Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Electrical Safety
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Principal Legislation The Electricity at Work Regulations 1989
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Are there any broken plugs or outlets?
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Are there any frayed or damaged leads?
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Are all fixed wiring installations inspected on a regular basis by a qualified and competent person?
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Is there evidence of up to date PAT on electrical items?
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Are there any extension leads across the floor?
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Are there multiple double adaptors in a series?
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Are there signs of overloading of power boards, power points?
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Other Observations?
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Actions required to rectify
Fire Control
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Principal Legislation Regulatory Reform (Fire Safety) Order 2005
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Are fire extinguishers in place & signed?
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Are fire extinguishers within service dates?
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Are all fire/emergency exit signs in place?
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Has there been a full fire evacuation in the last 12 months?
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Has a fire risk assessment been carried out?
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Is the fire risk assessment up to date all actions carried out?
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Are exits clear of obstructions?
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Are all fire doors shut but not locked?
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Is emergency lighting operable?
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Are staff fire training records up to date?
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Does fire equipment appear to be in good condition?
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Other Observations?
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Actions required to rectify
Walkways, Stairs and Ladders
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Principal Legislation The Workplace (Health, Safety & Welfare) Regulations 1992
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Are floor areas clean, dry and free from slip/trip hazards?
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Are walkways kept clear?
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Are stairs in good condition?
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Are handrails in place, where required?
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Are portable ladders in good condition?
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Are there work areas where fall protection is required?
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Other Observations?
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Actions required to rectify
First Aid/Accident Reporting & Investigations
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Principal Legislation Health & Safety (First Aid) Regulations 1981, Reporting of Diseases & Dangerous Occurrences Regulations 1995
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Has an assessment been made to establish the first aid requirements for the company?
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Is there a list of first aider's and emergency contact numbers displayed?
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Is there a first aid kit/cabinet available and accessible?
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Are employees aware of location of first aid kit?
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Is the first aid kit adequately stocked?
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Are first aid records kept?
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Are detailed accident investigation records kept?
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Have there been any reportable accidents recently?
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Are there accident/incident/near miss reports?
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Other Observations?
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Actions required to rectify
General Housekeeping
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Principal Legislation The Workplace (Health, Safety & Welfare) Regulations 1992
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Are work areas clear of rubbish?
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Are items not in use stored appropriately?
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Are bins full & overflowing?
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Is there evidence of general clutter?
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Other Observations?
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Actions required to rectify
Office Safety
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Principal Legislation The Workplace (Health, Safety & Welfare) Regulations 1992 The Health & Safety (Display Screen Equipment) Regulations 1992
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Are recorded risk assessments completed for workstations of display screen users?
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Are users offered free eye tests?
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Is there glare or reflections on computer screens?
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Are work station layouts suitable?
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Is lighting adequate for work tasks?
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Are light fittings clean and in good condition?
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Are diffuser covers in place and securely fixed where required?
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Is furniture appropriate and sound?
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Is air conditioning maintained?
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Is the office clean and tidy?
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Are floor coverings sound?
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Is there adequate ventilation around photocopiers?
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Are fling cabinets drawers kept closed when not in use?
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Other Obsevations?
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Actions required to rectify
Storage
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Principal Legislation The Workplace (Health, Safety & Welfare) Regulations 1992
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Are materials stored so they will not fall?
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Are materials stored so that good manual handling practices can be applied, therefore safe retrieval?
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Are storage racks/cupboards in sound condition, not overloaded?
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Are racks free from projection, sharp edges?
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Are incompatible hazard substances segregated?
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Other Observations?
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Actions required to rectify
Welfare Matters
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Principal Legislation The Workplace (Health, Safety & Welfare) Regulations 1992
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Are toilets clean?
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Are kitchen facilities/lunchrooms clean?
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Is drinking water available?
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Are there washing facilities?
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Other Observations?
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Actions required to rectify
Opportunity for Improvement
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Corrective Actions
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Signature of client
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Signature of auditor