Information

  • SITE LOCATION

  • MANAGERS NAME.

  • AUDITORS NAME

  • DATE OF AUDIT.

1.0 MANAGEMENT SYSTEMS DOCUMENTATION

  • 1.1 Safety and Health Policy available and current

  • 1.2. Anti Smoking Policy available and current

  • 1.3 Mobile Phone Policy available and current

  • 1.4. Incident Investigation Policy / Procedures document

  • 1.5. Health and Safety at Work Act 74 Poster Available

  • 1.6. Safety Inductions completed for all employees

  • 1.7. Training Records completed for all employees

  • 1.8. Safety Observation Cards available

  • 1.9. Hazard/Risk Register maintained and items actioned

  • 1.10. COSHH Register current

  • 1.11. Material Safety Data Sheets available and current

  • 1.12. Safe Operating Procedures available and current

  • 1.13. Emergency Procedures displayed and current

  • 1.14. Evacuation plan displayed in prominent locations

  • 1.15. Is there a Safety & Health Committee

  • 1.16. Maintenance Records for fixed and mobile Equipment

  • 1.17. Monthly workplace inspections undertaken

  • 1.18. Pre employment Medicals/Physical Assessments carried out

  • 1.19. Schedule for Health Surveillance available/observed

2.0. MOVEMENT AROUND WORKPLACE

  • 2.1. Floors clean, even and free of slip, trip and fall hazards

  • 2.2. Oil and Grease removed

  • 2.3. Floors kept free of rubbish

  • 2.4. Entry and walkways kept free from obstructions

  • 2.5. Walkways free of hoses or electrical cords

  • 2.6. Walkways clearly marked

  • 2.7. Pedestrian and vehicular traffic segregated

  • 2.8. Drains adequately covered

  • 2.9. Restricted access areas identified with signage

3.0. GENERAL LIGHTING

  • 3.1. Adequate natural light or illumination for tasks

  • 3.2. Portable task lighting available

4.0. STORAGE

  • 4.1. Materials stored in racks/bins/shelves wherever possible

  • 4.2. Storage designed to minimize lifting problems

  • 4.3. Floors around racking clear of rubbish

  • 4.4. Racks and pallets in good condition

  • 4.5 Appropriate equipment provided for access

5.0. VISITORS

  • 5.1. All personnel and visitors can be accounted for

  • 5.2. Appropriate PPE worn by visitors and personnel

  • 5.3. All visitors advised to report to office

6.0. ELECTRICAL

  • 6.1. Electrical installations installed correctly to minimise risk

  • 6.2. Evidence of maintenance/testing in place

  • 6.3. Components clearly marked & marked RCD protected

  • 6.4. Switchboard free from obstructions

  • 6.5. Emergency shut down procedure in place

  • 6.6. Residual Circuit Breakers Installed

  • 6.7. RCD's regularly tested

  • 6.8. Power points marked RCD Protected

  • 6.9. Testing and Tagging program in place RCD/Hand tools

  • 6.10. Electrical equipment has current Inspection Tag

  • 6.11. No broken plugs, sockets and switches

  • 6.12. Connection moulded or transparent plugs

  • 6.13. No frayed or damaged leads

  • 6.14. No temporary leads on floor

  • 6.15. No strained leads or flexed plugs

  • 6.16. Power boards available if required (no double adaptors)

7.0. POWER TOOLS

  • 7.1. Adequately guarded

  • 7.2. No obvious damage to plugs & cords

  • 7.3. Tools inspected regularly and prior to use

  • 7.4. Current electrical test/tag attached

  • 7.5. Portable RCD'S available and used

  • 7.6. Tools turned off and stored safely when not in use

  • 7.7 Register of portable electrical equipment

8.0. FIXED PLANT & MACHINERY

  • 8.1. Certified plant (compressor) registered/serviced

  • 8.2. Crane Maintenance recorded in log book

  • 8.3. Moving parts of machinery correctly guarded

  • 8.4. Emergency stops within easy reach of operator

  • 8.5. Manuals/Operating procedures available/understood

  • 8.6. Plant can be adequately isolated and locked out

  • 8.7. Isolation procedures evident and understood/followed

  • 8.8. Adequate and safe access for operation/maintenance

  • 8.9. Machinery kept clean

  • 8.10. Adequate work space around machinery

  • 8.11. No bending or stooping required

  • 8.12. Correct tools are provided

9.0. MOBILE PLANT

  • 9.1. Seat belts fitted and worn

  • 9.2. Mobile plant inspected daily prior to use (pre-start checks)

  • 9.3. Log books/pre-start records available

  • 9.4. Are operators deemed competent to operate mobile plant

  • 9.5. Is there a preventative maintenance program for plant

  • 9.6. Is there safe access to operate/maintain mobile plant

  • 9.7. Site speed limits signed

  • 9.8. Are pedestrians and vehicular traffic/plant segregated

10.0. MECHANICAL LIFTING EQUIPMENT

  • 10.1. Mobile Crane/Engine Lift SWL identified on rating plate

  • 10.2. Mobile Crane/Engine Lift maintenance records available

  • 10.3. Overhead Gantry - SWL identified on rating plate

  • 10.4. Block and Tackle - SWL identified on rating plate

  • 10.5. Chains/Slings and Lifting equipment on register

  • 10.6. Chains and Slings have SWL marked

  • 10.7. All equipment testing and inspection records available

  • 10.8. Drum lifters in good condition

  • 10.9. Trolleys in good condition

11.0. MANUAL HANDLING

  • 11.1. Are mechanical lifting aids provided

  • 11.2. Manual handling hazards have been identified

  • 11.3. Repetitive tasks identified and controlled

  • 11.4. Manual Handling Risk Assessments completed

  • 11.5 Work rotations promoted/observed for repetitive

  • 11.6. Manual Handling training provided annually

12.0. FALL PREVENTION

  • 12.1. Fall prevention measures in place

  • 12.2. Work platforms used where possible

  • 12.3. Fall arrest systems tested & inspected

  • 12.4. Anchorage points are rated and inspected

  • 12.5. Ladders inspected regularly

  • 12.6. Work from ladders not permitted (use for access only)

  • 12.7. Edge protection provided (handrails, kickplates)

  • 12.8. Holes and openings covered

  • 12.9. Those erecting mobile tower scaffolds have PASMA training

13.0. HAZARDOUS SUBSTANCES / DANGEROUS GOODS

  • 13.1. Stored and segregated in accordance with MSDS

  • 13.2. Containers correctly marked and labelled

  • 13.3. Containers with decanted substances are labelled

  • 13.4. Register of Hazardous Substances maintained/available

  • 13.5. MSDS current & readily available for chemicals in use

  • 13.6. Risk Assessment for chemicals completed/available

  • 13.7. Hierarchy of controls taken into account

  • 13.8. Appropriate Chemical Training provided & recorded

  • 13.9. Adequate PPE provided and worn

  • 13.10.Safety shower and eye wash provided and working

  • 13.11 Are Chemicals adequately bunded

  • 13.12 Procedures in place for correct disposal of chemicals

  • 13.13 Hydrocarbon / other spill kit & procedure available

  • 13.14 Health surveillance undertaken & recorded if required

14.0 WELDING AND OTHER HOT WORK

  • 14.1. Welding screens provided to protect people

  • 14.2. Flash arresters fitted

  • 14.3. Is equipment double insulated

  • 14.4. Are hoses free from damage

  • 14.5. Hot Work permits readily available, where required

  • 14.6. Cylinders stored correctly (Oxygen & Fuels segregated)

  • 14.7. Cylinders in cages or chained

  • 14.8. Is required PPE available and serviceable

15.0. FIRE

  • 15.1. Is a Fire Risk Assessment available.

  • 15.1. Extinguishers in place and marked for type of fire

  • 15.2. Fire equipment recently serviced and indicated on tag

  • 15.3. Adequate directional evacuation signs

  • 15.4. Fire exits clearly identified

  • 15.5. Emergency Exits and exit routes kept free of obstruction

  • 15.6. Exit door easily opened from inside

  • 15.7. Fire Instructions available and displayed

  • 15.8. Regular fire/evacuation drills carried out

  • 15.9. Training sessions conducted annually

16.0. FIRST AID

  • 16.1. Kits adequate for hazards and number of workers

  • 16.2. Employees aware of location of kit

  • 16.3. Trained First Aiders available and identified

  • 16.4. Kits maintained in clean and tidy condition

  • 16.5. Kits serviced regularly

  • 16.6. Injury reporting procedure understood

  • 16.7. Emergency numbers displayed

17.0. PERSONAL PROTECTIVE EQUIPMENT FOOT/CLOTHING/HEARING/EYE/RESPIRATORY

  • 17.1. Provided and adequate for hazards and tasks

  • 17.2. Personnel instructed in fit, use and maintenance

  • 17.3. PPE maintained in good working order

18.0. SIGNAGE

  • 18.1. Area where PPE required identified by correct signage

  • 18.2. Are First Aid Kits adequately signed

  • 18.3. Fire Equipment signed

  • 18.4. Emergency Exits signed

  • 18.5. Welding signs available

  • 18.6. COSHH signs in place

  • 18.7. Workshop signed "Authorised Entry Only"

  • 18.8. Signage advising visitors to report to reception

  • 18.9. Speed Limit and other traffic signage

  • 18.10. Emergency Assembly Point

  • 18.11. Other Danger/Caution signs as required

19.0. OFFICE HAZARDS

  • 19.1. Stable non-slip floor coverings

  • 19.2. Chairs fully adjustable and ergonomically positioned

  • 19.3. Workstations set up correctly

  • 19.4. No glare onto screen based equipment

  • 19.5. No electrical leads across thoroughfares

  • 19.6. No clutter, files, boxes etc on floors

  • 19.7. Electric heaters safe distance from combustibles

  • 19.8. Filing cabinet drawers open

20.0. NOISE

  • 20.1. Noise assessment conducted

  • 20.2. Hearing conservation program developed

  • 20.3. Noise controls have been identified & implemented

  • 20.4. Personal hearing protection provided

  • 20.5. Personnel trained in selecting/fitting/maintaining PHP

21.0. STAFF AMENITIES

  • 21.1. Hand washing facilities provided / paper towel / continuous roll towel

  • 21.2. Adequate toilets for number of workers

  • 21.3. Sanitary disposal units provided

  • 21.4. Lunch room facilities adequate for number of workers

  • 21.5. Cool drinking water provided

  • 21.6. Utensils and crockery clean

  • 21.7. Food heating equipment clean and maintained

22.0 EXTERNAL

  • 22.1. No rubbish or spills evident

  • 22.2. Bins located at suitable points

  • 22.3. Bins emptied regularly

  • 22.4. Safe disposal of oily rags

  • 22.5. Oil recovered and/or disposed of safety

  • 22.6 Oil drums bunded

  • 22.7. No evidence of environmental spills

  • 22.8. Spills not permitted to enter stormwater drains or similar

  • 22.9. Drains covered and grates in good condition

  • 22.10. Vegetation and long grass cut back

  • 22.11. Combustible items stored away from buildings

  • 22.12. Designated smoking area safe distance from flammables

  • 22.13. Asbestos identified by testing and signed

  • 22.14. Adequate external lighting

  • 22.15. Adequate parking provided

  • 22.16. Traffic management plan in place

  • 22.17. No pedestrians permitted behind vehicles likely to reverse

  • 22.18. No potholes evident in walkways

  • 22.19. No slip/trip/fall hazards

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.