Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Summary of significant activities and buildings inspected.
1. Insurance
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Employers liability insurance (provide policy number, date and insurer).
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Public liability insurance (insert policy number, date and expiry).
2. Induction process
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Is there an induction programme?
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Insert details of last person inducted and areas covered (if applicable).
3. H&S policy
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Policy in place?
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Date of last policy review?
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Arrangements in place to address risk assessment, training, emergency procedures and consultation?
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Are monitoring arrangements in place to ensure the effectiveness of the safety management system?
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Who is the Director responsible for health and safety?
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State the person with day-to-day responsibility for health and safety
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Is there a training plan relating to health and safety in place across the organisation?
4. Risk Assessment
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Are risk assessments on place for significant activities / tasks?
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Who conducts the risk assessments and what training have they received?
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Is there a need for a young persons risk assessment?
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Fire risk assessments in place, suitable and sufficient (less than 12 months old)?
5. Fire Safety
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Are fire instructions clearly displayed?
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Are fire extinguishers provided, suitably positioned and serviced within the last year?
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Are there maintenance procedures in place for fire alarms, detection systems and emergency lighting?
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Has a fire drill been conducted and the results recorded within the last 6 months?
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Are employees provided with basic fire safety awareness training?
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Have fire wardens and deputies been appointed for each area or department?
6. Asbestos Management
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Was the building erected before 2000?
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If answering yes to the previous question has an asbestos survey been carried out?
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Did the survey identify any asbestos containing materials (acm's)?
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Has an asbestos register and management plan been put in place?
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Are arrangements in place to communicate the presence of asbestos to contractors?
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Have personnel on-site received appropriate training?
7. Environment
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There is adequate ventilation.
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Area is free from odors.
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Temperature is comfortable.
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Lighting is adequate.
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Is there adequate space for all personnel and equipment in the area?
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Flooring is of the correct type and adequately maintained?
8. Emergency procedures
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Written evacuation procedures and exits displayed.
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Are spill kits available?
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Escape routes and emergency doors are clear.
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Procedures are in place for isolated workers.
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Emergency and hazard signage is clearly visible.
9. First Aid Facilities
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Has a first aid assessment been conducted and the results recorded?
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There are appropriate first aid and emergency facilities in the near vicinity and workers' are aware of them.
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Kits are clearly signed, stocked and contents are in-date.
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Names and contacts of first aiders, displayed and up to date.
10. General Facilities
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Washing facilities are clean and functional.
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Are the stairs, passageways and store rooms well lit?
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Warning and Safety signage in good condition.
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Walls, windows, doors and furniture is in good condition.
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External areas adequately maintained and suitably lighting provided?
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Laundry area clean, tidy and well ventilated?
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Animal welfare areas are clean, well lit etc?
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Equipment and procedures are I place for infection control / quarantine?
11. Manual Handling
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Where applicable manual handling Standard Operating Procedures (SOP) are available.
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Trolleys or mechanical hoists are available and are being considered for heavy items or loads.
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Personnel conducting manual handling have received appropriate training?
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Step ladders or safe steps available to access light items stored on high shelves.
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All manual task-related incidents have been adequately risk assessed and control measures implemented and reviewed.
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Harnesses, restraints, muzzles available for range of animals?
12. Storage
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Materials stored in racks and bins wherever possible are not above shoulder height.
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Storage designed to minimize lifting problems I.e. heavy objects not stored on upper racks.
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Racking securely fixed to floor or wall.
13. Slips and trips
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Warning signs are available and erected near spills.
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There are special provisions for slip resistance in wet areas.
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Guard rails and slip resistance are provided on ramps and stairs.
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Walkways are free of hazards, such as electrical leads.
14. Electrical safety
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All portable equipment has current test tags.
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Residual current devices (RCD) are installed at switchboards or into fixed sockets. (It should be clearly marked on socket).
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Has a fixed installation test of the building and external facilities been conducted within the required timescales?
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Portable RCD device is available and has been tested.flexible cord, plugs and extension leads are in good condition and have either moulded or transparent type plugs.
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Power points are suitable for the location and are positioned safely.
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Power boards used. (not double adapters).
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Faulty equipment is tagged out or removed from use?
15. Chemical Aspects
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MSDS (not older than 5 years) are available for workers reference and included in the hazardous substances register.
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There is an up to date easy to find and read list/register summary of all chemicals used.
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Actions have been taken to control risks. For example, an investigation has been done to find out whether an alternative safer chemical is available.
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A coshh assessment has been completed for all chemicals and harmful substances stored and used at the workplace.
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Origional containers have the manufacturer's label.
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Chemicals stored according to compatibility and bunded I.e in flammable or corrosive cabinets.
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Are there any flammable gases on site, if so what are the storage facilities available?
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Are minimal amounts of corrosives stored, and/or used?
16. Personal Protective Equipment
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Instruction and information of PPE are available.
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PPE store available well maintained and in good condition.
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Signage of PPE requirements displayed on equipment.
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Required PPE available.
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Appropriate signs displayed to standard requirements visible, correctly located and in good condition. (inside and outside).
17. Noise & Vibration
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Has A risk assessment been conducted on activities where noise or vibration may effect workers?
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Control measures have been put in place to reduce the risk of injury as a result of noise and vibration (details measures adopted)?
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Workers have received information and training in relation to noise at the workplace.
18. Legionella
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Is there a hot water storage system on site
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Is there a cold water storage system?
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What is the temperature of the sentinel taps?
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Have there been any significant changes to the pipe work system?
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Is there a shower on site, if so is there a procedure for flushing it through periodically?
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Is a written scheme examination required to manage the risk of legionella?
19. Display Screen Equipment
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Have users of DSE been identified?
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Have DSE self assessments been conducted?
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Is there a policy on the provision of eye sight tests and spectacles where necessary?
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Have users received instruction on the correct setting up of their workstation and the reporting of defects and health problems?
20. Company Vehicles
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Does the organisation have any company vehicles (cars, vans etc)?
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Are both parts of the employees driving license sighted and copies obtained for company records?
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Are vehicle checks carried out by employees and records maintained?
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Are vehicles maintained in accordance with the manufacturers recommendations?
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Has a risk assessment for driving company vehicles been conducted?
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Is there a policy in place relating to the use of company vehicles, travel distances etc?
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Does the organisation permit the use of personal vehicles for business use?
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Where personal vehicles are used does the company request and hold copies of insurances and MOT Certificates?
21. Gas Safety
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Have gas boilers been serviced within the last 12 months?
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Are there any LPG systems on site,? If so detail quantities, storage and method of delivery to point of use?
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Are there any underground LPG pipe work systems on the site?
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Are there any other compressed gases on site (if yes, specify)
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Is there an emergency plan to deal with leaks / fires?
22. Violence & Aggression
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Is there a policy in place?
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Is there a policy in place?
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Has a risk assessment for violence and aggression been conducted and recorded?
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Have there been any incidents of violence or aggression reported?
23. Managing Contractors
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Ia an approved list of contractors available?
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Are risk assessments obtained before carrying out any works?
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Are contractors provided with basic health and safety information before starting work?
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As contractors issued with and sign the contractors induction equipment?
24. Pharmacy
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Schedule 2 & 3 substances are kept under lock and key?
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Receipt and Issue of controlled drugs recorded where appropriate?
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All other medicines, supplies stored in a designated, suitable area?
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The destruction of schedule 2 drugs is recorded in the drugs register book and disposal authorised by an appropriate authority?
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Drugs requiring temperature controlled storage are kept below 8*C and records retained to support this?
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Spill kits available for chemotherapy drugs?
25. Work Equipment
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All equipment is in good order and adequately maintained?
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Critical equipment is under a maintenance / service agreement?
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An SOP and / or a risk assessment is available for significant activities?
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Staff have received training in the use of the equipment / SOP and records of this have been retained?
26. Radiation
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Radiation protocols available?
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Radiation Protection Adviser identified?
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Radiation Protection Supervisor identified?
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Designated persons for radiography have been identified and are trained and competent?
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Ionising Radiation Regulations available?
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Appropriate warning signage on display in the area?
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Dose meters worn and results retained for inspection and not above 2 mSv per annum or 0.75 mSv in a single wear period?
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Protective clothing available and stored correctly
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Maintenance and inspection procedures in place for equipment?
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Pregnant women identified and excluded from X-ray area?
27. Waste Management
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Site registered as a producer of hazardous waste (notification observed)?
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Contracts in place for various waste categories?
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Waste segregated correctly (hazardous, pharmaceutical, sharps etc)?
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Waste carriers licenses held on file?
28. Pressure Systems
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Are there any systems on site that are covered by the the Pressure Systems Safety Regulations?<br>(If yes, please identify. eg autoclave)
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Is there a written scheme of examination in place?
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Safe operating procedures are on display at point of use?
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Annual inspection of the equipment conducted by a competent person and retained on file?
29. Significant findings
30. Recommendations
31. Confirmation of issue and receipt of report.
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Select date
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Clients representative
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UKHSE representative