Title Page
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Conducted on
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Prepared by
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Position
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Site Name
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Location
HSF04a Checklist
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Site Address
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Week Commencing
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Weather Conditions
- Wind
- Rain
- Snow
- Ice
- Dry
- Other
Fire
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Fire escape doors and routes clear of obstructions and well lit
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Fire doors kept closed, operational and in good condition
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Fire extinguishers provided where necessary, accessible, not discharged and maintained
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Clear access to dry risers, call points and alarm panel
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Combustibles stored in containers away from the building - not accumulating in voids
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No electrical hazards, e.g. exposed live terminals
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Fire alarms checked weekly and any remedial work completed
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Emergency lighting checked and functioning
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Fire panel free from obvious faults
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Fire log available, maintenance records are up to date and remedial work completed
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Smoke Vents, closed no damage to unit or call point
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Spot Check
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Date Section Completed
Lifts and Escalators
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Escalators operating and no obvious faults
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Lifts levelling correctly, no slip/trip hazards
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Lift alarms / telephones operating
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Spot Check
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Date Section Completed
Slips, Trips and Falls
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Internal and external pedestrian routes and stairs well lit
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Surfaces free from holes, spillages and other slip / trip hazards
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Entrance mats provided, maintained and free from slip trip hazards
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All stairs checked - nosing’s intact, secure handrail, minimal debris
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Permanent obstructions at head height or below knee level highlighted/padded.
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Gritting arrangements are in place between Oct & April
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First aid kits provided and fully stocked
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Drain covers intact/in good condition, free of slip, trip, fall hazards for persons walking and in push chairs/wheelchairs
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Spot Check
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Date Section Completed
Building Fabric
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No loose tiles, damaged brick work, loose cladding, structural fire damage
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Staircases, fixed ladders and fire escapes free from damage
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Boundary fencing in sound condition no damage.
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Glazing/windows free from damaged / broken glass
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Spot Check
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Date Section Completed
General Housekeeping
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Lighting in accessible areas operating
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No storage / stacking that could collapse or materials that could fall
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Absence of overgrown trees, shrubs or fallen leaves, moss on paths
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Surfaces free of excessive bird droppings
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No obvious rat or bird activity in void areas
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Internal routes free from accumulated debris
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Refuse areas clean and tidy - storage is away from the building
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Void areas are secure, i.e. locked and properly boarded up
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Signage in place e.g. fire, crossings, speed limits, asbestos roofs etc
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Signposts, flag poles and bolted fixings properly secured
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No loose or unsecured posts
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Visitor’s log being completed and identification badges are being issued
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Welfare facilities in good condition, e.g. toilets, drinking water, changing facilities, workstations etc
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Keys removed from on-site vehicles and other such equipment when not in use
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Edge protection/lifebelts around deep water provided and maintained
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Spot Check
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Date Section Completed
Car Parks and Service Areas
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Car parks and service areas free of potholes, obstructions, spillages and debris
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Areas well lit, any blown bulbs are listed on your defects log
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Fire doors and exit routes free of obstruction
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Drainage covers intact
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Speed limit signs in place and speed humps clearly identified
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Traffic routes free from obstructions to drivers vision
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Barriers and gates checked and are secure, no damage to gate or securing points
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Traffic markings / parking bays clear
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Keys removed from compactors, on-site vehicles and other such equipment when not in use.
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Spot Check
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Date Section Completed
Plant Rooms and Workshops
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Plant Rooms, riser cupboards and workshops locked when not in use
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Ventilation and lighting provided and working
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Work equipment and materials stored safely
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Rubber mats provided in front of control panels
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Water tanks, sumps, pits etc. are covered
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Noise control areas identified and ear protection provided
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Spot Check
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Date Section Completed
Maintenance and Contractors
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Contractors / maintenance working in a segregated area
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Safety documentation provided and accurate, e.g. permissions, permits
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Machinery guards are in place, e.g. lifting gear, belts, fans etc
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Current thorough examination reports for lifting equipment available and remedial action completed.
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Lift cards are being completed at the correct intervals and there are no recurring issues
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Lift telephones/remote monitoring systems are operating effectively
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Water log book available, maintenance and monitoring records up to date and remedial action completed.
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Fire log book available, maintenance and monitoring records up to date and remedial action completed.
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M&E log book available, maintenance and monitoring records up to date and remedial action completed.
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Spot Check
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Date Section Completed
Roof and Falls from Height
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Roof/tower/tank access and fixed ladders kept locked /secured.
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Key control system working effectively
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Free from slip/trip hazards and general debris / litter
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Edge protection checked, in sound condition
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Cradles/lifting gear secured to prevent unauthorised use and covered to minimise weather damage
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No unguarded drops
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Ladders maintained and secured to prevent unauthorised use
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Spot Check
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Date Section Completed
Children Areas
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Equipment, surfaces etc. clean and free from damage, spillages etc
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Spot Check
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Date Section Completed
Asbestos Risk Monitoring
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The asbestos containing materials marked and in good condition.
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The Asbestos Register has had an update in the last twelve months
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Spot Check
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Date Section Completed
CCTV
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Has the time and date been checked for accuracy on the CCTV system
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Is the CCTV system fully functional
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Has a playback check been carried out (Once a week from footage more than 24 hours old)
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Is there a clear line of sight from all cameras (i.e. no obstructions)
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Is the CCTV documents and Procedure up-to-date
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Date Section Completed
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Spot Check
Accidents
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Any accidents have been recorded, investigated and reported to the H&S team
Previous Checklist
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Last month’s checklists were completed and the actions closed
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The checklist must be signed off Monthly in the space below by the individual responsible for ensuring that works listed above are actioned
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Please add signature