Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Policy & Information

Health and Safety Policy

  • Is there a Health and Safety Policy

  • Is the policy signed by relevant manager

  • Date policy signed

  • Is the policy clearly displayed or available

  • Is current "Health and Safety Law" poster displayed

Insurance

  • Is the Employers Compulsory Insurance Displayed

  • Does the insurance provide cover to at least £5 million

  • Expiry date of current insurance

First Aid Provision & Accident Reporting

  • Suitable first aid cover provided (As required by risk assessment)

  • Identities of First Aid Personnel clearly displayed

  • Suitable first aid kits provided

  • Evidence that contents of first aid kits regularly checked

  • Is accident book provided

  • All employees and management understand how to report accidents

Risk Assessments

  • Confirm that suitable and sufficient risk assessments have been completed and are available for the following disciplines

  • General Location Risk Assessment

  • Fire Risk Assessment

  • Asbestos Register and Risk Assessment

  • Water System Risk Assessment

  • Display Screen Equipment Risk Assessment

  • Glazing Assessment

  • Manual Handling Assessment

  • First Aid Risk Assessment

  • Risk assessments must be signed off and actions completed. Please confirm that all assessments are in date, acted upon and reviewed as needed.

  • Are all actions in the risk assessment completed and signed off by location management

  • All assessments in date

Final Comments

  • Final comments on Policy and Information

  • Comments

Fire Safety

  • General information regarding fire safety at the location. For more detailed information please consult the full Fire Risk Assessment

Fire Risk Assessment

  • Has a suitable and sufficient fire risk assessment been completed

  • Date assessment completed

  • Have all actions been acted upon and signed off by location manager

  • Further comments regarding Fire Risk Assessment

Roles and Responsibilities

  • Has a "Responsible Person" been appointed

  • Is the Responsible Person fully aware of their role and received suitable training

  • Sufficient "Competent Persons" appointed (Fire Wardens)

  • Are Competent Persons trained and aware of their role

Fire Exits and Escape Routes

  • Sufficient escape routes from all areas

  • Confirm all fire exits unobstructed

  • Sufficient emergency Lighting in all escape routes

  • Fire exit and emergency signage clear and suitable

Emergency Planning & Training

  • Is there a suitable fire evacuation and emergency plan in place

  • Does emergency plan take into consideration disabled or less abled persons

  • Confirm all employees trained in fire safety arrangements

  • Confirm fire drill completed at least annually

  • Date of last evacuation drill

  • Does the layout and occupation require Evac Chairs

Fire Duties, Testing & Inspection

  • Confirm that fire log book is in place to record all fire safety checks

  • Confirm Fire Alarm tested weekly

  • Confirm Emergency Lighting tested

  • Confirm all Portable Fire Fighting Equipment in correct locations

  • Maintenance plan in place for fire alarm system

  • Maintenance plan in place for Portable Fire Fighting Equipment

Final Comments

  • Final comments on Fire Safety Management

  • Comments

Workplace Safety

  • General inspection of workplace safety standards

House Keeping

  • Is there generally a good standard of housekeeping

  • Floors free from trip or slip hazards

  • Rubbish cleared away and not presenting a danger

  • Equipment and VM stores not obstructing escape routes etc

Built Environment

  • Floors, steps and stairs all in good condition and free of trip hazards

  • Where used, are balustrades and hand rails secure and appropriate

  • Glazing in good condition

  • If required is there suitable protection to vulnerable glazing

Smoking

  • Confirm no smoking in workplace

  • Are statutory "No Smoking" signs displayed at entrances

  • If provided, do smoking facilities conform to requirements

Final Comments

  • Final comments regarding Workplace Safety issues

  • Comments

Welfare and Facilities

  • Information regarding the provision of welfare and safety facilities

Welfare & Facilties

  • Lighting levels adequate throughout the workplace

  • Lighting levels measured at till point

  • Noise levels acceptable and free from risk

  • Calibrated noise meter reading at sales floor till

  • Workplace temperatures adequate for work and subjected to extremes.

  • Workplace temperature measured at till point

  • Lockers provided for all employees

  • Changing area provided for employees

  • Confirm no lone working takes place

  • Are the sufficient WC's provided

  • Fresh drinking water provided

  • Area provided to prepare and eat meals

Final Comments

  • Final comments regarding employee welfare and facilities provision

  • Comments

Equipment Safety

  • Questions regarding workplace equipment

Information

  • All O&M (Safety) files on site and available for inspection

  • Risk assessments for dangerous equipment (Lifts, escalators, steamers etc) completed

  • Safe Operating Procedures for work equipment completed

Equipment Use & Maintenance

  • All equipment guards and safety devices in place and operating correctly

  • All equipment has a suitable maintenance program in place

  • Where required, confirm statutory thorough inspections are completed

Working at Heights & Access Equipment

  • Confirm all ladders suitable and to a minimum EN131 standard

  • Are ladders and access equipment suitable for task being completed

  • Have all ladders and access equipment been uniquely identified and recorded in access equipment register

  • Are all ladders and access equipment inspected regularly

  • Confirm damaged access equipment removed or destroyed

Electrical Safety

  • Electrical installation formally inspected every 5 years

  • Where required, are portable appliance electrically tested

  • All electrical equipment regularly inspected and destroyed if damaged

  • Confirm electrical leads do not present trip hazards

  • Conform no overloaded sockets

  • Conform no excessive "diasy chaining" of electrical sockets

  • Confirm free access to distribution boards and cupboards

  • Confirm electrical cupboards not used as storage or stockrooms

Final Comments

  • Final comments regarding Equipment Safety

  • Comments

Training

  • Information regarding training for Health and Safety and safe working practices

Training completed

  • Confirm arrangements in place to complete the following training

  • Health and Safety Induction

  • Fire Safety Induction

  • Fire Evacuation Plan

  • Accident Reporting Proceedures

  • Manual Handling

  • Working at Heights

  • Safe Use of Work Equipment - Where appropriate or needed

Final Comments

  • Final comments regarding training and support

  • Comments

Sign Off

  • The methods of completion of this audit, the findings and significant hazards have been reviewed with the location manager and next steps with regards to action planning agreed.

Sign Off

Location Management

  • I confirm that I have shown the Total Risk Management consultant all areas of the location, including remote stockrooms, basement and roof access areas and the all areas have been captured in this audit

  • I confirm that the general findings of this audit have been discussed with me, and importantly, the immediate actions requirements have been explained and a clear indication of the control measures needed have been agreed.

    The actions will be completed as soon as practicable and in all cases within the time frames shown, unless indicated otherwise by company management.

  • Store / Location Management

Total Risk Management Declaration

  • I confirm that following a full review of the premises, conducted within the limitations of the audit disclaimer, all immediate risks and issues as noted at the time of the audit have been recorded in this report. The significant risks and action planning have been fully explained to the location manager as noted above.

  • Total Risk Management Ltd

Assessment Review

  • This safety audit is a true reflection of the issues noted at the time of the survey. As all workplaces change and evolve this assessment and the document derived from it should be regularly reviewed on timescales as noted below.

  • Assessment and Audit Review Cycle

  • Assessment & Audit Renewal Date

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.