Langfields Group

• Conducted on

  Date

• Prepared by

• Location
  Address

Asbestos Management

• A survey has been undertaken to establish whether asbestos containing materials are present in the premises.

  Yes

  No

  N/A

• Work with asbestos containing materials is carried out by licenced contractors.

  Yes

  No

  N/A

• Comments

Battery Charging

• Battery chargers are regularly checked and maintained.

  Yes

  No

  N/A

• Employees have been instructed to immediately report details of any faulty or damaged equipment.

  Yes

  No

  N/A

• Battery charging equipment is in good condition.

  Yes

  No

  N/A

• The battery charging area is well ventilated to ensure that concentrations of flammable gasses do not build up during the charging process.

  Yes

  No

  N/A

• The battery charging area is free from any visible sources of ignition.

  Yes

  No

  N/A

• A suitable fire extinguisher is located in the vicinity of the battery charging area.

  Yes

  No

  N/A

Confined Spaces

• Every effort is made to avoid entry into confined spaces.

  Yes

  No

  N/A

• A safe system of work has been developed for entry into confined spaces.

  Yes

  No

  N/A

• Specific risk assessments have been undertaken on work in confined spaces.

  Yes

  No

  N/A

• A permit to work system is used for all activities or operations that are carried out in confined spaces.

  Yes

  No

  N/A

• Testing / sampling of the atmosphere in the confined space is carried out.

  Yes

  No

  N/A

• Arrangements are made to ensure that the correct equipment is available and checked before entry in to the confined space.

  Yes

  No

  N/A

• A suitable communication link is established.

  Yes

  No

  N/A

• Naked lights, matches or smoking are strictly banned within a confined space.

  Yes

  No

  N/A

• Petrol, diesel or LPG powered equipment is not allowed into the confined space and arrangements are made to ensure that exhaust systems outside are sited away from the opening to the confined space.

  Yes

  No

  N/A

• Whilst workers are in the confined space they are kept under constant observation by an attendant outside.

  Yes

  No

  N/A

• The person keeping watch outside the confined space is capable of summoning assistance rapidly in emergencies, is trained in rescue techniques and does not enter the confined space until assistance arrives.

  Yes

  No

  N/A

• Written procedures are in place to be followed in the event of an emergency

  Yes

  No

  N/A

• Comments

COSHH

• A complete list of all substances hazardous to health used, stored or generated on the premises has been prepared.

  Yes

  No

  N/A

• Supplier’s health and safety data sheets have been obtained for all substances hazardous to health used or stored.

  Yes

  No

  N/A

• A Manager or Supervisor monitors the COSHH control measures at appropriate intervals.

  Yes

  No

  N/A

• Local exhaust ventilation equipment is in use and appears to be adequate.

  Yes

  No

  N/A

• The local exhaust ventilation equipment is thoroughly examined and tested by a competent person at least once in any 14-month period.

  Yes

  No

  N/A

• Suitable records of the examination and testing of local exhaust ventilation equipment are kept for at least 5 years.

  Yes

  No

  N/A

• Hazardous substances are stored safely.

  Yes

  No

  N/A

Display Screen Equipment

• Specific risk assessments have been completed on display screen equipment at workstations where it forms a significant part of the job.

  Yes

  No

  N/A

• Users' activities are planned so that work is periodically broken up by activity changes.

  Yes

  No

  N/A

• Workstation accessories are provided if requested.

  Yes

  No

  N/A

• Suitable seating is provided.

  Yes

  No

  N/A

• Eyesight tests are available for display screen equipment users upon request.

  Yes

  No

  N/A

• Corrective spectacles required by users whilst working at the display screen equipment are provided free of charge.

  Yes

  No

  N/A

• The workspace is arranged to provide safe means of access to and egress from the workstations.

  Yes

  No

  N/A

• Comments

Electrical Safety

• The fixed electrical installation for the premises is inspected and tested at the prescribed intervals by a competent person.

  Yes

  No

  N/A

• The fuses and isolation switches are suitably labelled.

  Yes

  No

  N/A

• All portable electrical appliances are inspected and tested by a competent employee or a contractor.

  Yes

  No

  N/A

• There is an inventory of all items of portable electrical appliances.

  Yes

  No

  N/A

• Employees report details of any damaged or faulty appliances observed, which are taken out of use until either effectively repaired or replaced. Portable electrical appliances are in good visual condition.

  Yes

  No

  N/A

• Residual current devices are fitted to mains electrical supplies within the premises.

  Yes

  No

  N/A

• Adequate electrical sockets are available throughout the premises to minimise the need to have multi-point adapter sockets or extension cables.

  Yes

  No

  N/A

• Single insulated cable runs are properly protected by trunking or conduit.

  Yes

  No

  N/A

• Unobstructed access is provided to all electrical switchgear equipment.

  Yes

  No

  N/A

• Low voltage portable electrical appliances are used where there is an increased risk of electrical hazards due to workplace hazards or environment.

  Yes

  No

  N/A

Fire Safety Management

• The person responsible for fire safety in the premises has been identified.

  Yes

  No

  N/A

• A competent person/persons has been identified.

  Yes

  No

  N/A

• A specific fire risk assessment has been carried out.

  Yes

  No

  N/A

• A fire evacuation drill is undertaken at suitable intervals.

  Yes

  No

  N/A

• The fire warning system provided is adequate for the premises.

  Yes

  No

  N/A

• The fire warning system is serviced and examined by a competent servicing engineer on a six-monthly basis.

  Yes

  No

  N/A

• The fire warning system is tested at weekly intervals.

  Yes

  No

  N/A

• Fire escape routes are clearly identified with the appropriate signs, including directional arrows.

  Yes

  No

  N/A

• Fire escape routes are unobstructed and are readily available for use in an emergency.

  Yes

  No

  N/A

• Fire exit doors are clearly marked with 'Fire Exit' signs.

  Yes

  No

  N/A

• Fire exits are free from obstruction both internally and externally and can be easily opened in the event of an evacuation...

  Yes

  No

  N/A

• Suitable fire extinguishers are provided for the occupancy risks.

  Yes

  No

  N/A

• Fire extinguishers are annually inspected and serviced by a competent person.

  Yes

  No

  N/A

• Employees have been trained on the operational use of portable fire extinguishers.

  Yes

  No

  N/A

• An emergency lighting system is provided for areas where there is no borrowed illumination, or where persons work after the hours of darkness.

  Yes

  No

  N/A

• The emergency lighting system is tested at monthly intervals by in-house personnel.

  Yes

  No

  N/A

• An annual full discharge test of the emergency lighting system is conducted by a competent service engineer.

  Yes

  No

  N/A

• Adequate arrangements are made for the removal and disposal of combustible waste materials.

  Yes

  No

  N/A

• Smoking is only allowed in designated areas.

  Yes

  No

  N/A

• An emergency plan is in place.

  Yes

  No

  N/A

Fork Lift Trucks

• Suitable signs are displayed to warn that fork lift trucks operate in the premises.

  Yes

  No

  N/A

• Audible warning devices are fitted on the fork lift trucks to give warning of movement.

  Yes

  No

  N/A

• An audible warning device is provided on the fork lift trucks to provide additional warning when reversing.

  Yes

  No

  N/A

• Amber flashing lights are fitted to the fork lift trucks to provide additional warning of movement.

  Yes

  No

  N/A

• Checks are made to ensure that audible warning devices and flashing lights are working.

  Yes

  No

  N/A

• Plates detailing the safe working parameters are clearly displayed on the fork lift trucks.

  Yes

  No

  N/A

• Fork lift trucks are restricted to employees who are trained to the prescribed standard by an accredited training provider.

  Yes

  No

  N/A

• Both counterbalance and reach trucks are used on site and staff only use the type of fork lift truck they have been trained on.

  Yes

  No

  N/A

• To prevent unauthorised use, the key is removed from the ignition and kept in a secure place when fork lift trucks are left unattended.

  Yes

  No

  N/A

• All lifts are properly planned beforehand.

  Yes

  No

  N/A

• The fork lift truck is fitted with a restraining belt.

  Yes

  No

  N/A

Gas Supply and Appliances

• Gas pipework is protected from damage by vehicles by the provision of robust barriers or is safe by position.

  Yes

  No

  N/A

• Gas equipment is protected from vehicular damage.

  Yes

  No

  N/A

• Gas pipework is properly supported.

  Yes

  No

  N/A

• Gas equipment is properly supported.

  Yes

  No

  N/A

• The area around the meter and incoming services is kept free from obstruction.

  Yes

  No

  N/A

• In the event of a leak, all reasonably practicable steps are taken to shut off the gas supply and inform the gas supplier.

  Yes

  No

  N/A

• Employees have been specifically instructed on the action to take in the event of a gas leak, on smelling gas in the building and in case of fire.

  Yes

  No

  N/A

• The gas supply isolators are readily identifiable.

  Yes

  No

  N/A

• The gas supply isolators are readily accessible.

  Yes

  No

  N/A

• The premises gas appliances and installation/supply pipes are subject to regular annual inspection by a competent person.

  Yes

  No

  N/A

Health & Safety Management

• A senior manager has taken responsibility for health and safety.

  Yes

  No

  N/A

• A competent person has been appointed internally within the organisation.

  Yes

  No

  N/A

• An adequate Health and Safety Management System has been prepared and implemented.

  Yes

  No

  N/A

• A current Health and Safety Policy Statement is displayed within the workplace.

  Yes

  No

  N/A

• The standards of health and safety are regularly monitored and detailed records kept.

  Yes

  No

  N/A

• Suitable consultation arrangements have been made with employees on health and safety issues.

  Yes

  No

  N/A

• Accidents/incidents are recorded in the Accident Book.

  Yes

  No

  N/A

• All accidents and/or incidents are investigated to determine the probable cause.

  Yes

  No

  N/A

• The details of all accidents entered in the Accident Book are reviewed regularly to identify causation factors/trends etc.

  Yes

  No

  N/A

• No enforcement action has been received in the last 12 months.

  Yes

  No

  N/A

• The employer has identified the health and safety training needs for each of the employees, has arranged for the relevant training to be carried out and has maintained accurate individual training records.

  Yes

  No

  N/A

• Adequate information and instruction is given to employees on health and safety issues.

  Yes

  No

  N/A

• All required statutory notices are displayed in prominent positions.

  Yes

  No

  N/A

• Arrangements are in place for all the required plant and equipment to be thoroughly examined by a competent person at the prescribed intervals.

  Yes

  No

  N/A

• Detailed records of all statutory examination/tests etc., are maintained and they are available for inspection.

  Yes

  No

  N/A

• Health surveillance is provided where the need has been identified by risk assessment.

  Yes

  No

  N/A

• An assessment of first aid needs has been carried out.

  Yes

  No

  N/A

• The findings of the first aid assessment have been implemented.

  Yes

  No

  N/A

• Comments

Highly Flammable Liquids

• The quantity of highly flammable liquid issued to each workstation is limited to half a/one day’s supply.

  Yes

  No

  N/A

• Highly flammable liquids are dispensed from proprietary safety cans or sealed containers which are clearly marked to identify their contents.

  Yes

  No

  N/A

• Storage in the workroom is restricted to below 50 litres in sealed containers kept in a fire resisting cupboard/bin that is clearly marked to identify its contents.

  Yes

  No

  N/A

• A dedicated fire resisting cupboard/bin is used for all storage.

  Yes

  No

  N/A

• The areas where highly flammable liquids are kept or used had been designated as ‘no smoking’ areas, suitable warning signs are displayed and the policy strictly enforced.

  Yes

  No

  N/A

• There are no sources of ignition or combustible materials in areas where highly flammable liquids are kept or used.

  Yes

  No

  N/A

Lifting Equipment & Accessories

• All items of lifting equipment and accessories are suitable for the required task.

  Yes

  No

  N/A

• All lifting operations are properly planned before work commences to reduce the risk of an accident involving the lifting equipment or the load being lifted.

  Yes

  No

  N/A

• Prior to use, lifting equipment and accessories are checked for obvious defects by the user.

  Yes

  No

  N/A

• Lifting equipment is marked with the safe working load.

  Yes

  No

  N/A

• Lifting equipment is marked with a unique identification number.

  Yes

  No

  N/A

• Lifting accessories are marked with their safe working load.

  Yes

  No

  N/A

• Lifting accessories are marked with a unique identification number.

  Yes

  No

  N/A

• There is an inventory of all lifting equipment and accessories showing the specification and date of test.

  Yes

  No

  N/A

• Once used, lifting equipment and accessories are returned to the storage area without delay.

  Yes

  No

  N/A

• Hooks not fitted with safety restraining catches are only used for straight lifts where there is no risk of the lifting equipment or accessories attached from becoming detached from the lifting hook.

  Yes

  No

  N/A

• Comments

Gas Cylinders

• Cylinders are stored in a safe, secure place with adequate ventilation away from sources of ignition. The area has been designated a 'no smoking' area.

  Yes

  No

  N/A

• The storage compound is securely fenced, having adequate means of access and egress and the appropriate warning signs displayed.

  Yes

  No

  N/A

• Cylinders are securely stored in an upright position in order to minimise the possibility of accidental damage to the valves.

  Yes

  No

  N/A

• The storage area is free from combustible materials and clear access is available to all areas of the compound.

  Yes

  No

  N/A

• The storage area is separated from the main building/neighbouring premises by a suitable fire wall.

  Yes

  No

  N/A

• Procedures are in place to ensure that in the event of an emergency/fire the emergency services will be made aware of the location of the gas cylinders.

  Yes

  No

  N/A

• Liquefied petroleum gas cylinders are securely located in an upright position whilst in use.

  Yes

  No

  N/A

Machinery Safety

• Machinery is positioned to prevent an entrapment risk with other machines or fixed structures.

  Yes

  No

  N/A

• Machines are stable when in use.

  Yes

  No

  N/A

• Machines are suitable for the process.

  Yes

  No

  N/A

• Suitable guards are fitted to prevent access to dangerous parts of the machines.

  Yes

  No

  N/A

• The guards fitted are correctly secured in position to prevent access to dangerous parts of machinery.

  Yes

  No

  N/A

• The adjustable guards fitted are correctly positioned to prevent access to dangerous parts of machinery.

  Yes

  No

  N/A

• Regular inspection and testing is done to ensure that all guards are correctly adjusted and working correctly.

  Yes

  No

  N/A

• Suitable perimeter fencing is fitted to prevent access to dangerous parts of machinery.

  Yes

  No

  N/A

• The perimeter fencing is secure to prevent access to dangerous parts of machinery.

  Yes

  No

  N/A

• Access doors, gates or other parts of the perimeter fencing that are required to be opened are either locked in position or fitted with suitable safety devices that isolate the dangerous parts of machinery when opened.

  Yes

  No

  N/A

• Suitable safety devices are fitted where fixed guarding or fixed fencing cannot be provided.

  Yes

  No

  N/A

• Properly positioned emergency stop devices are fitted at machines where considered necessary.

  Yes

  No

  N/A

• Emergency stop devices are easily reached.

  Yes

  No

  N/A

• Emergency stop devices are easily actuated.

  Yes

  No

  N/A

• Machinery controls are clearly visible and identifiable.

  Yes

  No

  N/A

• Machinery controls are in good condition.

  Yes

  No

  N/A

• Machinery controls are in a safe position for the operator.

  Yes

  No

  N/A

• Individual machines are provided with a separate isolation facility.

  Yes

  No

  N/A

• Lighting is of the type suitable for use in an environment where machinery work is carried out.

  Yes

  No

  N/A

• Machinery lubricants and coolants appear to be well contained with no signs of excessive splashing.

  Yes

  No

  N/A

• Tools and associated cutting equipment are maintained and repaired as necessary.

  Yes

  No

  N/A

• Spare tools and bits are stored in drawers, cabinets or racks that prevent damage.

  Yes

  No

  N/A

• The power press safety guarding and devices are inspected and tested to ensure their safety within 4hours of the start of a working shift or where the tools have been reset during the shift.

  Yes

  No

  N/A

• Inspections and testing of the power press safety devices are recorded on a certificate attached to each machine.

  Yes

  No

  N/A

Manual Handling

• Mechanical/automated assistance has been introduced to deal with heavy or awkward shaped material, equipment or loads and to reduce the number of loads that have to be handled manually.

  Yes

  No

  N/A

• The distances loads have to be carried has been reduced to the minimum possible in the majority of cases.

  Yes

  No

  N/A

• Key workers ensure that other persons follow the correct lifting practices and that they are trained in ergonomic techniques.

  Yes

  No

  N/A

• All handling equipment is identified and recorded.

  Yes

  No

  N/A

• Certificates of examination are available for all handling equipment.

  Yes

  No

  N/A

• Wherever possible, manual handling tasks have been reduced by the use of mechanical handling aids.

  Yes

  No

  N/A

• Appropriate manual handling aids are provided.

  Yes

  No

  N/A

• Appropriate manual handling aids are being used.

  Yes

  No

  N/A

Noise

• Noise Risk Assessments have been carried out.

  Yes

  No

  N/A

• Hearing protection is available to all employees working in areas where average noise exposure levels reach the lower exposure action value of 80dB(A).

  Yes

  No

  N/A

• Suitable hearing protection is provided and worn by all employees working in areas where average noise exposure levels reach the upper exposure action value of 85 dB(A).

  Yes

  No

  N/A

• Areas with average noise exposure levels above 85 dB(A) are clearly identified as hearing protection zones with the mandatory hearing protection warning signs displayed.

  Yes

  No

  N/A

Personal Protective Equipment

• Personal protective equipment needs have been identified.

  Yes

  No

  N/A

• Suitable personal protective equipment needs have been identified.

  Yes

  No

  N/A

• If more than one item of personal protective equipment is worn, it is ensured that the items are compatible.

  Yes

  No

  N/A

• Personal protective equipment is maintained in an efficient state

  Yes

  No

  N/A

• Appropriate storage facilities are provided for personal protective equipment when it is not in use

  Yes

  No

  N/A

• Reasonable steps are taken to make sure employees use personal protective equipment properly.

  Yes

  No

  N/A

Pressure Systems

• The system is clearly marked with its safe working pressure.

  Yes

  No

  N/A

• The system is fitted with a pressure gauge.

  Yes

  No

  N/A

• The pressure gauges are checked regularly.

  Yes

  No

  N/A

• The system is fitted with condensation draining valves.

  Yes

  No

  N/A

• Condensate is drained from the system in an environmentally correct way at regular intervals.

  Yes

  No

  N/A

• The compressed air lines are secured in position where they are protected from mechanical impact or other damage.

  Yes

  No

  N/A

• All hose connectors seen at the time of the visit appeared to be appropriate for the task, in good condition and free from visual defect.

  Yes

  No

  N/A

• Comments

Risk Assessment

• A competent person has been identified to carry out Risk Assessments.

  Yes

  No

  N/A

• Suitable and sufficient Risk Assessments have been carried out for activities and issues identified as being of significant risk.

  Yes

  No

  N/A

• Risk Assessments are carried out for non-routine work.

  Yes

  No

  N/A

• The significant findings of the Risk Assessments are shared with employees and other persons affected by the risks.

  Yes

  No

  N/A

• Risk Assessments are reviewed.

  Yes

  No

  N/A

Road Vehicles

• Vehicles more than 3 years old and used on the public highway have current and valid MOT Test Certificates.

  Yes

  No

  N/A

• All drivers have adequate insurance cover.

  Yes

  No

  N/A

• Drivers licences are checked regularly to ensure that they are of the correct class for the vehicles driven.

  Yes

  No

  N/A

• All drivers are instructed to carry out prescribed pre-journey checks including internal and external safety checks and where appropriate load security.

  Yes

  No

  N/A

• Vehicles are equipped with materials/equipment for use in the event of a breakdown.

  Yes

  No

  N/A

• All vehicles doors are capable of being locked from the inside.

  Yes

  No

  N/A

• Clear written instructions are given on the safe use of mobile phones in vehicles.

  Yes

  No

  N/A

Site Work

• Where circumstances dictate a competent person visits and risk assesses the safety of site / working conditions prior to commencement of work.

  Yes

  No

  N/A

• Employees are instructed in writing to refer health and safety concerns to management and not to commence work where unacceptable hazards are identified during risk assessments.

  Yes

  No

  N/A

• Arrangements are made to identify and follow any relevant Clients' health and safety and fire procedures including access to prohibited areas.

  Yes

  No

  N/A

• Sites and working conditions are routinely monitored by a competent supervisor and a record maintained.

  Yes

  No

  N/A

• Where non-standard work equipment is used by employees they are adequately trained and supervised in its safe use.

  Yes

  No

  N/A

• Written safe working procedures which cover all related health and safety issues have been produced and implemented.

  Yes

  No

  N/A

Storage Areas

• There is adequate storage space.

  Yes

  No

  N/A

• There is regular inspection and maintenance of the racking.

  Yes

  No

  N/A

• Racking is free from obvious signs of damage, distortion or strain.

  Yes

  No

  N/A

• Warning signs are displayed stating that climbing on racking/shelving is prohibited.

  Yes

  No

  N/A

• Storage racking is securely fixed to the building fabric.

  Yes

  No

  N/A

• The maximum load capacity of the racking is clearly displayed.

  Yes

  No

  N/A

• Employees have been made aware of the maximum load capacity of the racking and are instructed not to exceed it.

  Yes

  No

  N/A

Welding

• Welding equipment is regularly visually inspected to ensure that it is maintained in good condition.

  Yes

  No

  N/A

• The equipment seen appears to be in good condition, with cables in good condition and all connections correctly made.

  Yes

  No

  N/A

• Welding is only undertaken in well ventilated areas.

  Yes

  No

  N/A

• Local exhaust ventilation is provided to remove welding fumes 'at source'.

  Yes

  No

  N/A

• The local exhaust ventilation provided appeared in good working order and to be working efficiently.

  Yes

  No

  N/A

• The local exhaust ventilation equipment is visually inspected at weekly intervals and any defects found are rectified.

  Yes

  No

  N/A

• When welding is undertaken in confined spaces, forced air ventilation is provided and air monitoring is undertaken, or suitable respiratory protective equipment (self contained or air-fed breathing apparatus) is provided and used.

  Yes

  No

  N/A

• Workpieces/vessels which may have contained flammable materials are thoroughly purged of residual content and are subject to a gas free procedure, where necessary, before heat is applied.

  Yes

  No

  N/A

• Suitable screening is provided and used.

  Yes

  No

  N/A

• Suitable fire fighting equipment is provided nearby during welding operations.

  Yes

  No

  N/A

• A pressure regulator is fitted to the outlet valve of each gas cylinder.

  Yes

  No

  N/A

• The fuel gas and oxygen fuel lines are equipped with flashback arrestors.

  Yes

  No

  N/A

• Gas cylinders in use are secured in an upright position to prevent them falling over.

  Yes

  No

  N/A

Work at Height

• Before work commences, a plan is agreed on how the activities are to be carried out to ensure that there is safe access and egress for persons who are required to work at heights.

  Yes

  No

  N/A

• Work at height is carried out from a safe position on the building, structure or scaffold.

  Yes

  No

  N/A

• Work at height is only carried out when the weather conditions are appropriate.

  Yes

  No

  N/A

• The work equipment selected is appropriate to the nature of the work to be performed and will allow for safe passage.

  Yes

  No

  N/A

• The ladders provided for use are of a suitable standard for the intended use.

  Yes

  No

  N/A

• Ladders are only used as a workstation where the use of other safer equipment cannot be used due to specific site features or it is not justified because of the low risk and the short duration of use.

  Yes

  No

  N/A

• Ladders are only used as a means of access where the use of a staircase or other more suitable access equipment cannot be justified because of the low risk and infrequent use.

  Yes

  No

  N/A

• Ladders are stored in a suitable place that is secure and prevents use by unauthorised personnel.

  Yes

  No

  N/A

• The area is cordoned off by the erection of a soundly constructed barrier with suitable warning signs displayed.

  Yes

  No

  N/A

• Notices are posted warning persons below that work is being carried out above.

  Yes

  No

  N/A

• The scaffold is assembled/dismantled/altered by competent workers under the supervision of a competent person.

  Yes

  No

  N/A

• The work is properly planned and supervised to enable immediate rescue in the event of an emergency.

  Yes

  No

  N/A

• Comments

Workplace Safety

• The workplace is clean, tidy and in good decorative order.

  Yes

  No

  N/A

• The workplace is adequately heated.

  Yes

  No

  N/A

• The workplace is adequately ventilated by mechanical means or by opening windows.

  Yes

  No

  N/A

• The workplace is well lit.

  Yes

  No

  N/A

• The edges of steps and stairs are clearly marked.

  Yes

  No

  N/A

• Suitable handrails are fitted to stairways.

  Yes

  No

  N/A

• Shelving is strong and secure and suitable for the materials stored on it.

  Yes

  No

  N/A

• The floor areas are in good condition and free from slip/trip hazards.

  Yes

  No

  N/A

• The floors are free from slipping and tripping hazards.

  Yes

  No

  N/A

• The workplace provides adequate space for the employees.

  Yes

  No

  N/A

• The workspace is arranged to provide safe means of access to and egress from the workstations.

  Yes

  No

  N/A

• Adequate welfare facilities are provided and maintained for both male and female employees.

  Yes

  No

  N/A

• Suitable facilities are provided to enable employees to sit and obtain a hot drink/heat meals away from their main place of work.

  Yes

  No

  N/A

• All windows, doors and other transparent surfaces are either made of safety material or are suitably protected against breakage.

  Yes

  No

  N/A

• Safety signs are provided as indicated by risk assessment.

  Yes

  No

  N/A

• Safety signs comply with relevant standards.

  Yes

  No

  N/A

• Suitable eating facilities are provided for employees.

  Yes

  No

  N/A

• Cleaning schedules are in place to maintain the required standard of cleanliness and employees are knowledgeable in the use of these schedules.

  Yes

  No

  N/A

• Name and Signature

  Sign