Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Hazardous Observations / Near Misses
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Procedures - Are there any processes in place for the reporting of Hazardous Observations / Near Misses?
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Procedures - Is there any process for the investigation of Hazard Observations / Near Misses?
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Procedures - Does the audited process follow these procedures?
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Documentation - Has part one of the form been filled in correctly by the employee?
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Documentation - Has part two of the form been filled in correctly by the employee's supervisor / manager?
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Documentation - Has the Hazardous Observations / Near Misses Register been updated?
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Documentation - Has the form been closed out by the employee's supervisor / manager?
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Is there evidence for closed out HO's / NM's?
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Are these closed out in a timely manner?
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Has a root cause been identified?
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Where an investigation has been closed out has an effectiveness review been undertaken?
Reporting of Accidents / Incidents
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Procedures - Are there any processes in place for the reporting of Accidents / Incidents?
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Procedures - Is there any process for the investigation of Accidents / Incidents
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Procedures - Does the audited process follow these procedures?
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Documentation - Has part one of the form been filled in correctly by the first aider?
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Documentation - Has part two of the form been filled in correctly by the employee's supervisor / manager?
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Documentation - Has part three been completed correctly by the HSE department?
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Documentation - Has the Accident database been updated?
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Injury Accident documentation - If required, was a review of the corresponding Risk Assessment done?
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Injury Accident documentation - If applicable was the accident / incident reported to the HSE via RIDDOR?
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