HS&S Internal Inspection Form ED5a (Medium & High Risk)

• Site - Building - Area/Location

• Conducted on

  Date

PREVIOUS INSPECTION

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Are there any outstanding actions from previous inspection?

  Yes

  No

  N/A

1A. HEALTH & SAFETY

• Do staff know where to find the H&S Policy & relevant Procedures?

  Yes

  No

• Is a current H&S Law Poster displayed centrally with correct details reflected?

  Yes

  No

  N/A

• Is the H&S notice board up to date/correct?

  Yes

  No

  N/A

1B. FIRE PREVENTION

• Are evacuation procedures displayed & understood by all?

  Yes

  No

  N/A

• Are extinguishers in place, signage displayed & clearly marked for the type of fire?

  Yes

  No

  N/A

• Are fire extinguishers clear from obstructions?

  Yes

  No

  N/A

• Can the fire alarm easily be heard by all?

  Yes

  No

  N/A

• Is adequate fire evacuation signage displayed?

  Yes

  No

  N/A

• Are exits kept clear?

  Yes

  No

  N/A

1C. WORK AREAS & BENCHES

• Are areas clear of rubbish?

  Yes

  No

  N/A

• Are tools, equipment & materials stored away when not in use?

  Yes

  No

  N/A

• Are equipment & tools maintained?

  Yes

  No

  N/A

• Are records retained?

  Yes

  No

  N/A

1D. STORAGE & MOVEMENT

• Is sufficient storage available?

  Yes

  No

  N/A

• Are appropriate storage techniques utilised?

  Yes

  No

  N/A

• Are any vehicles operating in the area?

  Yes

  No

  N/A

• Is appropriate segregation of vehicles & people considered?

  Yes

  No

  N/A

1E. MACHINERY

• Is equipment & machinery kept clean?

  Yes

  No

  N/A

• Are guards in place & in good condition?

  Yes

  No

  N/A

• Are start & stop devices within easy reach of the operator?

  Yes

  No

  N/A

• Is adequate workspace available?

  Yes

  No

  N/A

• Are noise levels controlled?

  Yes

  No

  N/A

• Are operators trained & competent?

  Yes

  No

  N/A

• Is appropriate supervision afforded?

  Yes

  No

  N/A

• Are lock-out procedures in place for equipment being maintained?

  Yes

  No

  N/A

• Are any gas bottles secured?

  Yes

  No

  N/A

1F. ELECTRICAL SAFETY

• Is portable appliance testing in place & in date?

  Yes

  No

  N/A

• Are plugs, sockets & switches in good working order?

  Yes

  No

  N/A

• Are extension leads in use?

  Yes

  No

  N/A

2A. CHEMICAL SAFETY

• Are material safety data sheets available for all chemicals?

  Yes

  No

  N/A

• Are COSHH risk assessments available for all products used?

  Yes

  No

  N/A

• Are all containers appropriately labelled?

  Yes

  No

  N/A

• Are unused substances disposed of?

  Yes

  No

  N/A

• Are staff aware how to arrange disposal?

  Yes

  No

  N/A

• Are extraction units available & appropriately serviced?

  Yes

  No

  N/A

2B. PERSONAL PROTECTIVE EQUIPMENT

• Is PPE provided?

  Yes

  No

  N/A

• Indicate what types of PPE are provided:-

  Select Dust/Vapour Masks Eye Protection Gloves High Viz Overalls Safety Boots/Shoes Other

  • Dust/Vapour Masks
  • Eye Protection
  • Gloves
  • High Viz
  • Overalls
  • Safety Boots/Shoes
  • Other

2C. WORK AT HEIGHT

• Do activities include working at height? If so is training provided?

  Yes

  No

  N/A

• Are ladders in good condition, inspected & appropriately identified?

  Yes

  No

  N/A

• Are records retained?

  Yes

  No

  N/A

• Are non-conductive ladders provided for any electrical work?

  Yes

  No

  N/A

2D. HYGIENE

• Are adequate handwashing facilities provided?

  Yes

  No

  N/A

• Are adequate toilet facilities provided?

  Yes

  No

  N/A

3A. OFFICE HAZARDS

• Have DSE assessments been completed by users with records retained?

  Yes

  No

• Are appropriate chairs available & in good condition?

  Yes

  No

• Are desks in good condition?

  Yes

  No

• Has training on safe use of DSE been provided to all staff?

  Yes

  No

• Have mouse mats been provided to all staff?

  Yes

  No

• Are staff aware of the Specsavers eye care voucher scheme & how to obtain a voucher?

  Yes

  No

• Are there any concerns in relation to safe use of DSE seen at time of this inspection that need addressing?

  Yes

  No

3B. FIRST AID

• Are recognised first aiders available & known?

  Yes

  No

• Are first aid boxes available?

  Yes

  No

• Are contents regularly checked & replenished?

  Yes

  No

• Are first aiders aware how to obtain first aid supplies?

  Yes

  No

• Is appropriate signage displayed to confirm Recognised First Aider details?

  Yes

  No

3C. RISK ASSESSMENT

• Are risk assessments available to all?

  Yes

  No

  N/A

4. SUSTAINABILITY

• Do staff know where to find the Sustainability Policy & relevant Procedures?

  Yes

  No

  N/A

• Are staff aware who to contact for waste disposal?

  Yes

  No

  N/A

• Are staff aware they need to provide all Waste Transfer Notes to the HS&S Technician?

  Yes

  No

  N/A

• Are staff aware of the need to provide all Safety Kleen service visit reports to the HS&S Technician?

  Yes

  No

  N/A

• Are bins regularly emptied?

  Yes

  No

  N/A

• Are the recycling streams clearly identifiable & used appropriately?

  Yes

  No

  N/A

• Are sufficient recycling streams available?

  Yes

  No

  N/A

• Indicate those available:-

  Select Card Paper Plastic Glass Metal Rubble Wood

  • Card
  • Paper
  • Plastic
  • Glass
  • Metal
  • Rubble
  • Wood

• Have any new recycling streams been identified during this inspection?

  Yes

  No

  N/A

• Does the department turn off lights, computers & others electricals overnight & over weekends?

  Yes

  No

  N/A

• Have suitable measures been employed to prevent pollution to land, air & water?

  Yes

  No

  N/A

• Are appropriate spill kits/mats available?

  Yes

  No

  N/A

• Do staff know what procedure to follow if an environmental incident occurs?

  Yes

  No

  N/A

• Is waste reduction, re-use & recycling considered before disposal?

  Yes

  No

  N/A

• Does the department have any specific or hazardous waste to dispose of?

  Yes

  No

  N/A

• Are DECs available & publicly displayed in the main area of the building?

  Yes

  No

  N/A

5. COMPLETION & CORRECTIVE ACTION

• HS&S Technician completing this assessment

• Have any serious defects been identified and entered onto the database?

  Yes

  No

  N/A

• Is there a need to inform Senior Dept Management of these defects?

  Yes

  No

  N/A

• Additional Comments:-

• Audit Photos / Evidence

  Media