Title Page
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Location being visited:
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Address:
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Date of Visit:
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Name of service representative seen:
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E-mail address of service manager for Actions to be sent through to.
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Name of Advisor:
Section 1 - Opening Meeting
Introductions and format of the visit
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Introductions
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Interim visits are usually carried out annually between full audits, which usually take place every three years.
This is an opportunity to revisit any outstanding items from your last audit/visit, to discuss any current health & safety issues affecting your service and also to answer any health & safety queries you may have.
Last H&S Audit
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Date of last full H&S Audit:
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Audit carried out by:
General Information
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Name of service:
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Name of Business Manager:
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Name of Site Manager/Caretaker:
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Staff Headcount:
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Service type/provision:
Service Level Agreements
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Do you have SLA's with any other 3rd Parties (i.e. Catering, Cleaning, Property Management and Security)?:
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Catering
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Who provides this service?
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What service agreement do you have?
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Cleaning
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Who provides this service?
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What service agreement do you have?
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Property Management
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Who provides this service?
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What service agreement do you have?
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Security
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Who provides this service?
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What service agreement do you have?
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Other
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What service is provided?
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Who provides this service?
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What service agreement do you have?
General Notes
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Section 2 - Points To Discuss
Review of Statutory Checks
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Ensure you have carried out a review, to see that regular checks are being carried out and suitably recorded by the service.
Outstanding actions from last H&S Audit
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Discuss any outstanding actions from last H&S Audit / Interim visit.
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Details of actions service has taken since last H&S Audit / Interim Visit
Training
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Discuss any H&S training requirements.
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Any notes applicable to H&S training.
Fire Risk Assessment
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Does the site have a Fire Risk Assessment?
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Date of Fire Risk Assessment:
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Fire Risk Assessment carried out by:
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Is the FRA current and reviewed annually?
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Any substantial actions outstanding on FRA:
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Health & Safety Advisor to escalate to Assistant Environmental Health Manager (Health & Safety)
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Any notes applicable to Fire Risk Assessment:
Asbestos
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Does the service have any know Asbestos Containing Materials on site?
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Does the service have a printed copy of the Asbestos Register, available at Reception/Main Office?
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Is the Asbestos Register current and up to date?
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Does the Asbestos Register contain plans/location drawings/photographs?
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Any notes applicable to Asbestos Register:
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Notify service they need to print out a copy of the Asbestos Register and keep it available at reception/main office for immediate viewing (if required).
Accidents
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Has the service had any serious accidents since our last visit?
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Details of any serious accidents:
Electric Vehicle Charging Points
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Does the service have any electric vehicle charging points on site?
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Remind service that the Fire Risk Assessment should include fire risks associated with charging electric vehicles.
Walk around Site
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Carry out a physical walk around site.
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Details of area walked around:
Issue No.
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Health & Safety Issue:
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Location (if required):
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Photo (if required):
Any other H&S Matters
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Discuss any other H&S matters the Service / H&S Advisor have.
Issue No.
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Health & Safety Issue:
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Location (if required):
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Photo (if required):
Signature
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H&S Advisors Signature