Information

  • Document No.

  • Month

  • Conducted on

  • Prepared by

  • Location

General Site

  • A. Signing In.

  • 1. Is a visitors book available?

  • 2. Has it been used?

  • When visitors are on site, what monitoring is carried out?

  • B. Safety Briefing.

  • 1. Are details of evacuation procedures given to visitors?

  • 2. Do you explain the sound of the fire alarm to visitors?

  • 3. Is there a written procedure to support this?

  • 4. Do you inform all visitors that they MUST sign out?

  • C. Statutory Notices.

  • 1. Are all notices displayed in a prominent position?

  • 2. Are statutory/safety notices displayed separately from general information?

  • 3. Is the H&S Law Poster on display in a prominent place?

  • 4. Are all sections completed correctly?

  • 5. Is the H&S General Policy Statement on display?

  • 6. Is the current Certificate of Employers Liability Insurance on display?

  • 7. Is there a current list of site first aiders on display?

  • 8. Is there a current list of fire wardens on display?

  • Other Observations?

  • Actions required to rectify

Accident Reporting & Recording

  • A. Accident Book

  • 1. Do all staff know where the accident book is kept?

  • 2. Do all of your staff understand the process for reporting accidents?

  • B. Reporting of accidents & RIDDOR

  • 1. Have there been any RIDDOR instances this month?

  • 2. Has all the necessary accident information been passed on?

  • 3. Do they correspond to the accident book entries?

  • 4. Is there evidence that all necessary information is sent to the HSS Manager within the required time frames?

  • 5. Is there evidence that accident and incident forms have been completed where necessary and sent to the HSS Manager within 5 days?

  • Other observations?

  • Actions required to rectify

Hazards & Risks

  • A. Hazards

  • 1. For all hazards that are not easily rectifiable, are the necessary action plans/documentation in place?

  • 2. Are near misses reported/documented and actioned accordingly?

  • Other Observations?

  • Actions required to rectify

Lone Working

  • Staff in centre

  • Are there any activities that involve lone working for staff in centre?

  • Is there a clear reporting mechanism for lone working issues at the Doncaster site?

  • Has there been any lone working issues for the Doncaster site this month?

Induction & Training

  • A. Induction

  • 1. Do all employee files contain fully completed and signed employee induction records?

  • 2. Has this information been stored in a secure location or on a secure medium?

  • 3. Are the Next of Kin records up to date?

  • 4. Is ongoing refresher training conducted and documented in employee files?

  • 5. Do employee files contain certificates for all internal/external courses attended?

  • 6. Are training records present for the following?

  • i. First Aiders?

  • ii. Appointed Persons?

  • iii. Fire Wardens?

  • 7. Does the site have qualified Manual Handling Trainers?

  • 8. Are there any areas which require specialised/specific H&S training?<br><br>If Yes, please enter below

  • Other observations

  • Actions to rectify

Health & Safety Communication

  • A. Communicating

  • 1. Are H&S briefings/information displayed for all staff?

  • 2. Have your staff reported any H&S issues to you?

  • 3. Have you acted on this?

  • Other observations

  • Actions to rectify

First Aid

  • A. First Aid

  • 1. Who is responsible for checking all first aid boxes this month?

  • How many first aid boxes are there on site?

  • Where are they located?

  • 3. Are the first aid boxes accessible to all staff at all times?

  • 4. Are all first aid boxes correctly stocked according to the guidance card?

  • 5. Do any of the boxes contain prohibited items?

  • 6. Is there a first aid box checking schedule in place?

  • 7. Is the current list of first aiders/fire wardens up to date?

  • 8. Are copies of the first aiders/appointed persons records up to date?

  • 9. Is there adequate first aid cover at all times necessary?

  • Other observations

  • Actions to rectify

Electrical, Plant & Machinery

  • A. Electricity & Plant

    Are up to date testing, servicing & maintenance certificates/records available for the following?

  • 1. Portable Appliance Testing?

  • 2. Boilers & Heating?

  • 3. Roller shutter doors?

  • 4. Mains electrical switchgear/distribution boards? ( every 5 years)

  • B. Portable Appliance Testing

  • 1. Is a current register held on site?

  • 2. Are all items tested?

  • 3. Are all items listed?

  • 4. Are all items within date?

  • 5. Do all items have approved labels?

  • 6. Have all items that have failed testing been repaired, replaced or scrapped?

  • C. Isolator switches/cupboards/meters

  • 1. Are all isolator switches free from obstruction?

  • 2. Is there easy access?

  • 3. Are all switch rooms/switchgear/cupboards clear of combustible materials?

  • 4. Are all electrical cupboards/rooms securely locked?

  • D. Ladders/steps

  • 1. Are all ladders and mobile steps, maintained in good order and checked/documented either monthly or pre-use?

  • 2. Are all ladders and mobile steps numbered?

  • Other observations

  • Actions to rectify

Policy & Risk Assessments

  • A. H&S manual

  • 1. Is the Health and Safety Manual available & updated accordingly?

  • B. Risk Assessment

  • 1. Have general risk assessments been carried out for all operations?

  • 2. Do the risk assessments accurately reflect all work activities? (If no, please state what action plans are in place to address this)

  • Other observations

  • Actions to rectify

Outside Areas and Waste Disposal

  • A. Outside Areas

  • 1. Is there sufficient lighting in the exterior compound?

  • 2. Do all outside lights work?

  • 3. Is the compound generally clean, tidy and hazard free?

  • B. Dept Waste Disposal

  • 1. What type of waste is disposed of?

  • 2. What disposal methods are used?

  • 3. What is the name(s) of the contractor(s) used to dispose of this waste?

  • Other observations

  • Actions to rectify

Restrooms and Kitchens

  • A. Restrooms

  • 1. Are cleaning agents etc. suitably stored?

  • 2. Is the COSHH file/ Safety Data Sheets readily available for cleaning agents etc?

  • 3. Is the area clean and floor free from spillage & trip hazards?

  • 4. Are hygiene standards being maintained?

  • 5. Is the fridge clean?

  • Other observations

  • Actions to rectify

Offices, Walkways & Toilets

  • A. Offices and Walkways

  • 1. Are ALL offices & classrooms clean &tidy?

  • 2. Is the floor even and free from trip hazards? (Trailing cables, boxes, loose/damaged tiles etc.)

  • 3. Are combustible materials stored away from portable heaters?

  • 4. Does all available lighting work?

  • 5. Are all PC User workstations suitable for the task?

  • 6. Is CAT 2 lighting installed where required? (If no, please specify)

  • B. Toilets

  • 1. Are the toilet areas clean, tidy and well maintained? (If no, please specify)

  • Other observations

  • Actions to rectify

Corridors and Stairs

  • A. Corridors

  • 1. Is general housekeeping satisfactory?

  • 2. Are floors even and unbroken?

  • 3. Are the walkways clear and unobstructed?

  • B. Stairs

  • 1. Is general housekeeping satisfactory?

  • 2. Are floors even and unbroken?

  • 3. Are tiles/carpets/flooring satisfactory?

  • 4. Are handrails secure?

  • 5. Are stairs clear and unobstructed?

  • Other observations

  • Actions to rectify

Fire Procedure, Equipment and Testing

  • A. Fire procedures, equipment and testing

  • 1. Does the site have an up to date fire risk assessment?

  • 2. Are fire alarms tests completed weekly and documented in the fire log?

  • 3. Is the fire log book accessible and up to date?

  • 4. Are fire evacuations being carried out (2 per year) and documented in the fire log?

  • 5. Are all fire extinguishers sited, signed and fixed correctly?

  • 6. Are all fire appliances/equipment, tested and documented? (Extinguishers and emergency lighting)

  • 7. Are service/maintenance records and certificates available for all fire appliances/equipment?

  • 8. Are all fire exit doors unlocked and checked, for ease of opening? (Checks documented)

  • 9. Are all fire exits free from obstruction?

  • 10. Is all safety signage visible?

  • 11. Are fire instructions posted adjacent to fire exits?

  • Other observations

  • Actions to rectify

Action plans

  • Please add any information here that has not been covered in previous sections.

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