Insurance Liability Audit Rev 1.1 - duplicate

• Request No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Persons Present

Summary Page

• Assessor Comment

• Key Issues

Company Information / Profile

• Profile

• Employee Numbers

• Competent Person (Employed or Consultant)

• Turnover

• Wage-roll

• Business Trend

• Claims History

Policy Exclusions/Limitations/Information

• Are all policy exclusions, limitations and information correct?

  Yes

  No

  N/A

• Comment:

• n/a - Does not apply to this company
  0 - No evidence of compliance
  1 - In early stages of development/minimal evidence/anecdotal
  2 - Evidence available - out of date/incomplete
  3 - Evidence of full compliance/best practice
  

• Observations - statement of facts recorded by the assessor from evidence provided at the time of the audit
  
  Requirements - risk improvements that need to be undertaken by the insured to ensure conformity with the policy requirements (to be completed within 30 days)
  
  Recommendations - risk improvements suggested by the assessor to ensure conformity with legislation and regulations ( to be completed during the course of the policy)
  

• SECTION A - HEALTH AND SAFETY MANAGEMENT

Management Understanding of Responsibilities

• Have Directors been trained in their health and safety responsibilities?

  n/a

  0

  1

  2

  3

• Have all Managers/Supervisors been trained in their health and safety responsibilities?

  n/a

  0

  1

  2

  3

• Does the company have adequate access to competent advice?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Health and Safety Training and Development

• Are all new starters inducted?

  n/a

  0

  1

  2

  3

• Are all new starters given departmental or site inductions?

  n/a

  0

  1

  2

  3

• Is health and safety included in the employee appraisal process?

  n/a

  0

  1

  2

  3

• Are employees being provided with adequate training for the tasks they carry out?

  n/a

  0

  1

  2

  3

• Is all health and safety training recorded and signed for? (Consider task, industry and statutory training)

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Security

• Does the business have appropriate perimeter protection from trespassers?

  n/a

  0

  1

  2

  3

• Does the company have appropriate entry/exit security?

  n/a

  0

  1

  2

  3

• Are there appropriate arrangements for visitors?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Control of Contractors

• Are Contractors health and safety standards vetted prior to engagement?

  n/a

  0

  1

  2

  3

• Are Contractors inducted prior to starting work?

  n/a

  0

  1

  2

  3

• Is Contractors performance reviewed during and after the project/task?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement

• Recommendation:

Accident and Incident Management

• Are the details of all accidents/incidents recorded?

  n/a

  0

  1

  2

  3

• Are there procedures for identifying and reporting incidents to the HSE/EHO?

  n/a

  0

  1

  2

  3

• Is there a procedure for accident/incident investigation?

  n/a

  0

  1

  2

  3

• Are the findings of accident/incident investigations implemented?

  n/a

  0

  1

  2

  3

• Are accident/incident statistics produced and reviewed by the directors?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

• SECTION B - RISK MANAGEMENT SYSTEMS

Health and Safety Documentation

• Does the company have a suitable and current health and safety policy?

  n/a

  0

  1

  2

  3

• Does the company have suitable and sufficient risk assessments?

  n/a

  0

  1

  2

  3

• Does the company have COSHH assessments for substances being used in the workplace?

  n/a

  0

  1

  2

  3

• Does the company have adequate manual handling assessments?

  n/a

  0

  1

  2

  3

• Are there records of the communication of health and safety documentation with employees?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Working Practices

• Does the company produce documented safe systems of work for tasks?

  n/a

  0

  1

  2

  3

• Does the company implement appropriate permit to work systems?

  n/a

  0

  1

  2

  3

• Are working practices in line with industry best practice standards?

  n/a

  0

  1

  2

  3

• Are working practices adequately managed/supervised?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Work Equipment

• If any of the following are applicable, score according to the overall management of the work equipment in accordance with regulations, industry best practice, manufacturers instruction, risk assessments, safe systems of work, inspection and maintenance

• Mobile Plant - including excavators, dumpers, fork lift trucks

  n/a

  0

  1

  2

  3

• Compressors

  n/a

  0

  1

  2

  3

• Fixed Machinery - including guarding

  n/a

  0

  1

  2

  3

• Work at Height Equipment - including mobile towers, podiums, stepladders, ladders

  n/a

  0

  1

  2

  3

• PPE

  n/a

  0

  1

  2

  3

• Electrical Equipment - fixed and portable

  n/a

  0

  1

  2

  3

• Scaffolding

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Occupational Health

• Do employees complete medical questionnaires?

  n/a

  0

  1

  2

  3

• Are all records/evidence of medical examinations kept?

  n/a

  0

  1

  2

  3

• Are all records of medical surveillance kept?

  n/a

  0

  1

  2

  3

• Asbestos - does the company come into contact with asbestos during the course of their undertakings? If so is there adequate management including safe systems of work and training?

  n/a

  0

  1

  2

  3

• Vibration- is vibration an issue in the work place? If so is there adequate management including safe systems of work and training?

  n/a

  0

  1

  2

  3

• Noise - is noise an issue in the work place? If so is there adequate management including safe systems of work and training?

  n/a

  0

  1

  2

  3

• Lead - does the company come into contact with lead during the course of their undertakings? If so is there adequate management including safe systems of work and training?

  n/a

  0

  1

  2

  3

• Drug and Alcohol - does the company have a clear policy and procedures suitable to the undertakings on the business?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Workplace

• Is the workplace set-up suitable for the company undertakings?

  n/a

  0

  1

  2

  3

• Has fire safety been given adequate consideration? (Consideration given to fire risk assessment, detection, equipment, access, egress, lighting, drills)

  n/a

  0

  1

  2

  3

• Are good housekeeping standards evident at the company premise or other workplaces?

  n/a

  0

  1

  2

  3

• Have adequate arrangements been made for the segregation of vehicles and pedestrians?

  n/a

  0

  1

  2

  3

• Observation:

• Requirement:

• Recommendation:

Signature of those in attendance

• POS Auditor

  Sign

• Insured or Representative

  Sign

• Insurance Broker

  Sign

• Comments from the Insured (or representative)

• Comments from the Broker