MG Safety Services H&S GAP Analysis

• Site conducted

  Select

• Company Name

• Address

• GAP Analysis Completed By

  Sign

• Date Completed

  Date

• Does the company premises have a Fire Risk Assessment

  Yes

  No

  N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

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• Does the company have a suitable and sufficient Safety & Health Policy

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company have a Fire evacuation & Emergency response procedure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company have an adequate number of Fire Wardens?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Do the premises have an in date Electrical Fixed wiring certificate (Valid for 5 years)?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Are all electrical appliances (with a plug) PAT tested annually and currently in date?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has a suitable and sufficient Risk Assessment been completed for the use of the Forklift Truck?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company carryout weekly forklift inspections?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Are the company forklifts Inspected by an external body?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company carryout plan Emergency evacuations?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has the company completed Suitable & Sufficient Risk Assessments for all pieces of work equipment?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Have all employees undertaken manual handling training as required

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has the company provided Display screen assessment training for those employees using them on a regular basis?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Have the company created COSHH Assessments for all Hazardous materials used throughout their process?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company have an Accident Investigation procedure in place?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Have all members of staff that are required to wear dust masks trained in face fitting of these?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has all LEV equipment been inspected and tested as required

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Have the company provided adequate numbers of trained first aiders for the premises?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company carryout Monthly H&S Audits

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has the company devised a Medical questionnaire for completion by all employees?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has the company developed a set of rules?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has the company completed an office risk assessment?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company regularly inspect Fire Extinguishers?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company hold a training Matrix (Register)?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company complete monthly Tool Box Talks?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Does the company have a safety committee and hold quarterly H&S meetings?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Is the company Racking stamped showing max weight limits?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Has the company undertake Noise assessments of their activities as required

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Is there an Asbestos Survey of the premises?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Is bottled Gas stored correctly?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Are there any other items requiring attention?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Are there any other items requiring attention?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Are there any other items requiring attention?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Are there any other items requiring attention?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Are there any other items requiring attention?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Importance

  High

  Medium

  Low

  N/A

• Cost to Complete

• Would the company like this completed

  Yes

  No

  N/A

• Cusomer Signature

  Sign

• Date

  Date