Company Details

  • Company contact email

  • Number of full-time employees

  • Number of part-time employees

  • Nature of business

Employers Liability Insurance

  • Insurers name

  • Policy number

  • Expiry date

  • Select date

  • Type of work carried out at workplace location

  • Main contact name

  • Main contact telephone number

  • Health and safety contact name and number

  • Learner name(s)

  • Supervisor(s) name(s)

  • Enforcement actions prosecutions or notices?

  • Health and safety committee/safety representation

Health and safety standards:

  • 1. Health and safety policy

  • A. Is there a clear commitment to health, safety and welfare (written policy statement mandatory when five or more employees)?

  • B. Are the responsibilities for health and safety clearly stated (recorded when five or more employees)?

  • C. Our arrangements for health and safety clearly stated (recorded when five or more employees)?

  • How are the commitment, responsibilities and arrangements for health and safety (in 1A - 1C above above) communicated to employees?

  • Assessment of standard 1

  • 2. Risk assessment and control

  • A. Have risk assessments being carried out and significant risks identified?

  • B. Have the significant findings and details of any groups identified as being especially at risk being recorded (this is optional where there are fewer than five employees)?

  • C. Have control measures been identified and put in place as a result of the risk assessments?

  • D. Do the risk assessments take into account young persons, including giving consideration to their age, inexperience, immaturity and lack of awareness of risks?

  • E. Give details of the risks and control measures relating to the occupations and the specific activities carried out in the workplace.

  • F. How are the risks and control measure is explained to employees and others?

  • G. Are risk assessments reviewed e.g. in light of the findings from the monitoring activities?

  • Assessment of standard 2

  • 3. Accidents, incidents and first aid.

  • A. Have adequate arrangements for first aid materials been made?

  • B. Have adequate arrangements for trained first aid persons been made?

  • C. Are accidents and first aid treatment rendered recorded?

  • D. Are or will all legally reportable learner accidents, incidents and ill-health be reported to the enforcing authority and the Skills Funding Agency, and will they be investigated to enable suitable remedial action to be taken?

  • E. How are the arrangements for accidents, incidents, ill-health and first aid made known to all employees?

  • Assessment of standard 3

  • 4. Supervision, training, information and instruction.

  • A. Are employees provided with adequate competent supervision?

  • B. Is the initial health and safety information, instruction and training given to all new employees on recruitment?

  • C. Is ongoing health and safety information, instruction and training provided to all employees?

  • D. Is health and safety information, instruction and training recorded?

  • E. How is the effectiveness of health and safety information, instruction and training assessed, and is the assessment recorded?

  • Assessment of standard 4

  • 5. Work equipment and machinery.

  • A. Is the correct machinery and equipment provided to the appropriate standards?

  • B. Is equipment adequately maintained?

  • C. Are guards and control measures in place as determined through risk assessments?

  • D. Are safe electrical systems and equipment maintained?

  • Date last tested.

  • Assessment of standard 5

  • 6. Personal Protective Equipment & Clothing.

  • A. Is PPE/C provided, free of charge, to employees as determined through risk assessment?

  • B. Is training and information on safe use of PPE/C provided to all employees?

  • C. Is the proper use and storage of PPE/C enforced?

  • D. Is PPE/C maintained and replaced?

  • Assessment of standard 6

  • 7. Fire and emergencies.

  • A. Has a fire risk assessment been completed?

  • B. Are there appropriate means of raising the alarm, fire detection and fire fighting equipment in place?

  • C. Are effective means of escape in place including unobstructed routes and exits?

  • D. Is there a named person(s) for emergencies?

  • E. Is fire fighting equipment, preventive measures and emergency arrangements, including through tests and practice fire drills in place?

  • Date fire extinguishers last tested.

  • F. Is a fire log/record book kept?

  • Assessment of standard 7

  • 8. Safe and healthy working environment.

  • A. Are premises (structure, fabric, fixtures and fittings) safe and healthy (suitable, maintained and kept clean)?

  • B. Is the working environment (temperature, lighting, space, ventilation, noise) an appropriate safe and healthy one?

  • C. Are welfare facilities (toilets, washing, drinking, eating, changing) provided as appropriate and maintained?

  • D. How is exposure to hazards from physical, chemical and biological agents controlled?

  • Assessment of standard 8

  • 9. General health and safety management.

  • A. How does the employer consult and communicate with employees and allow them to participate in health and safety?

  • B. Does the employer provide medical / health screening as appropriate and any required medical / health surveillance?

  • C. Does the employer have access to competent health and safety advice and assistance?

  • D. Does the employer review health and safety annually?

  • E. Does the employer display all the necessary signs and notices? (please enter details below)

  • Does the ELI cover Public Liability? (If NO please enter details below)

  • Insurers name, policy number and expiry date

  • G. How does the employer assess, review and update employees' capabilities?

  • H. How does the employer manage employees' work when it is away from the employers own premises or when employees are placed with another employer/site?

  • Assessment of standard 9

  • Equality & Diversity

  • A. Is there a written policy for equal opportunities or equality and diversity?

  • B. If NO, would company like a copy of provider policy?

  • Safeguarding

  • A. Is there a written policy for Safeguarding?

  • B. If NO, would company like a copy of provider policy?

  • Health & Safety Assessment Outcome:

  • Recommendation

  • Risk category

The employer or their representative, please sign below to agree that this is an accurate record of the assessment.

  • Add signature

  • Job title

  • Date

Funded organisation assessor please sign below to agree that this is an accurate record of the assessment.

  • Add signature

  • Job title

  • Health And Safety Qualifications

  • Date

Quality assured by

  • Name

  • Job title

  • Date

  • Assessment type

  • Review Date

ACTION PLAN

  • Reference number(s)

  • Action(s) required

  • By who?

  • Target date

  • Action plan prepared by

  • Agreed by

  • Signature of employer representative

  • Date

  • Review date 1

  • Review date 2

  • Review date 3

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