Paul's random template

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Company Profile

• Ownership

  Yes

  No

  N/A

• private

  sole

  limited company

  shareholders

  parent company

• Turnover

  Yes

  No

  N/A

• Core business

  Yes

  No

  N/A

• Select manufacturing manufacturing and distribution fabrication fabrication and installation precision engineering retail retail and distribution foundry works leisure entertainment transport communications electrical components electronic components

  • manufacturing
  • manufacturing and distribution
  • fabrication
  • fabrication and installation
  • precision engineering
  • retail
  • retail and distribution
  • foundry works
  • leisure
  • entertainment
  • transport
  • communications
  • electrical components
  • electronic components

• Product/service range

  Yes

  No

  N/A

• Main client sectors

  Yes

  No

  N/A

• energy

  oil and gas

  manufacturing

  telecommunications

  transport

• Key customers

  Yes

  No

  N/A

• Key suppliers

  Yes

  No

  N/A

• Trading zones

  Yes

  No

  N/A

• Select local regional mainland uk Europe % USA % Canada % Asia % Africa %

  • local
  • regional
  • mainland uk
  • Europe %
  • USA %
  • Canada %
  • Asia %
  • Africa %

• Number of staff split between Y operatives, Z managers, P sales, T work awa

  Yes

  No

  N/A

Site overview

• Size

  Yes

  No

  N/A

• Large - see site plan

  Medium - see site plan

  Small - see site plan

• Location

  Yes

  No

  N/A

• urban

  semi urban

  semi rural

  rural

  rural and isolated

• Function

  Yes

  No

  N/A

• Number of buildings

  Yes

  No

  N/A

• Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Age (approx)

  Yes

  No

  N/A

• Opening periods

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Operational Processes

  Yes

  No

  N/A

Estimated Losses

Property Loss

• Property Loss Scenario: Maximum Foreseeable Loss

  Yes

  No

  N/A

• Select from range

• Property Loss Scenario: Maximum Probable Loss

  Yes

  No

  N/A

• Select from range

Business Continuity Loss

• Business Continuity Loss Scenario: Maximum Foreseeable Loss

  Yes

  No

  N/A

• Select from range

• Business Continuity Loss Scenario: Maximum Probable Loss

  Yes

  No

  N/A

• Select from range

Construction

• Built

  Yes

  No

  N/A

• Material

  Yes

  No

  N/A

• Combustible

  Yes

  No

  N/A

• combustible

  partially combustible

  non combustible

• Ownership

  Yes

  No

  N/A

• owned and in line with the policy

  leased and in line with the policy

  ownership lease not established

• Within scope of policy

  Yes

  No

  N/A

• alignment with the policy

  not aligned with policy - see below

• Number of buildings

  Yes

  No

  N/A

• Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Main use

  Yes

  No

  N/A

• Select warehouse facility with adjoining workshops and offices restaurant facility leisure centre hotel public house night club cinema fabricating workshop offices

  • warehouse facility with adjoining workshops and offices
  • restaurant facility
  • leisure centre
  • hotel
  • public house
  • night club
  • cinema
  • fabricating workshop
  • offices

• Occupancy

  Yes

  No

  N/A

• sole

  shared

  mixed

• Unoccupied

  Yes

  No

  N/A

• the building is occupied

  significant parts of the building are unoccupied

  the whole of the building is unoccupied

• Flat roof

  Yes

  No

  N/A

• no flat roof identified based on discussions and general observations

  pats of the building have a flat roof

  substantial parts of the building have a flat roof

  the whole of the roof is flat

• Composite panels

  Yes

  No

  N/A

• no composite panels identified

  non approved composite panels identified

• Suspended wooden floors

  Yes

  No

  N/A

• suspended wooden floors not identified based on discussions and general observations

  suspended wooden floors identified

• Subsidence

  Yes

  No

  N/A

• subsidence not identified based on discussions and general observations

  subsidence identified

• Condition and maintenance

  Yes

  No

  N/A

• General

  Yes

  No

  N/A

• generally fine based on high level observations

  some maintenance required

  significant maintenance required

• Roof

  Yes

  No

  N/A

• generally fine based on high level observations

  some maintenance required

  significant maintenance required

• Gutters and drainage

  Yes

  No

  N/A

• generally fine based on high level observations

  some maintenance required

  significant maintenance required

• Number of floors

  Yes

  No

  N/A

• Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

Exposures and Relevant Risk Management Controls

• Attached buildings

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Within an integrated block

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Transformers/switch gear within close proximity

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Fuel tanks, gas cylinders, oil tanks

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Materials within close proximity

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Waste within close proximity

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Vegetation

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Outbuildings

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Third party buildings within close proximity

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

Occupancy Fire Hazards and Relevant Risk Management Controls

Table 1 - summary of significant occupancy fire hazards and controls

• Electrical equipment including switchgear, battery charging stations and transformers where applicable

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Electrical lighting

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Mechanical equipment including compressors, FLT's and other internal mobile plant used internally

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Gas intake point and / or electrical intake point

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Shared occupancy - adjoining third party premises

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Shared occupancy - sub let

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Combustible materials including and internally stored waste

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Flammable liquids/gases stored internally

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Machines running out of hours

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Kitchen/deep fat fryers

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Furnaces

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• Fixed fire protection - such as sprinklers

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

• IT server room status

  Yes

  No

  N/A

• Select high - satisfactory see RI high - unsatisfactory see RI high - satisfactory moderate - satisfactory se RI moderate - unsatisfactory see RI moderate - satisfactory low - satisfactory see RI low - unsatisfactory see RI low - satisfactory N/A

  • high - satisfactory see RI
  • high - unsatisfactory see RI
  • high - satisfactory
  • moderate - satisfactory se RI
  • moderate - unsatisfactory see RI
  • moderate - satisfactory
  • low - satisfactory see RI
  • low - unsatisfactory see RI
  • low - satisfactory
  • N/A

Table 2 - status of relevant Risk Management Controls

• Electrical and mechanical maintenance

  Yes

  No

  N/A

• Select poor scope for improvement - see RI satisfactory - see RI visibly to a good standard satisfactory not applicable

  • poor
  • scope for improvement - see RI
  • satisfactory - see RI
  • visibly to a good standard
  • satisfactory
  • not applicable

• Housekeeping

  Yes

  No

  N/A

• Select poor scope for improvement - see RI satisfactory - see RI visibly to a good standard satisfactory not applicable

  • poor
  • scope for improvement - see RI
  • satisfactory - see RI
  • visibly to a good standard
  • satisfactory
  • not applicable

• Permits to work

  Yes

  No

  N/A

• Select poor scope for improvement - see RI satisfactory - see RI visibly to a good standard satisfactory not applicable

  • poor
  • scope for improvement - see RI
  • satisfactory - see RI
  • visibly to a good standard
  • satisfactory
  • not applicable

• Control of contractors

  Yes

  No

  N/A

• Select poor scope for improvement - see RI satisfactory - see RI visibly to a good standard satisfactory not applicable

  • poor
  • scope for improvement - see RI
  • satisfactory - see RI
  • visibly to a good standard
  • satisfactory
  • not applicable

• Smoking controls and restrictions

  Yes

  No

  N/A

• Select poor scope for improvement - see RI satisfactory - see RI visibly to a good standard satisfactory not applicable

  • poor
  • scope for improvement - see RI
  • satisfactory - see RI
  • visibly to a good standard
  • satisfactory
  • not applicable

• AFD

  Yes

  No

  N/A

• p1 AFD installed with off site signal to ARC

  p2 AFD installed with off site signal to ARC

  limited AFD with off site signalling to ARC

  limited AFD with local bells only

  manual fire detection or no fire detection is installed or no routine maintenance if the AFD

• Response time

  Yes

  No

  N/A

• the response time of the whole time fire brigade is within 10 minutes

  the response time of the whole time fire brigade is between 10 and 20 minutes

  the response time of the whole time fire brigade is greater than 20 minutes

• Water

  Yes

  No

  N/A

• there is an adequate supply of water

  there is an insufficient supply of water

  the hydrant was not tested during the survey

  no hydrant was observed and a RI has been raised to validate availability

• FEA's

  Yes

  No

  N/A

• adequate FEA's with training provided

  insufficient FEA's with training provided

  insufficient FEA's and no training

  no FEA's in place

• Fixed wire fire certificate in place - with programme of defect close outs in place

  Yes

  No

  N/A

• witnessed

  not witnessed

• Fire Risk Assessment in place, developed by competent person and reviewed within last 12 months

  Yes

  No

  N/A

• witnessed

  not witnessed

Vulnerability to theft/trespass and relevant security controls

Table 1

• Raw materials

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

• WIP

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

• Finished goods

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

• Cash

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

• Internal staff

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

• Industrial/Working Relations

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

• High profile/sensitive activities

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

• Designated Crime Area

  Yes

  No

  N/A

• High Value

  Moderate Value

  Low Value

  Not Applicable

Table 2 - Relevant Security Controls

• Alarm status

  Yes

  No

  N/A

• Select alarm covers all areas and relayed to ARC alarm covers majority of areas and relays to ARC alarm covers all areas but does. not relay to ARC alarm covers majority of areas but does not relay to ARC alarm covers limited areas and relays to ARC alarm covers limited areas but does not relay to ARC inadequate or no intruder alarm - see RI

  • alarm covers all areas and relayed to ARC
  • alarm covers majority of areas and relays to ARC
  • alarm covers all areas but does. not relay to ARC
  • alarm covers majority of areas but does not relay to ARC
  • alarm covers limited areas and relays to ARC
  • alarm covers limited areas but does not relay to ARC
  • inadequate or no intruder alarm - see RI

• level 1 police response is immediate (Level 1)

  level of police response is Level 2

  there is no Police response arrangements in place

• Access points - Doors/Windows/Entrances

  Yes

  No

  N/A

• good standard of doors and locks (BS3621/EN1303 - high grade EN12309) based on sample inspection

  average standard or doors and locks - based on sample inspections

  poor standard of doors and locks - based on sample inspections

• protection to vulnerable doors and windows included roller shutter doors and/or bars (see photos)

  there is no protection to vulnerable doors and windows (see photos)

• Cash Handling

  Yes

  No

  N/A

• good level of cash handling with good quality of safe, not on an external wall and secured to floor

  no requirement for sad due to limited quantities of cash held on site

  poor levels of cash handling and limited/no safe facilities - see RI

  no cash held on site

• Security Guards

  Yes

  No

  N/A

• security guards in place and SIA registered

  security guards in place but not SIA registered

  no security guards in place

  not applicable

• security guards 24/7

  security guards out of hours

• CCTV cameras

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory n/a

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • n/a

• Perimeter Security

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory n/a

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • n/a

Special Perils, including Arson Exposures and Relevant Risk Management Controls

• Flood

  Yes

  No

  N/A

• high - see flood map and comments

  moderate - see flood map and comments

  low

• History of malicious damage

  Yes

  No

  N/A

• yes - see details below

  no

• City centre location

  Yes

  No

  N/A

• yes

  no

• Operations sensitive to protest or attack

  Yes

  No

  N/A

• yes

  no

• Unstable workforce/or disputes

  Yes

  No

  N/A

• yes

  no

• Third parties present on site

  Yes

  No

  N/A

• yes - see site overview

  no

• Secure site perimeter

  Yes

  No

  N/A

• yes

  no - see security

• 24 hour security guards/manned reception

  Yes

  No

  N/A

• yes

  no - see security

• Attractive goods stored on site

  Yes

  No

  N/A

• yes

  no

• Combustible materials and waste close to buildings and/or perimeter fences

  Yes

  No

  N/A

• yes

  no

• Crime potential of locality

  Yes

  No

  N/A

• high

  moderate

  low

• Residential area in close proximity

  Yes

  No

  N/A

• yes

  no

• Rural location/isolated

  Yes

  No

  N/A

• yes

  no

• Airport within 5 miles of location

  Yes

  No

  N/A

• yes

  no

Business Interruption exposures and Relevant Risk Management Controls

• Loss of building

  Yes

  No

  N/A

• high - see BI MPV

  moderate

  low

• Alternative building/accommodation

  Yes

  No

  N/A

• yes

  no

  not applicable

• Ability to outsource

  Yes

  No

  N/A

• yes

  no

  not applicable

• Power/gas supply

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Water supply

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Customers

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Suppliers

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Staff

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Materials

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Epidemics/pandemics

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Disruption to rail transport

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Disruption to road transport

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Data dependency

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

• Machinery

  Yes

  No

  N/A

• high

  moderate

  low

  not applicable

Employer Liability exposures and Relevant Risk Management Controls

Table 1 - Exposure and severity rating

• High hazard operations

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Machinery

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Electricity

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Work at height

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Slips and trips

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Confined spaces

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Hot works

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Sharp objects/cutting tools

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Vibration machines/tools

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Work away

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Harmful dusts and vapours

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Harmful liquids

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Radiation

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Traffic movements

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Poor lighting

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Manual handling

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Noise

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Water/lakes/lagoons

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Display Screen Equipment

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

Table 2 - relative management controls I.e. In relation to the level of exposure and risk

• Policy

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Health and Safety support

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Communications

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Risk Assessments

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Accident Reporting

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Inspections

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Defect reporting and close out

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• First Aid

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Safety devices - Guards etc

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• General Housekeeping

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• PPE

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Fire and Emergency Plans

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Safety Culture

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Management Commitment

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Review processes

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Health surveillance

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

Public Liability Exposures and Relevant Risk Management Controls

Table 1 - Exposure and Severity Rating

• 3rd party contractors - main operations

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• 3rd party contractors - maintenance

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Visitors - customers/public

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Slips and trips - internal

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Slips and trips - external

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Stairs

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Lifts

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Consumption of food

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Consumption of alcohol

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Noise - e.g. Music

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Violence

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Drugs and other illegal substances

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Contact with machinery

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Amusement rides/activities

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Dusts/vapours/gasses

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Water/pools/rivers

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

Table 2 - Relative Management Controls I.e. In relation to the level of exposures and risk

• Control procedures

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Health and safety support

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• First aid

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Supervision

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Risk assessments

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Accident/incident reporting

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Inspections

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Security guards

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Defect reporting and close out

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Safety devices - guards etc

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• General housekeeping

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Fire and emergency plans

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Safety culture

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Management commitment

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Review processes

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

Product Liability Exposures and Relevant Risk Management Controls

Table 1 - Exposure and Severity Rating

• Product/Service central to safety critical client process

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Product/Service failure may lead to significant client business interruption

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Product/Service potentially injurious to health if administered incorrectly

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Design input into the Product/Service by the business

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Consumption of Product may lead to food poisoning, traumas, etc

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

• Product supplied to the USA/Canada Market %

  Yes

  No

  N/A

• Select significant high high/moderate moderate reasonable satisfactory not applicable

  • significant
  • high
  • high/moderate
  • moderate
  • reasonable
  • satisfactory
  • not applicable

Table 2 - Relative Management Controls I.e. In relation to the level of exposures and risk

• Produced to Client Specification

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Documented specification

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Kite marks, Standards etc

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• All advert claims validated

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Warranties limit liability

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Own T's and C's in place

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Handover/commissioning

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Batch Controls established

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Recall processes established

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Complaints Handling

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• ISO9001 or alternative

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable

• Quality Management System

  Yes

  No

  N/A

• Select none in place significant gaps development required some gaps reasonable satisfactory not applicable

  • none in place
  • significant gaps
  • development required
  • some gaps
  • reasonable
  • satisfactory
  • not applicable