Worcester Quarterly Safety inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

3.22 Work at height

• Ladders have had a quarterly inspection and unsafe ones removed from use

  Safe

  At Risk

  N/A

• Safe access equipment is available

  Safe

  At Risk

  N/A

3.26 Pressure systems

• No leaks evident in steam, caustic lines or hot water hoses

  Safe

  At Risk

  N/A

3.25 Portable appliances

• Extension leads are safe to be used and without damage?

  Safe

  At Risk

  N/A

• Hand power tools are in good condition, with no damage evident to the cord or plug?

  Safe

  At Risk

  N/A

3.21 Lifting equipment

• Visually inspect lifting equipment for signs of damage that could create a risk, refer to the lifting equipment register,

  Safe

  At Risk

  N/A

• Rating of action identified

  Select low risk low risk medium risk medium risk high risk very high risk

  • low risk
  • low risk
  • medium risk
  • medium risk
  • high risk
  • very high risk

Action required

• Risk rate any action identified for priority using the standard 3 x 3 risk assessment score of frequency x severity

• Rating of action identified

  Select low risk low risk medium risk medium risk high risk very high risk

  • low risk
  • low risk
  • medium risk
  • medium risk
  • high risk
  • very high risk

• Rating of action identified

  Select low risk low risk medium risk medium risk high risk very high risk

  • low risk
  • low risk
  • medium risk
  • medium risk
  • high risk
  • very high risk

• Rating of action identified

  Select low risk low risk medium risk medium risk high risk very high risk

  • low risk
  • low risk
  • medium risk
  • medium risk
  • high risk
  • very high risk