Title Page
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Audit Number
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Area Conducted
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Prepared by
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Conducted on
Vital Rules- Are we 'compliant' (do we work within all sub items within the rules)?
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Never Let anyone stand under a suspended load
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I am always vigilant behind the wheel?
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I am a responsible pedestrian
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Working at heights, no margin for error
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No machine use without safety on
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Specific risks: I protect myself
HiPo / LTA
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Have we received any relevant (to our area) Lost time accidents (LTA) or High Potential events (HiP0) from group
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Has this been briefed or actioned?
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Do we have a mitigation plan in place or is it resolved?
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Do we need to escalate?
Deviations
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Have all recorded safety deviations been actioned and resolved?
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Can we resolve this ourselves?
Risk Assessment
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Are all Risk assessments reviewed and up to date?
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When do we expect this to be resolved
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Do all Red Risks have mitigation and a plan to close?
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Do we need to escalate?
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Do all potential high risk activities (eg lone working) have rigid controls?
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What activity are you concerned with?
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Do we need to escalate?
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Have all Ergonomic Assessments been completed for the required actions?
Emergency Control
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Do we have a suitable amount of First Aid cover for the area (1 per 20 employees. These could be within the department or local vicinity. Consider personnel moves/holidays)
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Are there a suitable number of trained fire marshals in the area (1 per 50 employees)?
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Do all team members know the fire alarm and evacuation procedure?
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Do all team members know the fire assembly point for your area?
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Do all team members know where to find the First Aider / Mental Health First Aider / Fire Marshall Info?
Control of Change Management
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Are there any changes imminent within your area? (Examples of Change Management: new team members requiring workspace/ Is external work taking place/Is the arrival of new equipment or processes).
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Is this change controlled in relation to HSE requirements
Working Environment
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Is your area a suitable environment for the task (lighting, temperature, noise, facilities, air quality)
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What is the safety concern?
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Are routes to fire exits clear of obstructions and easily opened?
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Are fire extinguishers in date and anti tamper tags still intact?
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Are floors in good state of repair and unobstructed?
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Are walkways clear of obstructions and trip hazards?
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No trailing electrical & IS cables / all cables bound and off floor.
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Are the correct waste streams in the correct bins?
Work Equipment
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Desk space 5S?
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Storage areas clearly identified & in use?
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All employees HSE inducted?
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All workstations DSE assessed?
Low Carbon Checks
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Have we switched off when not in use: Heating/air con, lights, P/C's and machinery etc.
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Are windows and doors closed in cooler months? (Roller shutter doors/internal doors and windows)
Sign Off
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Please add any corrective actions to the appropriate questions above before completing this report.
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Have all required corrective actions been added as actions to this inspection?
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Managers Signature
