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
Previous Inspection:
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No outstanding actions from previous inspection?
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Previous Inspection Dates
I Can Safely Say (ICSS)
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Is the ICSS board up to date?
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Company Fire procedures and precautions applied to satisfactory levels?
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Are all pedestrian routes and fire clear and free from obstructions?<br>- Check all emergency evacuation equipment
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Follow up date:
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First Aid facilities and provisions suitable and adequate?
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Follow up date
Area Health & Safety Inspection:
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Are all pedestrian routes and fire exits clear and free from obstructions?<br>- Check all emergency evacuation equipment
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Are the housekeeping standards sufficient and controlled?
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All welfare facilities in good order and are in a clean and hygienic state?
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Follow up date:
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Plant Rooms and associated equipment kept to company standard?
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Follow up date:
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COSHH arrangements suitable and to company standard?
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Follow up date:
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Sharps and Aerosol arrangements suitable and to company standard?
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Follow up date:
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Machinery and conveyors in good working order, inspected and recorded?
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Follow up date:
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Lifts in good working order, inspected and recorded?
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Follow up date:
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Lifting accessories, in good condition, inspected and recorded?
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Follow up date:
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Is the work equipment in good working order, inspected and recorded?<br>- Check ladders, pallet truck, harnesses and other bespoke equipment
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Traffic management within area adequately controlled and clearly identifiable?
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Follow up date:
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Building maintenance, floors and surfaces in good condition?
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Follow up date:
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Lighting levels adequate for task undertaken in area and in good repair?
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Follow up date:
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Work stations in good working order and complies with company standard?
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Follow up date:
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General management of the area is within company standards?
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Follow up date:
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PPE register in use and up to date?
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Follow up date:
General Comments:
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Comments:
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Add signature
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Previous Inspection Date: