Title Page

  • Document No.

  • Audit Title

  • Site

  • Conducted on

  • Prepared by

  • Personnel

Front of House Area

  • General housekeeping to a good standard? - no accumulation of boxes/rubbish, cable management etc.

  • Portable Electrical Appliances PAT tested? Is the testing sticker in date?

  • Emergency exits and fire doors clear from obstruction and are clearly visible with correct signage?

  • Fire extinguishers are approriate to the relevant fire hazards in the area and are within service date?

  • Are fire action notices displayed?

  • Display Screen Equipment. Does the receptionist have all that is required to carry out work with DSE? I.e. good lighting? Appropriate adjustable office chair? Eye level with computer.

Circulation Routes

  • Are the floors secured? I.e. loose tiles, uneven floor, loose carpet etc.

  • Are ceilings secured? Risk of falling debris?

  • Are there any visible tripping/slipping hazards?

  • Is there any obvious damage to walls/windows?

  • Are stairways and handrails secure and clear of tripping/slipping hazards? Process for checking the lifts in place?

  • Emergency Exits and fire doors are clear from obstruction and clearly visible?

  • Fire extinguishers are within service date?

  • Fire action signs/notices are clearly displayed?

Public Toilets & Changing Facilities

  • General cleanliness to a good standard?

  • Adequate provision of soap and toilet paper?

  • Adequate system for cleaning in place?

  • Water pressure and temperature of tap water is adequate? Are any taps not running?

KA Fitness Suite

  • Sufficient room between machines?

  • Are instructions clearly displayed on machines?

  • General housekeeping to a good standard? Free from tripping/slipping hazards?

  • Machines in good working order?

  • Cleaning and inspection records carried out by staff?

  • Service records up to date for gym equipment?

  • Emergency exits and fire doors are kept clear of obstruction and are clearly visible with approrpiate signage in place?

  • Do users receive an appropriate induction on their first time using the facility and is this properly recorded?

Dance Studios

  • General housekeeping. Floor in good condition? Free from tripping/slipping hazards etc?

  • Emergency exits and fire doors are kept clear from obstruction and are clearly visible with appropriate signage in place?

  • Dance studio equipment stored properly?

Office Areas

  • General housekeeping to a good standard? - no accumulation of boxes/rubbish, cable management etc.

  • Portable Electrical Appliances are PAT tested? Is the testing sticker in date?

  • Emergency exits are clear of obstruction and are clearly visible with appropriate signage in place?

  • Fire action notices clearly displayed?

  • Are extinguishers in this area appropriate to the types of hazard and are they within the service date?

  • Display Screen Equipment - Do workers have all that is required to carry out work with DSE? I.e. good lighting? Appropriate adjustable offce chair? Eye level with computer?

Storage Areas and Cupboards

  • General housekeeping, storage of combustible items in electrical switchboard rooms prohibited?

  • Chemicals storage i.e. chemicals properly segregated, bunds where appropriate for liquid storage?

  • COSHH information available in chemical storage areas?

  • All storage areas kept locked shut with appropriate signage in place to encourage this? (FIre door, keep locked shut).

Staff Areas

  • General housekeeping to a good standard?

  • Health & Safety Law poster displayed with correct contact information?

  • Food preparation areas kept hygienically clean?

  • Kitchen appliances kept clean and PAT testing in date?

  • Hand washing facilities available in food preparation areas?

  • Temperature in staff areas reasonable?

External Areas

  • No accumulation of waste? External bins emptied?

  • No accumulation of uneccessary fire loads (bins, skips etc should be kept away from the side of the building).

  • External side of fire exits kept clear with appropriate signage in place?

  • No obvious slip/trip hazards?

  • Any external units are secure? (E.g. CO2)

  • WIndows/doors secured with no obvious damage?

  • External lighting operational?

  • Car park - general condition, lighting, pot holes, appropriate signage etc?

Emergency Procedures

  • Staff are aware of and are regularly updated on the fire evacuation procedure?

  • All fire safety checks are conducted and logged on an appropriate record sheet?

  • First aid boxes fully stocked? Contents within expiry date?

  • Incident report forms fully completed and sent to H&S Co-ordinator?

  • Site of refuge for swimmers/KA Studio users?

  • Emergency grab bag avaliable? Contents up to date? Mobile phone holding a charge?

Summary

  • Additional Comments

  • Assessor SIgnature

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.