Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

1.0 Health and Safety Policy

  • 1.1 Is the Policy in date and signed

  • 1.2 Staff inductions

  • 1.3 Staff Handbook

2.0 - Fire Risk assessment and documentation

  • 2.1 - Fire Risk assessment in date?

  • 2.2 - Evacuation plan displayed and understood by all employees?

  • 2.3 - Extinguishers recently serviced? (Annual Certificate.)

  • 2.4 - Fire log book up to date?

  • 2.5 - Fire alarm system functioning correctly and serviced (6 Months)

  • 2.6 - Automatic sprinkler system inspections?

  • 2.7 - Dry risers tested annually?

  • 2.8 - PEEPS identified and completed?

3.0 - Emergency exit lighting

  • 3.1 - Emergency exit lighting Annual inspection?

  • 3.2 - Emergency exit lighting Monthly inspection?

4.0 - Building Safety

  • 4.1 - Asbestos register in place?

  • 4.2 - Air Conditioning and Ventilation inspected?

  • 4.3 - Boiler Maintenance?

  • 4.4 - Gas Safe Certificate? Annual

  • 4.5 - Catering equipment Serviced Annually?

  • 4.6 - Kitchen Extraction Deep Cleaned Annually?

  • 4.7 - Doors (Automated) inspected Annually?

  • 4.8 - Electrical, fixed installation inspection completed 5 year?

  • 4.9 - Electrical, fixed installation for hired sports halls 3 years?

  • 4.10 - Electrical, fixed installation for Swimming pools 1 Year?

  • 4.11 - PAT testing in Place?

  • 4.12 - Electrical stage lighting and rigging inspected annually?

5.0 - Play Equipment

  • 5.1 - Gym equipment inspected annually?

  • 5.2 - Playground Equipment inspected annually?

  • 5.3 - Playgrounds inspected daily?

6.0 - LOLER

  • 6.1 - Passenger lifts inspected 6 monthly?

  • 6.2 - Hoists inspected 6 monthly?

  • 6.3 - Lifting equipment such as forklifts inspected annually?

7.0 - Water hygiene risk assessment

  • 7.1 - Water hygiene assessment completed within the last 2 years?

  • 7.2 - Monthly temperature checks?

  • 7.3 - Weekly run off completed?

  • 7.4 - Showers deep cleaned?

8.0 - Electric Gates Documentation and Servicing

  • 8.1 - Risk Assessment (This document is essential)

  • 8.2 - Declaration of conformity (Handed over with gate)?

  • 8.3 - Manufacturer's Indelibly marked CE plate (Applied to gate)?

  • 8.4 - Force testing results?

  • 8.5 - Declarations of incorporation (conformity) from drive unit & safety device manufacturers?

  • 8.6 - Guide for safe use of gate (operational instructions) (Handed over with gate)?

  • 8.7 - Details of the location of any emergency release devices?

  • 8.9 - Noise levels controlled?

9.0 - COSHH

  • 9.1 - Hazardous Substance Register complete and available?

  • 9.2 - Material Safety Data Sheets available for all chemicals?

  • 9.3 - Risk assessments completed for hazardous substances?

  • 9.4 - All containers labelled correctly?

  • 9.5 - Unused substances disposed of?

  • 9.6 - Workers trained in the use of hazardous substances?

  • 9.7 - If required is PPE available?

  • 9.8 - Is adequate ventilation provided?

  • 9.9 - Are eye washes and showers easily accessed?

10.0 Ladders

  • 10.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 10.2 - Are ladders inspected before use?

  • 10.3 - If used for electrical work are they non conductive? (fibre glass.)

  • 10.4 - Staff Trained in safe use?

  • 10.5 - For extension ladders are ropes, pulleys and treads in a good state of repair?

11.0 - First Aid Facilities

  • 11.1 - First Aid Risk assessment in place?

  • 11.2 - Staff trained in first Aid?

  • 11.3 - Cabinets checked regularly?

  • 11.4 - Cabinets clearly labelled?

  • 11.5 - Employees aware of location of first aid cabinet?

  • 11.6 - Are emergency numbers displayed?

12.0 - DSE

  • 12.1 - DSE assessments completed by office staff?

13.0 - Vehicle Condition

  • 13.1 - Schedule maintenance performed?

  • 13.2 - Pre-use checklist completed?

  • 13.3 - Drivers License and insurance for all nominated persons

  • 13.4 - Drivers Policy in place?

  • 13.5 - First aid kit supplied and adequate?

  • 13.6 - Storage provisions?

14.0 Risk Assessments

  • 14.1 Premises RA's

  • 14.2 Activities RA's

  • 14.3 Lone Working RA

  • 14.4 Young Person RA

  • 14.5 Expectant Mother RA

15.0 Staff Training

  • 15.1 Training matrix in place

  • 15.2 Manual Handling training completed for nominated staff

  • 15.3 Ladder training for nominated staff

  • 15.4 Asbestos training for nominated staff

16.0 Lockdown

  • 16.1 Lockdown procedure in place?

  • 16.2 Lockdown Drill completed?

Sign Off

  • On site representative

  • Auditor's signature

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.