Audit Overview

  • PREMISES NAME

  • PREMISES OIC

  • GROUP MANAGER

  • NAME OF AUDITOR

  • AUDIT CARRIED OUT ON

  • CFO's H&S COMMENDATION CERTIFICATE TO BE ISSUED:-

INTRODUCTION

  • In line with its Health and Safety Policy, DSFRS takes every reasonable measure to ensure that personnel are not exposed to undue risk in the workplace. As part of this policy the Service ensures that arrangements, procedures and guidance are in place to conduct internal Health & Safety Audits, the intention of which is to provide a measure of the effectiveness and efficiency of DSFRS Health & Safety Management Systems.

    As such please find below the audit report for your respective Station which was recently carried out by the Organisational Safety Assurance Department.

    In line with DSFRS policy 'HS02 Health & Safety Active Monitoring & Safety Audits' it is now requested that you adopt the action plan at the close of this report taking any corrective actions highlighted. The action plan should additionally identify who is responsible for implementing actions and deadlines for completion. The relevant manager is to then send out quarterly updates to their Group Manager and the Organisational Safety Assurance department on progress made.

    REMEDIAL ACTIONS

    Where remedial actions are shown, a priority rating is included to indicate how promptly the issue should be addressed. These ratings consider the likelihood of risk if the issue was to remain unmanaged and the severity or extent of any loss or harm.

    KEY TO ACTION PRIORITY

    URGENT As soon as practicable
    3 Within 3 months where reasonably practicable
    6 Within 6 months where reasonably practicable
    12 Within 1 year where reasonably practicable

    PERFORMANCE INDICATOR / CFO'S COMMENDATION

    In order to define and evaluate how successfully each Premises / Department is performing and to help evaluate DSFRS progress on Key Health & Safety Objectives a Performance Indicator can be found at the close of this report.
    This performance indicator will subsequently be used to determine the level of CFO's H&S Commendation Certificate to be issued i.e

    GOLD STANDARD 91% - 100%
    SILVER STANDARD 76% - 90%
    BRONZE STANDARD <76%



  • Premise Photograph

  • The aim of this audit is to review the management of Health and Safety on DSFRS Services Premises

NOTE OF THANKS

  • Special thanks should be given to the named person(s) who accompanied the H&S Auditor and as such was invaluable to the audit process.

  • Continue on to Audit Report

1. HEALTH & SAFETY NOTICE BOARDS

  • Is an up to date DSFRS H&S Policy Statement Posted?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are relevant health & safety leaflets available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are HSNBs in reasonable condition?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are HSNB in a prominent position, which assists with regular viewing?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the HSNB used solely for H&S information?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the Contractor signing in/out book used correctly?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there an effective system to promulgate Safety Prompts and Bulletins?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

2. HEALTH & SAFETY INFORMATION

  • Is the premises H&S Folder easy to locate?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Do the contents generally conform to the suggested list contained within SPD HS02?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the H&S law poster displayed where H&S law leaflets are not available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there adequate systems in place to 'Bring Up' reminders for re-assessments, reviews, defects etc?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there adequate provision for the display of Rep Body information?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there suitable records to show that key personnel have had suitable H&S training?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the asbestos register readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there gym induction records available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are the local exhaust ventilation inspection records available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the legionella register readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Do the premises have a prominent yellow sign instructing visiting contractors to consult the asbestos register prior to commencing work?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the current H&S cartoon poster suitably promulgated?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the PPE poster suitably promulgated?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

3. COSHH

  • Is the COSHH register readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the register clearly identifiable?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the register easy to use?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are assessments and safety data sheets available for each product / substance held?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are products / substances correctly labelled?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are products / substances stored correctly?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are product / substance containers free from leaks?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are storage areas adequately signed?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the BA servicing area free from substances not associated with the cleaning and maintenance of BA?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are personnel aware of procedures for the correct disposal of hazardous waste?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

4. FIRST AID

  • Are first aid boxes clearly identifiable?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Does the box conform to the standard colour (green)?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are the contents generally correct for the number of persons on the premises?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are the contents of the first aid box in date?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are other items of first aid i.e. blankets, stretchers etc. in a clean and hygienic condition?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Where applicable are locations / phone numbers of first adders readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are personnel aware of local procedures for the correct disposal of clinical waste?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there suitable numbers of first aid trained personnel for the premises?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

5. RISK ASSESSMENTS

  • Are records available to show that risk assessors are suitably trained to complete Service assessment forms?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the premises RA9 in date?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Have personnel ready access to risk assessments?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

6. ACCIDENTS & REPORTING

  • Are minor accident report forms readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

7. FIRE

  • Is the premises fire risk assessment in date?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there a designated and signed fire assembly point?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is a fire log book maintained?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

8. NON OPERATIONAL EQUIPMENT

  • Is gym equipment organised and laid out in a safe manner?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are gym rules and regulations posted?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Does the gym have hygienic spray and paper roll available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there evidence to show that PAT is taking place?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Do areas containing hazardous equipment have restricted access controls i.e. gymnasium, stores etc?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there systems in place to ensure the timely calibration of equipment i.e. weights and measures, noise meters, vibration meters etc?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Does equipment appear to be used and stowed correctly?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Does equipment appear to be in good order and well maintained?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

9. FOOD SAFETY

  • Are any food businesses registered with the local authority?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there an effective cleaning schedule for the food areas and equipment?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are good food storage routines followed for refrigerators?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are fridge / freezer temperatures monitored and recorded where necessary?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the designated food storage area clean and dry?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are windows / vents proofed with wire mesh screens?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Where relevant are there records to show that personnel are suitably trained in food safety matters?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the disposal of kitchen waste managed appropriately?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there suitable hand washing / drying facilities?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there suitable laundering facilities in place for tea towels etc?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the area maintained in a serviceable, clean and hygienic condition?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

10. PPE

  • Are there adequate storage facilities for PPE?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there records to show that PPE is inspected and maintained in accordance with manufacturers guidelines and Service policy?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

11. MANUAL HANDLING

  • Are storage areas arranged to help prevent excessive reaching, stretching etc?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are lifting aids, where available, utilised correctly?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

12. NOISE AT WORK

  • Is hearing protection provided and worn where necessary i.e. compressor rooms etc?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are areas with noise hazards suitably signed?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

13. WORKING AT HEIGHT

  • Are there safe means of access to high level working areas i.e. mezzanines, platforms, towers etc?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are high level work areas adequately guarded?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are records available to show that equipment used for work at height i.e. ladders, stools etc. are inspected?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is access to high level work areas adequately controlled?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the training tower facility inspected by Station personnel on a 6 monthly basis and the findings recorded?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there safe systems of work available to enable personnel to reach items stored at high levels?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

14. PROPERTY

  • Are there suitable systems in place to report property defects?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Does the property appear to be well maintained?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are there records to show that the boiler rooms are inspected and maintained?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Do electrical sockets and fittings appear to be in good order?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there adequate provision for the replenishment and dispensing of rock salt?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the standard of housekeeping within the premises satisfactory?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

15. COMPRESSOR ROOMS

  • Does the faculty have a BA Charging Facility / Compressor Room

  • Is the compressor log book readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the compressor maintenance engineers log book readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are cylinder charging records being correctly completed?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are 4 pairs of hearing muffs readily available?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is PPE stored in a suitable container?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

16. SAFETY SIGNS

  • Are 'safety goggle' safety signs posted at the compressor room / charging room?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are 'Hearing Protection' safety signs posted in the compressor room / charging room?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is there a 'no smoking' sign posted at the compressor room?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Is the compressor emergency stop button clearly signed?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are all other compressor signs and labels clearly signed?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Where relevant, are there suitable road markings marked outside of the compressor room ventilation grills?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Are fire routine safety signs posted within the premises?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Does the provision of other safety signs on the premises appear adequate?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

17. DSE

  • Where relevant have DSE assessments been completed in accordance with Service policy?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

  • Do the remaining workstations appear to conform to DSE regulations?

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

18. ADDITIONAL COMMENTS

  • The following items if identified do not effect the overall score of the audit, but should be actioned by the premises manager in the same way.

  • Add additional item
  • Description

  • Recommendation

  • Photograph if applicable


  • no label
  • Suggested Priority Rating

  • Management Response

  • Premises / Department Person Responsible

  • Target Completion Date

  • Date Completed

Summary Page

  • Additional Comments from the Premise / Department Responsible Person or Person(s) present?

  • Please enter comments:

  • Additional Comments by the Auditor?

  • Please enter comments:

  • Name of Auditor

  • Name of Responsible Person or Person Present

  • PERFORMANCE INDICATOR / CFO'S COMMENDATION

    In order to define and evaluate how successfully each Premises / Department is performing and to help evaluate DSFRS progress on Key Health & Safety Objectives a Performance Indicator can be found at the close of this report.
    This performance indicator will subsequently be used to determine the level of CFO's H&S Commendation Certificate to be issued i.e

    GOLD STANDARD 91% - 100%
    SILVER STANDARD 76% - 90%
    BRONZE STANDARD <76%

  • FINAL SCORE

  • CFO's H&S COMMENDATION CERTIFICATE TO BE ISSUED:-

Action Plan

ACTION PLAN

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.