Primed Audit Form

• Document No.

• Company name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Client contact details

Insurance

• Does the client hold all current relevant insurances?

  Yes

  No

  N/A

• Employers Liability Insurance (insurer, policy number, expiry date)?

• Public Liability Insurance (insurer, policy number, expiry date)?

• Is there an induction process in place?

  Yes

  No

  N/A

• Is the induction process suitable and sufficient and have signatures been recorded as evidence of receipt and understanding?

  Yes

  No

  N/A

Health and Safety Policy

• Who is responsible for overall health and safety on site?

• Who is responsible for day-to-day health and safety for the site?

• Does this person hold suitable and sufficient current health and safety training?

  Yes

  No

  N/A

• Please detail training held

• Is there a health and safety policy in place?

  Yes

  No

  N/A

• When was the policy last reviewed?

  Date

• Are arrangements in place to address risk assessment, training, emergency procedures and consultation?

  Yes

  No

  N/A

• Are monitoring arrangements in place to ensure the effectiveness of the safety system?

  Yes

  No

  N/A

Training

• Have employees received suitable and sufficient training considering the works undertaken?

  Yes

  No

  N/A

• Is there a training matrix in place identifying training requirements and expiry dates?

  Yes

  No

  N/A

Traffic Management

• Have suitable and sufficient traffic management controls been implemented to reduce the risk of collision? (e.g. signage, pedestrian walkways, crossing points).

  Yes

  No

  N/A

• Has a traffic management plan been created and communicated to all relevant persons?

  Yes

  No

  N/A

Risk Assessment

• Are risk assessments in place for significant activities / tasks?

  Yes

  No

  N/A

• Who conducts the risk assessments?

• Is this person deemed as competent?

  Yes

  No

  N/A

• Is there a need for a specific group risk assessment (i.e. young, disabled or pregnant)

  Yes

  No

• Is there a risk assessment in place to cover these groups?

  Yes

  No

  N/A

• Is there a fire risk assessment in place, conducted within the last 12 months?

  Yes

  No

  N/A

• When was it conducted / reviewed?

  Date

Work at Height

• Is it likely that the organisation will undertaken any works at height (e.g. ladders / access equipment)

  Yes

  No

• Has suitable access equipment been made available for the works undertaken?

  Yes

  No

  N/A

• Has the access equipment been well maintained and is there evidence of inspection available?

  Yes

  No

  N/A

• Does the organisation use fall arrest / restraint systems? (e.g. harness, lanyard)

  Yes

  No

• Does all equipment appear to be in good condition and is there evidence of inspection available?

  Yes

  No

  N/A

• Is there a current record of thorough examination available?

  Yes

  No

  N/A

Fire Safety

• Are fire instructions clearly displayed?

  Yes

  No

  N/A

• Are fire extinguishers provided, suitably positioned and serviced within the last year?

  Yes

  No

  N/A

• Are there maintenance procedures in place for fire alarms, detection systems and emergency lighting?

  Yes

  No

  N/A

• Have fire wardens and deputies been appointed for each area of department?

  Yes

  No

  N/A

• Has a fire drill been conducted and the results recorded within the last 6 months?

  Yes

  No

  N/A

Asbestos Management

• Was the building erected before 2000?

  Yes

  No

• Has an asbestos survey been carried out?

  Yes

  No

  N/A

• Did the survey identify any asbestos containing materials?

  Yes

  No

• Has an asbestos register and management plan been put in place?

  Yes

  No

  N/A

• Are arrangements in place to communicate the presence of asbestos to contractors?

  Yes

  No

  N/A

Environment

• Is there adequate ventilation?

  Yes

  No

  N/A

• Is the area free from odours?

  Yes

  No

  N/A

• Is the temperature comfortable?

  Yes

  No

  N/A

• Is there adequate space for all personnel and equipment in the area?

  Yes

  No

  N/A

• Is the flooring of a suitable type?

  Yes

  No

  N/A

• Is the flooring adequately maintained?

  Yes

  No

  N/A

• Are external surfaces adequately maintained?

  Yes

  No

  N/A

• Is the lighting adequate?

  Yes

  No

  N/A

• Is external lighting provided and well maintained? (if relevant)

  Yes

  No

  N/A

Emergency Procedures

• Are evacuated procedures and exit routes / doors displayed?

  Yes

  No

  N/A

• Is emergency, warning and hazard signage clearly visible and in good condition?

  Yes

  No

  N/A

• Are escape routes and internal fire doors suitable and sufficient?

  Yes

  No

  N/A

• Are exit routes and final escape doors suitable, sufficient and free from any obstruction?

  Yes

  No

  N/A

• Are spill kits available (if appropriate)?

  Yes

  No

  N/A

First Aid Facilities

• Has a first aid assessment been conducted and the results recorded?

  Yes

  No

  N/A

• Are there appropraite first aid and emergency facilities in the near vicinity for employees?

  Yes

  No

  N/A

• Are employees aware of these facilities?

  Yes

  No

  N/A

• First aid kits are signed, correctly stocked and the contents are in-date?

  Yes

  No

  N/A

• Names and contact details of first aid personnel are displayed and current?

  Yes

  No

  N/A

• Is there an accident book on site?

  Yes

  No

  N/A

• Are there details of the last accident recorded?

  Yes

  No

  N/A

General Facilities

• Washing facilities are clean and functional?

  Yes

  No

  N/A

• Is there hot and cold water available for hygiene purposes?

  Yes

  No

  N/A

• Is there suitable and sufficient area(s) provided for staff welfare?

  Yes

  No

  N/A

• Are the stairs, passageways and store rooms well lit?

  Yes

  No

  N/A

• Are the walls, windows, doors and furniture in good condition?

  Yes

  No

  N/A

• Are clothing and personal item storage areas clean, tidy and well ventilated (if relevant)

  Yes

  No

  N/A

Manual Handling

• Have manual handling tasks been adequately risk assessed?

  Yes

  No

  N/A

• Have these risk assessments been periodically reviewed?

  Yes

  No

  N/A

• Have these assessments been communicated to all relevant persons with signatures recorded as evidence of receipt and understanding?

  Yes

  No

  N/A

• If applicable have manual aids been made available to reduce the risk of manual handling activities?

  Yes

  No

  N/A

Storage

• Is there any racking on site?

  Yes

  No

• Is the racking securely fixed to the floor or wall?

  Yes

  No

  N/A

• Have heavier items been stored on the lower shelves to reduce to risk of lifting?

  Yes

  No

  N/A

• Where possible materials have been stored in rack and bins and not above shoulder height?

  Yes

  No

  N/A

• Have racking safe load limits been identified and not exceeded?

  Yes

  No

  N/A

• Are ladders / safe steps required to reach items stored at height?

  Yes

  No

• Is the access equipment provided suitable for the task at hand and is there a record of inspection?

  Yes

  No

  N/A

Slips and Trips

• Are warning signs available and erected near spills when required?

  Yes

  No

  N/A

• Is there special provisions for slip resistance in wet areas?

  Yes

  No

  N/A

• Guard rails and slip resistance are provided on rams and stairs?

  Yes

  No

  N/A

• Internal walkways are free of slip or trip hazards?

  Yes

  No

  N/A

• External walkways are free of slip or trip hazards?

  Yes

  No

  N/A

Electrical Safety

• Has all portable equipment got a current test certificate or tag?

  Yes

  No

  N/A

• Has a fixed installation test of the building been conducted within the required timescales?

  Yes

  No

  N/A

• If faults were noted on the fixed installation test report, have these been rectified?

  Yes

  No

  N/A

• Are residual current devices (RCD) installed at switchboards or into fixed sockets?

  Yes

  No

  N/A

• Are portable residual current devices available?

  Yes

  No

  N/A

• Are flexible cords and extension leads in good condition?

  Yes

  No

  N/A

• Are power points suitable for the location and positioned safely?

  Yes

  No

  N/A

• Power boards are used rather than double adapters?

  Yes

  No

  N/A

• Is faulty equipment tagged out or removed from use?

  Yes

  No

  N/A

Hazardous Substances

• Is there an up-to-date list/register of all chemicals on site?

  Yes

  No

  N/A

• Are material safety data sheets (not older than 5 years) available for workers reference?

  Yes

  No

  N/A

• Has a CoSHH assessment been completed for all harmful substances stored and used at the workplace?

  Yes

  No

  N/A

• Are original containers used and/or the manufacturer's label?

  Yes

  No

  N/A

• Are chemicals stored according to compatibility? Are they bunded, in flammable or corrosive cabinets?

  Yes

  No

  N/A

• Are minimal amounts of corrosives stored, and/or used?

  Yes

  No

  N/A

• Are there spill kits available for hazardous substances?

  Yes

  No

  N/A

• Are flammable gases stored on site? What are the storage facilities (internal/external)?

  Yes

  No

  N/A

• Is oil stored on site? What are the storage facilities (tank)?

  Yes

  No

  N/A

Personal Protective Equipment

• Is PPE required within this organisation?

  Yes

  No

• Is the required PPE available?

  Yes

  No

  N/A

• Is instruction and information relating to PPE available?

  Yes

  No

  N/A

• Has suitable and sufficient signage been displayed identifying PPE requirements?

  Yes

  No

  N/A

• Are storage facilities for PPE available and well maintained?

  Yes

  No

  N/A

• Is a routine PPE review in place to ensure damaged PPE is replaced and does not go unnoticed?

  Yes

  No

  N/A

• Is there record of employees signing for acceptance of PPE?

  Yes

  No

  N/A

Noise & Vibration

• Is there significant risk of noise and / or vibration exposure to employees?

  Yes

  No

• Has a risk assessment been conducted on activities where noise or vibration may effect workers?

  Yes

  No

  N/A

• Have control measures been put in to place to reduce the risk of injury as a result of noise and/or vibration?

  Yes

  No

  N/A

Legionella

• Is there a risk of legionella on site?

  Yes

  No

• Is there a hot water storage system on site?

  Yes

  No

• Is there a cold water storage system on site?

  Yes

  No

• Have there been any significant changes to the pipe work system?

  Yes

  No

• Are there showers on site?

  Yes

  No

• Is there a procedure for flushing showers through periodically?

  Yes

  No

  N/A

• Are the temperatures of the sentinel taps recorded?

  Yes

  No

  N/A

• Is a written scheme of examination required to manage the risk of legionella?

  Yes

  No

• Is there a scheme in place?

  Yes

  No

  N/A

Display Screen Equipment

• Do workers use display screen equipment (DSE) daily, as part of their normal work, continuously for an hour or more?

  Yes

  No

• Have users of DSE been identified?

  Yes

  No

  N/A

• Have DSE self-assessments been conducted?

  Yes

  No

  N/A

• Have users received instruction on the correct setting up of their workstation? And the reporting of defects and health problems?

  Yes

  No

  N/A

• Is there a policy on the provision of eye sight tests and spectacles where necessary?

  Yes

  No

  N/A

Company Vehicles

• Does the organisation have any company vehicles (cars, vans, etc.)?

  Yes

  No

• Are vehicles maintained in accordance with the manufacturers recommendations?

  Yes

  No

  N/A

• Is there a policy relating to the use of company vehicles?

  Yes

  No

  N/A

• Has a risk assessment for driving company vehicles been conducted?

  Yes

  No

  N/A

• Has this risk assessment been communicated to all relevant persons with signatures recorded?

  Yes

  No

  N/A

• Are records maintained of vehicle checks carried out by employees?

  Yes

  No

  N/A

• Are copies of the employees driving license obtained for company records?

  Yes

  No

  N/A

• Does the organisation permit the use of personal vehicles for business use?

  Yes

  No

• Where personal vehicles are used does the company request and hold copies of insurances and MOT certificates?

  Yes

  No

  N/A

Gas Safety

• Is there any gas / LPG systems on site?

  Yes

  No

• Have gas boilers been serviced within the last 12 months?

  Yes

  No

  N/A

• Are there any LPG systems on site? If so, what are the quantities, storage and method of delivery to point of use?

  Yes

  No

• Are there any underground LPG pipe work systems on the site?

  Yes

  No

• Are there any other compressed gases on site?

  Yes

  No

• Is there an emergency plan to deal with leaks / fires?

  Yes

  No

  N/A

Violence and Aggression

• Is violence and aggression a risk to the organisation?

  Yes

  No

• Is there a policy in place?

  Yes

  No

  N/A

• Has a risk assessment for violence and aggression been conducted and recorded?

  Yes

  No

  N/A

• Have there been any incidents of violence or aggression reported?

Managing Contractors

• Are contractors used by the organisation?

  Yes

  No

• Is an approved list of contractors available?

  Yes

  No

  N/A

• Are risk assessments obtained before any works are carried out?

  Yes

  No

  N/A

• Are contractors provided with basic health and safety information before work commences?

  Yes

  No

  N/A

• Are contractors issued with and sign a contractor's induction checklist?

  Yes

  No

  N/A

Work Equipment

• Is all equipment is in good order and adequately maintained?

  Yes

  No

  N/A

• Does all plant / equipment have suitable and sufficient guarding in place as per manufactures design?

  Yes

  No

  N/A

• Does all plant and equipment have a fully operational e-stop located in a suitable position?

  Yes

  No

  N/A

• Critical equipment is under a maintenance/service agreement?

  Yes

  No

  N/A

• standard operating procedure and/or risk assessment is available for significant activities involving equipment?

  Yes

  No

  N/A

• Staff have received training in the standard operating procedures of equipment and records retained?

  Yes

  No

  N/A

Waste Management

• Does the organisation produce any hazardous waste?

  Yes

  No

• Is the site registered with the Environmental Agency as a producer of hazardous waste?

  Yes

  No

  N/A

• Are contracts in place for various waste categories?

  Yes

  No

  N/A

• Is waste segregated correctly (general, recycling, hazardous etc.)?

  Yes

  No

  N/A

• Does the organisation require a waste carriers license?

  Yes

  No

• Is a copy of the waste carriers licenses held on file?

  Yes

  No

  N/A

Pressure Systems

• Are there any systems on site that are covered by the Pressure Systems Safety Regulations 2000?

  Yes

  No

• Is there a written scheme of examination in place?

  Yes

  No

  N/A

• Are safe operating procedures displayed at the point of use?

  Yes

  No

  N/A

• Has an annual inspection of the equipment been conducted by a competent person?

  Yes

  No

  N/A

• Outset representative

  Sign

• Client Representative

  Sign

• Recommended date for next review

  Date

• Outset Group Limited believe the information contained within this report to be correct at the time of printing. Outset Limited do not accept responsibility for any consequences arising from the use of the information herein.
  
  Outset Group Limited cannot be held responsible for the accuracy of information provided by the client or previous consultants.
  
  The report is based on matters which were observed or came to the attention of the Outset Group Limited personnel during the inspection/assessment and should not be relied upon as exhaustive record of compliance or non-compliance with legislative requirements.