Internal Health and Safety Compliance Audit V5

Information

Document No.
Service being audited
Conducted on
Prepared by
Location
Personnel

Availability of Health and Safety to those working with the Project

Each site should ensure that a board has been nominated to display the H&S information including The Health and Safety at Law ' What you need to know' notice, fire evacuation plan, names of Fire Wardens and First Aiders.
Is Health and Safety information made available to those working in the project?
Select type
- Incorrect law poster
- FA list inaccurate
- FW list inaccurate
- No Evacuation Plan
- Evacuation Plan inaccurate
- Visitor info not displayed
Recommendations
Target date for compliance
Completion Signature
The 2009 H&S poster must be displayed. Wardens and First Aiders named must presently work at the service. Evacuation plan must reflect current operations
Is the information displayed on the board in date?
Select type
- Incorrect law poster
- FA list inaccurate
- FW list inaccurate
- No Evacuation Plan
- Evacuation Plan inaccurate
- Visitor info not displayed
Recommendations
- The New H&S law poster must be requested from Lyreco
- The named wardens and First Aiders must be refreshed
- The Evacuation Plan must be posted up
- The Evacuation Plan must be reviewed and re-published with current information
- Project still retains it's 5 set folders
- Project has no need for a folder ( Not operating from CRI premises)
- Site newly opened
Target date for compliance
Completion Signature

Training

Every regular worker on the premises must have been given a basic induction including procedure for evacuation in an emergency.

CRI has a duty of care to ensure the safety of all it's staff, Volunteers and Peer Mentors and suitable and sufficient training in areas of safety underpin this duty.
Sample staff to validate findings

Records must be available to confirm this.
Have all staff, volunteers, Peer Mentors received formal induction into the service, including evacuation?
Select type
Recommendations
Target date for compliance
Completion Signature
A primary control measure in staff safety is that everybody is suitably trained for their role. Training such as aggression management. De-escalation, conflict resolution are all examples of training required.
Is evidence available confirming staff are suitably trained for their roles?
Service to create a training compliance matrix to highlight what training is required or is be of benefit to the staff.
Target date for compliance
Completion Signature
Have all staff undertaken a workstation self assessment?
Select type
Recommendations
Target date for compliance
Completion Signature

System Compliance

Internal Requirements

Underpinning the various policies in place are a number of specific local requirements that management are required to monitor.
This category of questions seeks to ensure that these areas are being appropriately managed.
Does the service offer complementary therapies?
Please list the therapies being offered.
Have the practitioners been registered to practice with CRI?
Applications to practice must be submitted to the health and Safety team as soon as possible
Target Date for Compliance
Have all frontline staff and volunteers been inoculated or offered inoculation against Hep B?
All staff, volunteers or sessional workers who work directly with service users are encouraged and supported to undergo inoculation.
As an employer CRI cannot make it mandatory, however it does expect staff to make an informed decision in whether or not they wish to be inoculated.
Target Date for Compliance
Have COSHH assessments been created for chemicals stored or used on site?
Where contract cleaners are employed. The company is required to submit these assessments.
For any other hazardous substances. Health and Safety team to offer advice.
Target Date for Compliance
Do staff working for the service travel between sites and partner agencies by car?
Have staff submitted copies of their current MOT and motor insurances to local management in the last 12 months?
Staff who use their own vehicles to travel between sites or to external meetings during normal working hours must have submitted a current MOT for their vehicle along with insurance documentation confirming they are insured for business use.
Request all staff who travel during the day using their own cars to submit a copy of their MOT and insurance.
Target Date for Compliance

Housekeeping

Building safety

Where CRI owns or holds a lease or occupies offices it has a responsibility to ensure these facilities are suitable for use and are managed correctly to protect the safety of staff, Volunteers, Peer Mentors and service users.
In this section evidence is required to ensure that the requirements set out in the Management System are being adhered to.
Has the service a red Fire and Premises Safety Record Folder?
- The New H&S law poster must be requested from Lyreco
- The named wardens and First Aiders must be refreshed
- The Evacuation Plan must be posted up
- The Evacuation Plan must be reviewed and re-published with current information
- Project still retains it's 5 set folders
- Project has no need for a folder ( Not operating from CRI premises)
- Site newly opened
Recommendations
Target date for Completion
Completion Signature
Has the service records of monthly premises inspections?
Inspections must commence immediately. If training is required, contact the Health and Safety Team who will provide guidance
Target date for Completion
Completion Signature
Does a history of inspections exists, and have actions arising been addressed and closed off?
Inspections must record actions and these must be signed off when completed. This forms a pivotal record of safety issues being identified, reported and rectified.
Are all work areas kept tidy and uncluttered?
Photo evidence
The workplace should be kept tidy. Personal belongings should be stored away either in lockers or draws. Paperwork no longer needed should be archived appropriately or stored in filing cabinets
Target date for Completion
Completion Signature

Fire safety

Statutory Tests

Are there records of visual extinguisher checks?
Visual inspections must commence immediately and be recorded in section 9 of the service Fire and Premises Safety Folder.
Date of last engineer inspection visit
Observations
Are there records of monthly emergency lighting checks?
inspections must commence immediately and be recorded in section 10 of the service Fire and Premises Safety Folder.
Date of last engineer inspection visit
Observations
Gas Boiler inspections
Date of last inspection visit
Observations
5 Year fixed wiring inspection
Date of last inspection visit
Observations
Portable Appliance Testing (PAT) undertaken on a 2 year cycle from 2014
Date of last electricians inspection
Observations
Summary of Recommended Actions

Asbestos and Legionella

It is a legal obligation on occupies in business premises to ensure that risk assessments are carried out to identify firstly if asbestos exists in the building, or that water supplying the premises has the potential to harbour the legionella bacteria.
Such assessments are carried out by competent licensed companies. Decisions on actions are made following these assessments.
Has an asbestos risk assessment been undertaken for this building?
Is asbestos present in areas of occupation?
Has an legionella risk assessment been undertaken for this building?
Are water temperature checks carried out?
Concerns
Recommended Actions
Target date for Compliance
Completion signature
Copy of temperature check records
Is there water storage on site?
Is a cleaning regime in place?

Fire Safety

Keeping the building safe from fire not only protects staff, volunteers, peer mentors and service users it protects a vital asset to the organisation. Without a building many services would be unable to operate
Services are required to either hold their own or participate with other occupies in a building an evacuation drill. The CRI Fire Safety Policy dictates this should be done at least every 6 months.
Has an emergency evacuation drill been undertaken in the last 6 months?
Arrangements for a drill must be made and the outcome recorded in section 11 of the Fire and Premises Safety Folder
Date for completion
Completion Signature

Operational Safety

Operational safety

Every CRI service must ensure that hazards are appropriately identified, measured and effective controls are in place. CRI requires that services create A local Datix Risk Register.
Has the service a local Operational Health and Safety Risk Register?
Is there evidence of consultation with those directly affected by the H&S risks identified?
Teams must be consulted on the content of the risk register where they are identified as being exposed to the risk. Consultation can be done through one-to-one or team IG meetings.
Target date for completion
Completion Signature.
Consultation evidence required from team interviews or team IG meeting minutes.
Does the service undertake other activities outside the day to day service activities?
- Cycling club
- Cookery
- Painting (Arts & Craft)
- Painting (Decorating)
- Hiking/ Nature Walks
- Sowing club
- Football (5 a-side)
Are current suitable and sufficient risk assessments in place?
Areas for concern which must be addressed
Target date for Completion
Completion Signature
List of activities, risk assessment dates & version numbers. Confirmation that those managing these activities have read and understood the control measures required.

Business Continuity

Emergency Preperation

Every service should have processes in place to manage emergency situations. Responding to an emergency helps to mitigate the effect on individuals and the service.
What type of assistance alarms are used in this service?
Are alarms checked periodically?
Regular testing of equipment is required. Confirmation of these tests must be recorded in section 12 of the Fire & Premises Safety Folder.
Target date for Completion
Date of last recorded test
Do the service have protocols to respond to a panic alarm- within or outside the service.
Copy of the protocol
Request template for a protocol from the Health and Safety team.
Plan and carry out a panic alarm response drill
Target Date for Compliance

Business Continuity

Every service is required to plan for the possibility of disruption. This disruption may come from the availability of staff or buildings but also from external sources such as security alerts or environmental factors such as snow.
Has the service a current Business Continuity Plan?
Is the plan current?<br>
The plan must be reviewed to ensure it has current information. It should be given an issue number and a copy should be available off-site so as to be accessible in an emergency.
You would define current by whether those listed as key staff still work for CRI in the same capacity. Whether it has an issue number and date that is within 6 months of the audit date. If the alternative work locations still offered the same accommodation.
A Business a Continuity Plan must be created immediately and reviewed periodically to ensure it is current.
Date for Completion
Completion Signature

Incident Management

Reporting Incidents, Accidents or Near Misses

The CRI system allows for electronic recording of any incidents, accidents or near misses. Datix is the electronic portal where these records are processed
Has the service reported incidents on Datix in the last 6 months?
Current Dashboard for the service
Comments
Target date for completion