Title Page

  • Location being visited:

  • Address:

  • Date of Visit:

  • Name of service representative seen:

  • E-mail address of service manager for Actions to be sent through to.

  • Name of Advisor:

Section 1 - Opening Meeting

Introductions and format of the visit

  • Introductions

  • 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

  • Date of last full H&S Audit:

  • Audit carried out by:

General Information

  • Name of service:

  • Name of Business Manager:

  • Name of Site Manager/Caretaker:

  • Staff Headcount:

  • Service type/provision:

Service Level Agreements

  • Do you have SLA's with any other 3rd Parties (i.e. Catering, Cleaning, Property Management and Security)?:

  • Catering

  • Who provides this service?

  • What service agreement do you have?

  • Cleaning

  • Who provides this service?

  • What service agreement do you have?

  • Property Management

  • Who provides this service?

  • What service agreement do you have?

  • Security

  • Who provides this service?

  • What service agreement do you have?

  • Other

  • What service is provided?

  • Who provides this service?

  • What service agreement do you have?

General Notes

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Section 2 - Points To Discuss

Review of Statutory Checks

  • 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

  • Discuss any outstanding actions from last H&S Audit / Interim visit.

  • Details of actions service has taken since last H&S Audit / Interim Visit

Training

  • Discuss any H&S training requirements.

  • Any notes applicable to H&S training.

Fire Risk Assessment

  • Does the site have a Fire Risk Assessment?

  • Date of Fire Risk Assessment:

  • Fire Risk Assessment carried out by:

  • Is the FRA current and reviewed annually?

  • Any substantial actions outstanding on FRA:

  • Health & Safety Advisor to escalate to Assistant Environmental Health Manager (Health & Safety)

  • Any notes applicable to Fire Risk Assessment:

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Asbestos

  • Does the service have any know Asbestos Containing Materials on site?

  • Does the service have a printed copy of the Asbestos Register, available at Reception/Main Office?

  • Is the Asbestos Register current and up to date?

  • Does the Asbestos Register contain plans/location drawings/photographs?

  • Any notes applicable to Asbestos Register:

  • 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

  • Has the service had any serious accidents since our last visit?

  • Details of any serious accidents:

Electric Vehicle Charging Points

  • Does the service have any electric vehicle charging points on site?

  • Remind service that the Fire Risk Assessment should include fire risks associated with charging electric vehicles.

Walk around Site

  • Carry out a physical walk around site.

  • Details of area walked around:

  • Issue No.
  • Health & Safety Issue:

  • Location (if required):

  • Photo (if required):

Any other H&S Matters

  • Discuss any other H&S matters the Service / H&S Advisor have.

  • Issue No.
  • Health & Safety Issue:

  • Location (if required):

  • Photo (if required):

Signature

  • H&S Advisors 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.