Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Access Equipment

  • SMA1 Is there a test and completion certificate for recently installed access equipment?

  • SMA2 Is there evidence of safe working loads being indicated?

Anchorage Devices

  • SMB1 Is there a test and completion certificate for recently installed anchorage devices?

  • SMB2 Do test certificate dates and asset test labels match?

Lifts & Lifting Equipment

  • SMC1 Is there a commissioning certificate for recently installed lifts/and a test certificate for recently replaced ropes/belts?

  • SMC2 Is there a set of emergency procedures advising trapped person(s)?

  • SMC3 Is there a set of emergency release procedures in the lift motor room?

  • SMC4 Are lift maintenance records available?

  • SMC5 Have any defects identified in the Thorough Examination been actioned?

Asbestos

  • SMD1 Is there an asbestos register report on site?

  • SMD2 Is there a record of periodic asbestos inspections being carried out?

  • SMD3 Are the areas containing asbestos appropriately identified within the register?

  • SMD4 Are there copies on site of drawings displayed showing areas of known asbestos with ID numbers?

COSHH

  • SMF1 Isthere a site specific schedule of stored or 'in use' substances?

  • SMF2 Are data sheets available for substances listed at SMF1?

  • SMF3 Is there a risk assessment/method statement for substances listed at SMF1?

  • SMF4 Is the site free of unauthorised substances?

  • SMF5 Are substances stored appropriately when not in use?

Electrical

  • SMG1 Is there a test and completion certificate for recently installed electrical equipment?

  • SMG2 Are portable appliances and microwave ovens labelled to record test data, corresponding with certificate?

  • SMG3 Have remedial works identified during periodic testing been actioned?

Emergency Lighting

  • SMH1 Is there a test and completion certificate for recently installed emergency lighting?

  • SMH2 Is the emergency lighting system reflected within the Fire Risk Assessment?

  • SMH3 Is there a log book of tests carried out?

Fire Alarm System

  • SMI1 is there a test and completion certificate for recently installed fire alarm system?

  • SMI2 Is the fire alarm system reflected within the Fire Risk Assessment?

  • SMI3 Is there a log book of weekly fire alarm tests and maintenance inspections?

Fire Fighting Equipment

  • SMJ1 Is the fire fighting equipment reflected within the Fire a Risk Assessment?

  • SMJ2 Are fire extinguisher type notices in place?

Gas Appliances

  • SMK1 Is there a commissioning & completion certificate for recently installed gas equipment?

  • SMK2 Are gas records of maintenance tasks being carried out on gas appliances and oil boilers?

Lightning Protection Systems

  • SML1 Is there a test/commissioning certificate and drawing for the installation?

Water Systems

  • SMM1 Have any defects noted in L8 report works been addressed?

  • SMM2 Does the maintenance regime satisfy the requirements of the L8 Risk Assessment?

  • SMM3 Are maintenance records available (including temperature recordings, flushing records)?

  • SMM4 Is (stored) water quality satisfactory?

  • SMM5 Is wholesome drinking water available for staff?

Others

  • SMN1 Are appropriate plant room signs and warning notices in place?

  • SMN2 Is there a safe accessible route to assets for maintenance work, including those located at height or on roof surface?

  • SMN3 Is there a method statement for working in confined spaces?

  • SMN4 Is glazing to walls and doors compliant with Workplace Regulation 14 ( Safety Glass or equal)?

  • SMN5 Are appropriate window restrictors in place?

  • SMN6 Are petrol interceptors being maintained?

  • SMN7 Are the plant rooms/switchrooms/risers free from Health & Safety concerns?

PPM

  • SMO1 Is the asset register up to date?

  • SMO2 are corrective maintenance work orders being raised and managed timeously?

  • SMO3 Has the technical feedback section in Infor been properly completed?

  • SMO4 Is PPM being properly recorded in the relevant log book/register?

Environmental

  • SMP1 Are fuel tanks, bunds, fill point, contents gauges and associated equipment suitably maintained?

  • SMP2 Are sub-terrarium fuel oil storage tanks (in excess of 20 years old) subjected to integrity testing?

  • SMP3 Is there a method of secondary containment for bulk fuel tanks/ fuel drums?

  • SMP4 Is there a procedure in place to manage/ contain any fuel oils pillages?

  • SMP5 Is there safe storage for 'used' tubes & is there disposal documentation for fluorescent lamp tubes and waste electrical/electronic equipment?

  • SMP6 Is the site free of flammable substances ( eg - volatile liquids, LPG & paint) stored on site?

  • SMP7 Is an F gas log book available and up to date ( required for systems containing more than 3kg of F gas)?

  • SMP8 Is all new refrigeration equipment installed after 4 July 2007 labelled with the type and quality of gas?

  • SMP9 Is there an Air conditioning inspection report in place (for systems over 12kw)?

  • SMP10 Is the Display Energy Certificate in place?

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.