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
Health & Safety Documentation
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Principal Legislation Workplace Health Safety Act 2012
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Does the company have a written health & safety policy statement?
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Has the health & safety policy statement been reviewed and updated?
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Is the health & safety policy statement signed and dated?
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Is the health & safety policy statement prominently displayed in the workplace?
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Are the individual responsibilities clearly defined in the health & safety policy?
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Are the health & safety policy arrangements clearly defined?
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Are the employees aware of the contents of the health & safety policy statement?
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Are the employees aware of their responsibilities towards health & safety?
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Is there a health & safety law poster in the workplace?
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Are the correct details filled in on the health & safety law poster?
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Is there a copy of the current employers liability certificate available for inspection?
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Do arrangements exist to ensure that contractors/sub contractors are competent to undertake the work required?
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Do arrangements exist to ensure that contractors are aware of the company's health & safety policy and safe systems of work relevant to the performance of their work?
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Do arrangements exist to ensure that contractors possess adequate liability insurance prior to work commencing?
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How are visitors to the building controlled?
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Are visitors inducted into the building?
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Other Observations?
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Actions required to rectify
Asbestos Management
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Principal Legislation Work Health and Safety Regulations 2012 SA Chapter 8
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Has the building got an asbestos register?
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Is the register up to date?
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Is the management plan up to date?
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Have all operatives who need asbestos awareness training had the training?
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Other observations?
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Actions required to rectify
Risk Assessments/Training
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Has a suitable & sufficient general workplace risk assessment been undertaken for the premises?
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Is the risk assessment regularly reviewed to take into account changes in working practice?
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Does the risk assessment take special account of vulnerable workers such as young persons, pregnant women and any lone workers?
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Are employees consulted in the risk assessment process?
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Are the results of the risk assessments recorded and jointly discussed?
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Are all operations which involve significant health & safety implications the subject of a defined safe system of work?
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Have all employees received induction training and is this documented?
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Has a training needs analysis been carried out for all employees?
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Is all health & safety training provided by fully competent personnel?
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Are training records up to date?
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Are recorded risk assessments completed for manual handling tasks?
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Where practicable have efforts been made to eliminate the need for manual handling?
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Has appropriate employee training in manual handling techniques been provided?
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Other Observations?
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Actions required to rectify
Electrical Safety
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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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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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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
Chemicals (Hazardous/Dangerous Substances)
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Is there a Hazardous Substance register?
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Is there access to SDS for all chemical products used?
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Have risk assessments been completed for hazardous substances?
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Are flammable substances stored in small quantities in a fire proof cabinet?
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Are arrangements in operation for the provision of health surveillance in appropriate cases?
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Does the building have any showers?
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Are there records of checks on Sentinel Taps?
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Other Observations?
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Actions required to rectify
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Have all employees that are using COSHH products had adequate training to use them?
First Aid/Accident Reporting & Investigations
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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
Plant/Work Equipment
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Is all lifting equipment (e.g. Lift trucks, hoists lifts etc) subject to regular testing by a competent person?
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Are current inspection certificates available for all lifting devices?
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Is all work equipment identified and in good condition and suitable for use?
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Have employees had suitable & sufficient training in the use of their work equipment?
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Other Observations?
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Actions required to rectify
General Housekeeping
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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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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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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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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