Staff Welfare Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Name:

• Job Title

• Payroll Number

• Site Name

• Line Manager

• Select date

  Date

• Does the Security Operative have an in date Training Needs Analysis?

  Yes

  No

  N/A

SIA Licence & ID Card Details

• SIA Licence on visible display?

  Yes

  No

• ID Card Carried?

  Yes

  No

• ID Card Expiry Date

  Date

SIA Licence Type

• Man Guarding

• Door Supervision

• CCTV

• Close Protection

• Non-Frontline

• Other

• SIA Licence Number (1)

• Expiry Date

  Date

• SIA Licence Number (2)

• Expiry Date

  Date

Welfare Issues

• Do you have any personal welfare needs or issues that you would like to raise with the company?

  Yes

  No

• If yes describe issues.

• Do you have a grievance that you would like to formally raise against a colleague or an individual?

  Yes

  No

• If yes detail the grievance raised

Tool Box Talk

• Topic of this months Tool Box Talk

Managers/Supervisor Comments

• Give details of how the Tool Box Talk discussion went?

• Give details of your assessment of the individuals performance over the month?

• Indicate any training needs identified for the officer to carry out the contacted duties onsite?

• Signed by Security Operative

  Sign

• Select date

  Date

• Signed by Manager/Supervisor

  Sign

• Select date

  Date

• Welfare carried out in person

• Welfare carried out by phone

• In the event of a welfare issues the Regional Operations Director will sign below upon resolution

• Signed by Regional Director

  Sign

• Select date

  Date