Information

  • Audit Title

    Health & Safety Vetting Form

  • Company Name and Address.

  • Location
  • Conducted on

  • Select date

  • Prepared by

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

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.