Leisure Centre Monitoring Form 2014

• Document No.

• Name of Leisure centre

Address of leisure centre

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel in attendance of audit

LC2.1 Site Tour

• Is the Employers' liability Insurance Certificate accessible for employees and in date?

  Yes

  No

  N/A

• Are there an appropriate number of HSE Health and Safety Law Posters accessible to employees and completed with appropriate information?

  Yes

  No

  N/A

• Is there an appropriate Signing in and Out process in place for employees, Contractors and Visitors?

  Yes

  No

  N/A

• Are high risk areas secure?

  Yes

  No

  N/A

• Are suitable access controls in place for employee security?

  Yes

  No

  N/A

• Are the housekeeping arrangements for storerooms and employee areas satisfactory?

  Yes

  No

  N/A

• Are general housekeeping arrangements satisfactory?

  Yes

  No

  N/A

• Are fire routes and doors unobstructed and <br>suitably maintained?

  Yes

  No

  N/A

Sampled Paperwork

• F20 Walk the floor

  Yes

  No

  N/A

• F50 Corrective action log

  Yes

  No

  N/A

• F115 Weekly Health and Safety Checksheet

  Yes

  No

  N/A

• F10 Team signing in and out sheet

  Yes

  No

  N/A

• F33 visitors/contractors log

  Yes

  No

  N/A

LC2.1.1 Policy

• Is the Health and Safety Policy accessible to all employees and up to date?

  Yes

  No

  N/A

LC.2.1.2.1 Health and Safety Management Structure

• Is the Health and Safety Competent person, or Senior Management aware of the HSE Guide to Managing Health and Safety ?

  Yes

  No

  N/A

• Yes

  No

  N/A

Sampled Paperwork

• F7 Individual training record

  Yes

  No

  N/A

LC 2.1.2.2 Health and Safety Yearly Timetable

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.2.3 Health and Safety Responsibilities

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.2.4 Communication and Instruction

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.2.5 Information, Instruction & Training

• Have employees been inducted in the Health & Safety arrangements, procedures & responsibilities ?

  Yes

  No

  N/A

• Do employees have qualifications and training relevant to their job role?

  Yes

  No

  N/A

• Does the centre have an appropriate number of trained Competent Persons?

  Yes

  No

  N/A

• Have employees had adequate training in the use of chemicals?

  Yes

  No

  N/A

Sampled paperwork

• F65 & F7 Individual Training record

  Yes

  No

  N/A

• F200 COSHH Training record

  Yes

  No

  N/A

LC 2.1.3.1 Risk Assessment

• Do risk assessments identify significant hazards?

  Yes

  No

  N/A

• Have Model risk assessments site specific and reviewed in the last 12 months ?

  Yes

  No

  N/A

• Documentation in employee training folder is signed off by the employee and in the site training manager (move to RA above)

  Yes

  No

  N/A

Sampled Paperwork

• F34 Various risk assessments including; Premises and Activities, Manual Handling, Workstations, Working at Height

  Yes

  No

  N/A

• F352 Ladder Checksheet is attached to all ladders (fixed and moveable)

  Yes

  No

  N/A

LC 2.1.3.2 Systems of Work

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.3 Accident and Incident Reporting

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.3 Asbestos

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.5 Contractors

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.6 Construction - Project Management

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.7 Driving at Work

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.8 Electricity

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.9 Fire Safety

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.10 First Aid

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.3.11 High Risk Tasks & Permit to Work

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.12 Legionella

• Yes

  No

  N/A

• Yes

  No

  N/A

LC 2.1.3.13 Lifts and Lifting Equipment

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.14 Lone Working

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.15 New & Expectant Mothers

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.16 Control of Noise at Work

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.17 Personal Protective Equipment (PPE)

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.19 Serious Incidents

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.20 Shared Premises

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.21 Slips and Falls

• Yes

  No

  N/A

• Yes

  No

  N/A

• LC2.1.3.22 Stress

  Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.23 Violence at Work

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.24 Work Equipment

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.25 Working at Height

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.26 Workplaces

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.27 Young Persons in the Workplace

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.28 Enforcing Authorities

• Yes

  No

  N/A

• Yes

  No

  N/A

LC2.1.3.1 Control of Substances Hazardous to Health

• COSHH Assessment Sheet in place for all chemicals

  Yes

  No

  N/A

• Manufacturer's safety data sheet is present for all chemicals

  Yes

  No

  N/A

• F182 Chemical Checklist is present in all areas with chemicals and showing current information

  Yes

  No

  N/A

• Are all chemicals stored safely ?

  Yes

  No

  N/A

• Are the pool chemicals stored safely ?

  Yes

  No

  N/A

Sampled Paperwork

• F15 COSHH Assessment Form

  Yes

  No

  N/A

LC2.1.3.3 Accident and Incident Reporting (including First Aid)

• Are employees appropriately trained in Accident and Incident Reporting?

  Yes

  No

  N/A

• Are Accidents and Incidents suitable recorded?

  Yes

  No

  N/A

• Are Accident Investigations carried out effectively?

  Yes

  No

  N/A

• Are Accidents and Incidents reported correctly to Senior Management?

  Yes

  No

  N/A

• Is there an appropriate Accident Analysis process in place?

  Yes

  No

  N/A

• Is there a process in place to report hazards and faults?

  Yes

  No

  N/A

• Are competent persons available to carry out investigations?

  Yes

  No

  N/A

Sampled Paperwork

• F30 Accident report form

  Yes

  No

  N/A

• F402 Accident / Incident investigation form

  Yes

  No

  N/A

LC2.1.3.4 Asbestos

• Has an Asbestos Survey / Register been completed and reviewed within the last 6 months? ?

  Yes

  No

  N/A

• If Asbestos is present, are relevant checks completed ?

  Yes

  No

  N/A

• Is Asbestos labelled and clearly identified in the premises ?

  Yes

  No

  N/A

• Are there emergency procedures in place for the unplanned release of Asbestos ?

  Yes

  No

  N/A

Sampled Paperwork

• F288 Asbestos Checksheet

  Yes

  No

  N/A

• F314 Statutory Inspections

  Yes

  No

  N/A

LC2.1.3.5 Contractors

• Are risk assessments / method statements prepared for high risk work ?

  Yes

  No

  N/A

• Is there an appropriate Signing in and Out process for Contractors ?

  Yes

  No

  N/A

• Is there an emergency procedure and Asbestos sheet in the contractors folder for reference? ?

  Yes

  No

  N/A

• Is there a process in place for Permit to Work ?

  Yes

  No

  N/A

Sampled Paperwork

• F33 Visitor & Contractor Log

  Yes

  No

  N/A

• F29 Permit to Work (Various)

  Yes

  No

  N/A

LC2.1.3.8 Electricity

• Has Fixed Electrical Testing been carried out in the last 3 Years and in the last year for the pool ? (Where applicable)

  Yes

  No

  N/A

• Have high priority remedial actions been carried out, as a result of the report ?

  Yes

  No

  N/A

• Are new and old electrical equipment monitored effectively ?

  Yes

  No

  N/A

Sampled Paperwork

• F50 Corrective log

  Yes

  No

  N/A

• F362 New and Disposed Equipment is completed with current information

  Yes

  No

  N/A

LC2.1.3.12 Legionella

• The site has a current legionella risk assessment carried out by a competent contractor within the last two years

  Yes

  No

  N/A

• The centre has Log Books and Sheets in place that are being completed in full

  Yes

  No

  N/A

• All identified remedial measures have been actioned within the set timescales and signed off by the Site Manager

  Yes

  No

  N/A

• The legionella poster is displayed in the Team area

  Yes

  No

  N/A

Sampled Paperwork

• Legionella risk assessment

  Yes

  No

  N/A

• Legionella log book

  Yes

  No

  N/A

LC2.1.3.19 Serious Incident Procedure

• The Serious Incident Procedure is the current issue that is site specific

  Yes

  No

  N/A

• The SIP has been laminated and put into the Evacuation Bag

  Yes

  No

  N/A

• All associated equipment for the Evacuation Bag is in place, and in working order

  Yes

  No

  N/A

• Have all employees received training in the Emergency procedures within the last 12 months ?

  Yes

  No

  N/A

Sampled Paperwork

• LC2.1.3.19 Serious Incident Procedure

  Yes

  No

  N/A

LC2.1.3.9 Fire Safety

• Has a Fire risk assessment been completed ?<br>Including; Sources of ignition, Combustion & Oxygen, Fire detection, Escape routes and evacuations, Fire fighting equipment, Supporting building plans

  Yes

  No

  N/A

• Is the Fire risk assessment in date and site specific?

  Yes

  No

  N/A

• Have actions from the Fire RA been added to the RRP ?

  Yes

  No

  N/A

• Are appropriate statutory checks taking place : daily fire exit checks, weekly fire extinguisher checks, weekly fire alarm checks, monthly emergency lighting, weekly internal fire doors

  Yes

  No

  N/A

• Does appropriate maintenance of Fire Fighting Equipment take place: Fire Alarm inspections (6 monthly and annually), Annual Fire Fighting equipment inspection, Emergency lighting annually ?

  Yes

  No

  N/A

• Is there a procedure in place to ensure all employees attend Evacuation of the Premises training every 6 months ?

  Yes

  No

  N/A

• Are fire points clearly signed and displayed ?

  Yes

  No

  N/A

Sampled Paperwork

• F385 Fire Risk Assessment

  Yes

  No

  N/A

• F266 Fire fighting equipment weekly inspection

  Yes

  No

  N/A

• F264 Internal Fire Doors weekly check

  Yes

  No

  N/A

• F263 Fire log book checks

  Yes

  No

  N/A

• F269 Team member premises evacuation record

  Yes

  No

  N/A

General Health and Safety Communication

• Is health and safety communicated at all levels at this facility? (H&S meetings, emails and intranet )

  Yes

  No

  N/A

• Is there workplace health and safety consultation within the facility?

  Yes

  No

  N/A

• Is there a good health and safety culture?

  Yes

  No

  N/A

• Do staff know what to do in the event of an emergency ? <br>Question what to do in the event of a Serious Incident, Accident, Fire, burglary

  Yes

  No

  N/A

Gym Health and Safety

• Is the gym clean and free from trip/slip hazards?

  Yes

  No

  N/A

• Is the lighting and general ventilation adequate and properly maintened?

  Yes

  No

  N/A

• Are first aid kits available, stocked and checked?

  Yes

  No

  N/A

• Is gym equipment in good working order?

  Yes

  No

  N/A

• Is defective equipment closed off and out working order?

  Yes

  No

  N/A

• Is daily cleaning records for gym equipment up to date?

  Yes

  No

  N/A

• Is the facility in good repair? General

  Yes

  No

  N/A

• Are floor areas/staircases level and in good condition?

  Yes

  No

  N/A

• Are their suitable arrangements in place for employees and members of the public for adequate washing and sanitary facilities?

  Yes

  No

  N/A

• Are facilities cleaned and maintained to a suitable standard?

  Yes

  No

  N/A

Children's play area If applicable

• Is the area clean and free from obstruction and trip hazards?

  Yes

  No

  N/A

• Are staff trained in paedriatric first aid and is there adequate first aid in the area?

  Yes

  No

  N/A

• Are staff trained in basic safeguarding ?

  Yes

  No

  N/A

• Are welfare facilities clean ? Is the baby changing unit in good condition and clean

  Yes

  No

  N/A

• Is there a signing in and out process for users?

  Yes

  No

  N/A

• Has all relevant employees received a DBS check?

  Yes

  No

  N/A

• Is security, gates, CCTV in working order ?

  Yes

  No

  N/A

• Is the area in good repair and good maintenance?

  Yes

  No

  N/A

Wet side / Swimming pool

• Are wet side changing rooms tidy and hygienic ?

  Yes

  No

  N/A

• Is there good access and egress from the pool to changing areas?

  Yes

  No

  N/A

• Are wet side areas free from trip and slip hazard?

  Yes

  No

  N/A

• Are floor areas free from chemicals?

  Yes

  No

  N/A

• Are daily chemical checks being carried out in both the pool ? Are readings consistent?

  Yes

  No

  N/A

• Is there a history of checks being done for pool ?

  Yes

  No

  N/A

• Are lifeguards monitoring the pool in a consistent and safe manner?

  Yes

  No

  N/A

• Is there appropriate signage in place to tell the public what to do in the event of an emergency?

  Yes

  No

  N/A

• Has the pool got all of the relevant safety equipment such as spinal boards, reaching poles, buoys and throw boards?

  Yes

  No

  N/A

• Is there diving signs in place?

  Yes

  No

  N/A

• Is there written pool safety operating procedures (PSOP) which consist of Normal operating procedures (NOP) and an Emergency action plan (EAP) ?

  Yes

  No

  N/A

• Are alarms in good working order?

  Yes

  No

  N/A

• Have pool visibility assessments been completed ? Are lifeguards adhering to them ?

  Yes

  No

  N/A

Pool/plant room

• Is the pool plant/ plant room free from slip and trips hazards?

  Yes

  No

  N/A

• Is pool back washing carried out and recorded?

  Yes

  No

  N/A

• Have pool plant readings been conducted and recorded ?

  Yes

  No

  N/A

• Is there a risk assessment carried out for confined spaces if applicable ?

  Yes

  No

  N/A

• Are there emergency procedures in place for area in the event of fire/ chemical spill?

  Yes

  No

  N/A

Reception area/ communal area/ Cafe

• Are users monitored and is there sufficient security ?

  Yes

  No

  N/A

• Are areas clean and free from trip and slip hazards

  Yes

  No

  N/A

• Are all areas such as changing rooms properly signed?

  Yes

  No

  N/A

• Are reception staff familiar with emergency procedures (serious accident), SIP, fire, robbery etc

  Yes

  No

  N/A

• Have lifts been inspected on a 6 monthly basis?

  Yes

  No

  N/A

• Are food areas clean and hygienic ?

  Yes

  No

  N/A

• Are HACCP and food hygiene procedures been carried out to a good standard?

  Yes

  No

  N/A

• Are first aid kits fully stocked and up to date?

  Yes

  No

  N/A

• Are baby changing units clean and hygienic and in good working order ?

  Yes

  No

  N/A

Gym class rooms/squash courts/football areas

• Are areas clean and free from trip and slip hazard

  Yes

  No

  N/A

• Is equipment free from defect? (Exercise bikes/floor mats)

  Yes

  No

  N/A

• Are stores clean and storing of equipment is correct?

  Yes

  No

  N/A

• Are areas appropriately signed for fire ?

  Yes

  No

  N/A

• Are all courts appropriately secured ?

  Yes

  No

  N/A

Staff welfare facilities

• Are staff welfare facilities clean and hygienic ?

  Yes

  No

  N/A

• Is hot and cold water provided?

  Yes

  No

  N/A

• Are toilets clean and tidy? Do they have soap, hand towels and running water?

  Yes

  No

  N/A

PPE

• Has an assessment been made to to ensure the PPE is suitable to protect against the risks identified and is suitable for all persons considered as at risk assessment and is complete?

  Yes

  No

  N/A

• Is all PPE identified as necessary, issued free of charge and records of issue/replacement in place?

  Yes

  No

  N/A

Manual Handling

• Has work requiring manual handling been identified and where manual handling cannot be avoided, has risk assessment has been undertaken? Does the risk assessment include consideration of the task, load, environment, and individual capability?

  Yes

  No

  N/A

• Has measures been taken to reduce risks by avoidance of handling, reduction of handling/introduction of mechanical aids?

  Yes

  No

  N/A

• Have the relevant employees received manual handling training and are records maintained on site?

  Yes

  No

  N/A

Car parks (If applicable)

• Are car parks appropriately signed?

  Yes

  No

  N/A

• Is the car park, footpaths clear and free from obstruction and trip hazards?

  Yes

  No

  N/A

• Are car parks secured, fenced off to avoid trespassers when the course is closed?

  Yes

  No

  N/A

• Regional Health Safety and Quality Manager North

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Other areas of Opportunity / Weakness

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Business Manager / Health and Safety Coordinator / Contracts Manager

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