Title Page
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Site conducted
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Conducted on
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Prepared by
Regular Monthly Checks
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Does the QHSE information board contain all of the necessary information?
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Is the information held on the QHSE information board up to date?
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Is there adequate lighting throughout the premises?
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Is housekeeping to an acceptable standard?
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Is the office / depot free from slip and trip hazards?
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Are materials stored on shelves and in storage cupboards / rooms as appropriate?
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Is shelving suitable for the load being stored, level and secured with no defects or deterioration which impact it's integrity?
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Are heavier items stored between mid-thigh / shoulder height?
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Are materials stored to prevent shifting / falling?
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Is there an appropriate number of first aid kits available on site, and are they fully stocked? [Check dates and dispose if required]
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Is there a fully stocked eye wash kit available on site?
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Is the defibrillator accessible and in working order?
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Are facilities in good working order and clean?
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Are toilets in good working order and clean?
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Has the general waste and mixed municipal waste been placed in appropriate receptacles?
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Is it clear the general waste and mixed municipal waste receptacles are emptied prior to overflowing?
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Are there appropriate arrangements for the storage of COSHH substances, and is this suitably managed?
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Is the workplace free from COSHH products that should be stored in the COSHH container?
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Are LPG gas bottles stored correctly in the gas cage provided?
Monthly Fire Checks
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Are weekly fire alarm tests being performed and recorded?
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Are monthly emergency lighting checks being performed and recorded?
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Are the firefighting appliances accessible and in working order?
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Are exit corridors / routes clear of obstructions, marked and clearly signed?
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Do all fire does open with ease?
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Are fire door seals in good condition?
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Is the Disabled toilet alarm in working condition?
Quarterly Workplace Inspection
Workplace Assets
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Select workplace assets that are subject to either a statutory inspection or other essential compliance?
Air Conditioning
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Has the air conditioning unit been serviced and leak tested in the last 12 months?
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Enter date
Boiler and other Gas Appliances
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Has the Boiler (and other Gas Appliances) been serviced in the last 12 months?
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Enter date
Fire Alarm
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Has the fire alarm been serviced in the last 6 months?
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Enter date
Emergency Lighting
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Has the emergency lighting been serviced in the last 12 months?
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Enter date
Fire Extinguishers
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Have the fire extinguishers been serviced in the last 12 months?
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Enter date
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Are the Fire Fighting appliances visibly marked?
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Are there enough appliances sited throughout the building?
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Are there controls in place to stop misuse of the appliances?
Fixed Wiring
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Has the fixed wiring been inspected in the last 5 years?
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Enter date
Lift
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Has the lift been serviced in the last 12 months?
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Enter date
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Has the lift received a thorough LOLER inspection in the last 6 months?
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Enter date
PAT Testing
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Has the PAT testing been carried out in the last 12 months?
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Enter date
Radio / TV Licence
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Has the radio / tv licence been renewed in the last 12 months?
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Enter date
Roller Shutter
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Has the roller shutter been serviced in the last 12 months?
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Enter date
Waste Disposal
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Has the locations current commercial waste collector got an in-date waste carriers licence?
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Enter date
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Has the locations current sanitary waste collector got an in-date waste carriers licence?
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Enter date
Asset Condition
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Are all assets free from defects or outstanding maintenance?
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Are any assets due for inspection in the next 3 months?
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Please list:
Environmental
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Is the room at a comfortable temperature?
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Is the premises free from odours?
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Are noise levels acceptable?
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Is there adequate ventilation throughout the premises?
Means of Egress
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Are all floor surfaces in good condition?
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Are stair treads in good condition?
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Can all exit doors be opened from inside in direction of escape?
Electrical
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Are all plugs, leads, sockets and switches in good repair, free from fraying and damage?
First Aid
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Is there a sufficient number of trained first aiders on site?
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Please provide names
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Are the first aid kits visibly marked, and stored in appropriate locations?
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Is the eye wash kit visibly marked, and stored in an appropriate location?
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Is the defibrillator visibly marked, and stored in an appropriate location?
Fire
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Is the fire risk assessment completed and up to date?
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Are fire drills being performed and recorded?
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Is there a sufficient number of trained fire wardens on site?
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Please provide names
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Are all fire doors fully functional and do they meet the legal standards?
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Does all emergency lighting operated on test for their full rated duration?
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Is the fire assembly point identified and adequately sign posted?
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Is there suitable access for the fire service and adequately maintained?
COSHH
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Are COSSH Assessments available for products stored on site? Please choose three COSHH substances, and confirm whether the MSDS and COSHH assessments are available in the shared folders
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Are there suitable arrangements in place for the disposal of COSHH substances?