Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Previous Inspection:

  • No outstanding actions from previous inspection?

  • Previous Inspection Dates

I Can Safely Say (ICSS)

  • Is the ICSS board up to date?

  • Company Fire procedures and precautions applied to satisfactory levels?

  • Are all pedestrian routes and fire clear and free from obstructions?<br>- Check all emergency evacuation equipment

  • Follow up date:

  • First Aid facilities and provisions suitable and adequate?

  • Follow up date

Area Health & Safety Inspection:

  • Are all pedestrian routes and fire exits clear and free from obstructions?<br>- Check all emergency evacuation equipment

  • Are the housekeeping standards sufficient and controlled?

  • All welfare facilities in good order and are in a clean and hygienic state?

  • Follow up date:

  • Plant Rooms and associated equipment kept to company standard?

  • Follow up date:

  • COSHH arrangements suitable and to company standard?

  • Follow up date:

  • Sharps and Aerosol arrangements suitable and to company standard?

  • Follow up date:

  • Machinery and conveyors in good working order, inspected and recorded?

  • Follow up date:

  • Lifts in good working order, inspected and recorded?

  • Follow up date:

  • Lifting accessories, in good condition, inspected and recorded?

  • Follow up date:

  • Is the work equipment in good working order, inspected and recorded?<br>- Check ladders, pallet truck, harnesses and other bespoke equipment

  • Traffic management within area adequately controlled and clearly identifiable?

  • Follow up date:

  • Building maintenance, floors and surfaces in good condition?

  • Follow up date:

  • Lighting levels adequate for task undertaken in area and in good repair?

  • Follow up date:

  • Work stations in good working order and complies with company standard?

  • Follow up date:

  • General management of the area is within company standards?

  • Follow up date:

  • PPE register in use and up to date?

  • Follow up date:

General Comments:

  • Comments:

  • Add signature

  • Previous Inspection Date:

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.