Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Prepared for

Section A

Company Overview

  • Company Overview

  • Scoring is as follows:-

  • Green - Compliant - Yes - 3 Points

  • Amber - Partial - 1 Point

  • Red - Non Compliant - 0 Points

Consultancy Advice

  • Are you and your employees making regular contact with your safety consultant?

Correspondence

  • Are you receiving newsletters and filing other correspondence?

Business Safety Package

  • Are you happy with your current safety package?

Annual Review

  • Are your annual reviews being actioned and filed?

Section B

Health and Safety Policy

  • Is your policy up to date and current with your business processes? Is the statement of intent signed by a Director?

Policy Communication

  • Have all your employees signed the communication sheet to demonstrate they have read, understood and will comply with the policy?

Section C

Training Matrix

  • Have you reviewed your training matrix at least once a month and kept it up to date?

  • Is there a training plan in place for future training to be considered? Please note any pending training requirements?

Safety Meetings

  • Are meetings carried out regularly and minutes recorded with actions?

Toolbox Talks

  • Are toolbox talks delivered regularly and communication sheets signed to indicate attendance?

PPE

  • Is PPE issued to employees free of charge with records kept?

Contractor Competency

  • Do your subject your sub contractors to a competency check or questionnaire?

Section D

Risk Assessments

  • Do you have complete set of Risk Assessments in place which are site specific as well as generic?

COSHH Assessments

  • Do you have a complete set of COSHH Assessments in place for all hazardous substances used at work?Fire

Fire Risk Assessment

  • A fire risk assessment is mandatory for all places of work. Do you currently have a fire risk assessment and is it up to date?

Manual Handling Assessment

  • Is there a manual handling assessment completed for staff activities?

Section E

Workplace / Site Inspections

  • Are inspections carried out by a competent person to ensure compliance with your safety policy?

Plant and Tool Inspections

  • Are regular inspections carried out on plant, machinery and tools used by employees?

Health Monitoring and Surveillance

  • Do you carry out health monitoring annually for all employees that could be at risk?

Accidents and Investigations

  • Do have a process for recording and investigating the cause of accidents?

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.