• 18.6 - Certificate of employer liability?

  Yes

  No

  N/A

• 18.7 - COSHH sheets displayed?

  Yes

  No

  N/A

• 18.8 - Fire door chains log book?

  Yes

  No

  N/A

• 18.9 - Date of last fire drill?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Manager's signature

  Sign