Information
COVER PAGE
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Document No.
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Department name
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File name - standard format 'audit_department_year_document status'
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Conducted on
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Prepared by
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Document status
CORE
INSPECTION DETAILS
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Department audited
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Areas inspected during audit comments
areas
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Areas inspected
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Areas excluded during this audit comments
excluded
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Areas excluded from the inpection
INSPECTION NOTES
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Add inspection notes
inspection note
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PREVIOUS INSPECTIONS
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PREVIOUS INSPECTIONS ON
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Are there any outstanding remedial actions from previous inspections
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Outstanding remedial actions from previous inspections
outstanding remedial actions
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Are there any outstanding remedial actions from previous inspections
CORE REQUIREMENTS
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CORE REQUIREMENTS ON
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Department's health & safety arrangements available
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Department's health & safety risk assessments available
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Department's previous inspection records available
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Department's tracking of remedial actions available
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Add inspection notes
inspection note
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HOUSEKEEPING
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HOUSEKEEPING CHECKS ON
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Work areas kept clean and clear of clutter and waste
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Waste in work areas well managed
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Slip & trip hazards in work area well controlled
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Housekeeping generally standards acceptable
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Add inspection notes
inspection note
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WORKPLACE
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WORKPLACE CHECKS ON
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Workplace has suitable storage facilities for the activities undertaken
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Workplace can be secured against unauthorised entry
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Workplace flooring is intact and the floor covering is suitable for the activities undertaken
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Workplace lighting levels are suitable for the activities undertaken
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Workspace has sufficient work space for the activities undertaken
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Workplace temperature is suitable for the activities undertaken
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Workplace noise level is suitable for the activities undertaken
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Workplace glazed areas are clearly marked when there is a risk people might walk into them
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Workplace contains suitable welfare facilities
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Suitable toilets
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Suitable hand washing facilities
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Source of potable water available
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Workplace well managed
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Add inspection notes
inspection note
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ELECTRICAL EQUIPMENT
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ELECTRICAL EQUIPMENT CHECKS ON
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Equipment subject to an inspection and/or testing regime
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Suitable electrical equipment provided for the activities undertaken and the persons using them
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Electrical sockets loading satisfactory
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Electrical gang sockets used in an appropriate manner
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Electrical equipment well managed
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Add inspection notes
inspection note
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COMPUTER WORKSTATIONS
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COMPUTER WORKSTATION CHECKS ON
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Computer workstations provided to a suitable standard
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Computer workstation risk assessments completed
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Computer workstations well managed
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Add inspection notes
inspection note
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WORK AT HEIGHT EQUIPMENT
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WORK AT HEIGHT CHECKS ON
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Work at height avoided where possible
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Suitable kick stools provided where necessary to access items
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Suitable ladders provide where necessary to access items
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Work at height well controlled
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Add inspection notes
inspection note
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MANUAL HANDLING
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MANUAL HANDLING CHECKS ON
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Manual handling areas kept clear or obstructions and trip hazards
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Trolleys or trucks available for heavier loads
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Heavy items stored in accessible locations at a suitable height
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Heavy loads are split into smaller loads
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Manual handling risks are well controlled
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Add inspection notes
inspection note
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FIRE & EVACUATION
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FIRE PRECAUTION CHECKS ON
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Personal emergency evacuation plans
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Aware of procedures and formats for completing PEEPS
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Able to report on need for a PEEP and completed PEEPs in their area
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Department's PEEP are up to date
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Fire prevention
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Ignition sources are well controlled
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Fuel sources are well controlled
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Provision made to enable a successful evacuation
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Suitable provision has been made to fight fires
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Fire wardens appointed and operating
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Fire action notices on display
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Fire exit doors are kept closed OR are only held open with automatic devices linked to the fire alarm system
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Fire escape routes clear and unobstructed
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Fire escape routes clearly signed
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Final exits are clear and unobstructed
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Fire exit doors fitted with suitable mechanisms
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Fire risk is well managed
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Add inspection notes
inspection note
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FIRST AID
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FIRT AID CHECKS ON
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First aiders identified and advertised within department
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First aid materials identified and location advertised within department
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Checks carried out on materials and replenished where necessary
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First aid provisions well managed
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Add inspection notes
inspection note
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OTHER OBERVATIONS
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OTHER OBSERVATIONS ON
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Additional observations
observation
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Observation made
SIGNATURES
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Inspector
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Other persons involved in inspection
person
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Signature of other persons involved
FURTHER ACTIONS
RECOMMENDATIONS & ADVISORY
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Note that this form is not used to track and record the completion of recommendations. The recommendations must be added to the relevant Departments action list and tracked to completion
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Recommendations
recommedations
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Title - short one liner
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Recommendation
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Priority
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Department to action
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Person to action
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Target date for completion
SIGNATURE
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Inspector
