Title Page
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Client Name
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Address
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Visit Date
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Safety Consultant
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Person(s) Met With During Inspection
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Brief Description of the Office / Premises
Office Audit
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Health and Safety Documentation (Policy, Insurances, HSL Poster)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Health and Safety Communication (Inductions, Briefings, Signage, Notices)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Visitor Arrangements (Inductions / Signing In / Monitoring)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Safe Systems of Work (Risk Assessments / COSHH)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Display Screen Equipment Assessments (DSE)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Emergency Procedures (Fire Precautions, First Aid Provisions)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Occupational Health (Dust, Noise, Manual Handling, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Welfare Facilities
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Housekeeping, Material Storage and Waste Management
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Safe Access Around Workplace (Walkways / Stairs / Access Routes)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Work Stations (Access / Condition / etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Site Security / Warning Measures (Fencing, Signage, etc)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Workplace Condition (Lighting, Temperature (Heating / Air Conditioning / Ventilation))
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Electrics / PAT
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Building Safety
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Accidents / Incidents / Near Misses (Reporting Procedures / Recent Occurrences)
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
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Other
- Meeting Industry Standards
- Advice
- Hygiene Concern
- Non-Conformance
- Potential for Injury
- Serious Breach
- Not Seen at Time of Visit
- Not Applicable
- Building Management / Landlord
Completion
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Completed By: (Name & Signature)