HSE Inspection

• Inspection Title

• Site

• Areas covered by the inspection

• Conducted on

  Date

• Report prepared by

• Auditors

• Personnel interviewed

Scope and Purpose

• Overview of Inspection

Previous Inspection

• Has this area been inspected before?

  Yes

  No

• Date of previous Inspection

  Date

• Has the previous inspection report been reviewed?

  Yes

  No

• Have any actions raised been closed out?

  Yes

  No

• Comments on previous Inspection

General Summary

• Comments

Specific Areas

• Area inspected

Area

• Description (name) of area

• Comments

Overall Rating (worst 0 <-> 10 best)

• Housekeeping

Awareness and Provision

• Is there a requirement for PPE in the inspected areas?

  Yes

  No

• Are personnel aware of the PPE requirements?

  Yes

  No

• Is the required PPE available?

  Yes

  No

• Comments

Overall Rating (worst 0 <-> 10 best)

• PPE

Adequacy and Provision

• Are emergency exit routes adequately signposted

  Yes

  No

• Are fire actions clearly identified?

  Yes

  No

• Is fire fighting equipment clearly identified?

  Yes

  No

  N/A

• Are appropriate HSE posters displayed

  Yes

  No

  N/A

• Comments

Overall Rating (worst 0 <-> 10 best)

• Signage

Fire Risk Assessment

• Does the fire risk assessment adequately cover the inspected area?

  Yes

  No

  N/A

• When was the fire risk assessment last reviewed?

  Date

• Who carried out the review (name and job title)

Task Risk Assessments

• Are adequate TRAs in place to cover the activities in the inspected area?

  Yes

  No

  N/A

• Are there personnel trained to carry out TRAs for the inspected area?

  Yes

  No

  N/A

Overall Rating (worst 0 <-> 10 best)

• Risk Assessments

Awareness

• Is there asbestos in the vicinity of the inspected area?

  Yes

  No

• Is it recorded in the asbestos register?

  Yes

  No

• If checks are required, have they been carried out?

  Yes

  No

  N/A

Overall Rating (worst 0 <-> 10 best)

• Asbestos Awareness

Awareness

• Does the inspected area have any water systems with the potential to harbour legionella?

  Yes

  No

Control

• Is there a legionella risk assessment in place

  Yes

  No

• Does the risk assessment cover the risks in the inspected area?

  Yes

  No

• Are there controls in place to minimise the risks in the inspected area?

  Yes

  No

• Are all checks and inspections up to date?

  Yes

  No

  N/A

Overall Rating (worst 0 <-> 10 best)

• Legionella Awareness and Control

Requirement

• Are there any workstations requiring DSE assessment in the area

  Yes

  No

Completed Assessments

• Sample assessments

Workstation

• Workstation

• Any actions still to complete?

  Yes

  No

  N/A

Incomplete Assessments

• Are there any workstations which have not been assessed?

  Yes

  No

General comments

• General comments

Overall Rating (worst 0 <-> 10 best)

• Select from range

Facilities

• What facilities are available for the inspected area?

• Are these facilities checked regularly?

  Yes

  No

• Are all checks up to date?

  Yes

  No

Trained Personnel

• Are there trained first aiders available for the area inspected?

  Yes

  No

• Is their training up to date?

  Yes

  No

• How do people know how to get hold of a first aider?

Overall Rating (worst 0 <-> 10 best)

• Select from range

Requirement

• Is there any requirement for WAH in the inspected area?

  Yes

  No

Planning and Control

• How is WAH planned and controlled?

• Add media

  Media

Records

• What records are kept showing the planning and control of WAH?

• Add media

  Media

Overall Rating (worst 0 <-> 10 best)

• Select from range

Requirement

• Is any work in this area carried out under a PTW (other than facilities)?

  Yes

  No

Adequacy

• Comments on adequacy and completeness of permits

• Examples

  Media

Overall Rating (worst 0 <-> 10 best)

• Select from range

Requirement

• Is there any Lifting equipment used in the inspected area?

  Yes

  No

Equipment

• Equipment

Lifting appliance /accessory

• Equipment description

• Asset number / identifier

• Inspections up to date?

  Yes

  No

General Comments

• General Comments

Overall Rating (worst 0 <-> 10 best)

• Select from range

Adequacy

• Is there adequate light available in the inspected area?

  Yes

  No

Emergency

• Is adequate emergency lighting provided?

  Yes

  No

• When was the emergency lighting last tested?

  Date

• Are there any outstanding issues?

General comments

• General comments

Overall Rating (worst 0 <-> 10 best)

• Select from range

Temperature

• Is the temperature kept at a reasonable level?

  Yes

  No

Air circulation

• Is there adequate circulation of air ?

  Yes

  No

Local Exhaust Ventilation

• Is there any Local Exhaust Ventilation in the inspected area ?

  Yes

  No

• Item

LEV

• Is the LEV test in date?

  Yes

  No

• Date of last inspection

  Date

• Are there any outstanding issues from the last inspection?

General comments

• General comments

Overall Rating (worst 0 <-> 10 best)

• Select from range

Adequacy

• Is the floor covering suitable?

  Yes

  No

Condition

• Is the condition acceptable?

  Yes

  No

Overall Rating (worst 0 <-> 10 best)

• Select from range

Requirement

• Are there any electrical items requiring portable appliance testing in the inspected area?

  Yes

  No

Sample PAT items

• Sample PAT items

Item

• Description

• Test in date?

  Yes

  No

• Add media

  Media

General comments

• General comments

Overall Rating (worst 0 <-> 10 best)

• Select from range

Facilities

• Toilets

• Washing / showers

• Food preparation / provision

• Drinking water

Overall Rating (worst 0 <-> 10 best)

• Select from range

Awareness

• Are people in the inspected area aware of the HOC system and how to use it?

  Yes

  No

Availability

• Are there adequate HOC stations in the area?

  Yes

  No

Overall Rating (worst 0 <-> 10 best)

• Select from range

Availability

• Do the people in the inspected area have access to a safety notice board ?

  Yes

  No

Content

• What is displayed on the safety notice board?

• Add media

  Media

• Is the content up to date

  Yes

  No

Overall Rating (worst 0 <-> 10 best)

• Select from range

Awareness

• Are people in the inspected area aware of how to report incidents and near misses?

  Yes

  No

Overall Rating (worst 0 <-> 10 best)

• Select from range

Requirement

• Is there any COSHH requirement in the inspected area?

  Yes

  No

Assessment

• Sample assessments

COSHH item

• Name of item

• SDS available?

  Yes

  No

• COSHH assessment available?

  Yes

  No

Storage

• Are COSHH items stored appropriately?

  Yes

  No

Overall Rating (worst 0 <-> 10 best)

• Select from range

Hazardous waste

• Is any hazardous waste stored in the inspected area?

  Yes

  No

• Is the storage safe, clearly marked and adequate?

  Yes

  No

• When was hazardous waste last disposed of from this area?

  Date

• Is the appropriate documentation available for this transfer?

  Yes

  No

General waste

• Are there adequate bins or general waste?

  Yes

  No

• Are there adequate bins for recycling waste?

  Yes

  No

• What recycling takes place in the inspected area?

Energy use

• What energy sources are in use?

  Select Electricity Gas

  • Electricity
  • Gas

• What measures are in place to improve energy efficiency?

Overall Rating (worst 0 <-> 10 best)

• Select from range

Additional comments

• Additional Comments

comment

• Comments

Summary of Inspection

• Summary

Findings

• Findings

Finding

• Details of Finding

• Responsible Department

• NOTE: the scheduling, follow up and close out of actions resulting from these findings will be recorded in Q-Pulse

Approval

• Auditor / Inspector

  Sign