• Select date

General

  • Does employee Understand the Health & Safety Policy (Pick person (s) & assess person(s) name

  • Does employee understand the Fire procedure (Pick person(s) & assess) Person(s) name

Machinery Guarding First Machine

  • Guarding Checks completed (Machine Number)

  • All guarding in place on Machine checked

  • Is any lifting equipment that is being used in good repair and correctly tagged (State tag colour)

Personal Protective Equipment

  • Appropriate PPE in use: e.g. Safety shoes, goggles, gloves, (Two employees names and PPE)

Fire

  • Check fire exits & fire points clear: (Identify fire exits and fire points checked)

  • Fire extinguishers tests in date (identify point and date displayed)

Housekeeping

  • Work area environment: floor sound, no trip hazards, exposed wiring etc

  • All gangways clear

  • Safety signs / notices in good condition: e.g. defaced, faded, defected.

Working practices

  • Employee following safety procedures (Pick person(s) name) Identify task title

  • Is a risk assessment / SWP completed for task, if so identify reference number:

  • Employees training file checked to ensure that they have been trained on the task and is recorded on the training matrix

  • COSHH: understanding of substance(s), using substance(s) correctly (When employee working with a substance) name of employee and substance(s) being used.

  • COSHH: Data sheet and COSHH assessment available (Identify reference numbers)

Contractors (Audit only if contractor working in Audit area)

  • Are contractors booked in at reception / wearing ID badge

  • Have contractors got a risk assessment/ method statement insurance/ permit to work

Observations

  • Were any other observations made during the Audit / if so please Identify

  • Auditors signature

  • Health and Safety Officer

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