Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Risk Management


  • Does the site have current Risk Assessments for all foreseeable generic activities?

  • Does the site have evidence of completing unplanned (task specific activities)?

  • Is there evidence of Risk Assessments being communicated to staff?

  • Are there examples of safe systems of work available for generic activities?

  • Are Permits carried out for high-risk activities?

Incident Management

  • Are incident/accidents investigated adequately?

  • Are all identified actions followed up on and completed within the estimated time frames?

  • Is there evidence that alert information is communicated and signed off?

  • In relation to cascaded alerts have the appropriate action been completed as neccessary

Improvement plans

  • Does the operation have a current Health & Safety improvement plan?


  • Does the site have a recorded inspection scheme regarding Health & Safety

  • Is there a Planned Preventative Maintenance scheme?

  • Is there a scheme to manage defects?

  • Are welfare facilities suitable and sufficient for all persons at the site?

  • Are all buildings and structures assessed for structural integrity by a competent individual?

  • Does the site have a current asbestos survey? (Building & Structures pre 2000)

  • Is there a clear Asbestos management plan

  • Are all findings recorded on an asbestos register?

  • Has a competent person completed a statutory inspection for fixed wiring

  • Is there a clear action plan for all outstanding actions from Statutory Inspection reports?

  • Is there a local electrical safety management scheme?

  • Are all portable appliances tested periodically by a competent individual?

  • Is all lifting equipment and devices subject to statutory inspection by a competent person.

  • Are there any outstanding defects from the statutory inspections for lifting equipment?

  • Is there a written scheme of inspection for all air receivers?

  • Is there a statutory inspection report for all air receivers?

  • Are there any outstanding defects from the statutory inspections for air receivers?

  • Is there a current fire risk assessment performed by a competent person?

  • Is there a clear action plan for the management of actions as detailed in the fire risk assessment?

  • Where boilers are present, are they incorporated into the Fire risk assessment?

  • Is there a specific risk assessment for site security controls?

  • Is there a specific traffic/Pedestrian Management plan with associated procedures?

  • is there evidence of local Emergency Procedures for foreseeable incidents?

  • Have Individuals been trained in the local procedures?

  • Is there evidence of appropriate emergency drills having been conducted?

  • Is there a local procedure for LOTOTO for all relevant hazardous energy sources?

  • Have all relevant personnel received LOTOTO training in accordance with procedures?

Lifting Operations

  • Is there evidnce that all lifting operations assessed by trainied competent individuals?

  • Is there evidence of documented lift plans?

  • Are staff trained in lifting & slinging operations?

  • Is there an appointed person regarding lifting & Slinging?


  • Is there evidence of Pre-qualification of contractors?

  • Is there evidence of a Contractor Induction?

  • Is there a clear process for annual contractor review?

Visitors & Members of the public.

  • Is there a procedure for dealing with Visitors to the site?

  • Is there a Risk Assessment for dealing with group visits?

Workforce Engagement

  • Is there evidence of a safety induction for new starters

  • Is there a current training matrix for all employees?

  • Do all management and supervisory staff have an up to date CPD programme?

  • Is there evidence of periodic toolbox talks having been conducted?

  • Have annual performance reviews (to include Health & Safety elements) been completed with all staff?

  • Are quarterly Health & Safety Meetings Held with Staff Members?

  • At the time of the audit, where was there evidence of Minutes from previous meetings?

  • Is there a written action plan for all actions from the meetings?

  • Is all non-disposable PPE signed for?

Occupational Health

  • Is health surveillance carried out every three years for all employees?

  • Has an occupational dust survey been completed per site within the agreed timeframes?

  • Is there an action plan for any raised actions from occupational dust surveys?

  • Has an occupational noise survey been completed per site within the agreed timeframes?

  • Is there an action plan for any raised actions from occupational noise surveys?

  • Is there a current whole body vibration survey for the site?

  • Is there an action plan for any raised actions from whole-body surveys?

  • Are individuals identified by risk and assessed for Hand & Arm vibration?

  • Is there a specific risk assessment for manual handling activities?

  • Has manual handling training been completed with relevant individuals?


  • Are Material Safety Data Sheets (MSDS) for all product uses available?

  • Have COSHH Assessments been completed for all Hazardous Products?


  • Is there evidence of a current Legionella survey?

  • Is there a Legionella action plan for survey findings?

Untitled Page

Untitled Page

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.