Title Page
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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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Has the previous inspection report been reviewed?
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Are there any outstanding actions?
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Enter details
Regulation 5: Maintenance
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Is there a maintenance schedule in place, and is it followed
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Action required
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Are high risk items of equipment checked at regular intervals?
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Action required
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Is faulty equipment removed from service until it is repaired?
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Action required
Regulation 6: Ventilation
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Is there a method of providing an adequate amount of fresh or purified air into the workplace?
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Action required
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Is recirculated air filtered and enhanced with a supply of fresh air?
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Action required
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Are mechanical ventilation systems (including air conditioning) cleaned regularly between services?
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Action required
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Are mechanical ventilation systems (including air conditioning) equipped with a method to alert of failure?
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Action required
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Are mechanical ventilation systems (including air conditioning) serviced on a regular basis?
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Action required
Regulation 7: Temperature of indoor workplaces
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Are indoor temperatures maintained at a reasonable level?
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Action required
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Can the work be conducted without the need for special clothing?
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Action required
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Do any of the methods of temperature control work in such a way that prevents fumes, gas or vapour from entering the workplace?
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Action required
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Are there a sufficient number of thermometers at all internal workplaces?
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Action required
Regulation 8: Lighting
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Is lighting sufficient to enable work without eye strain?
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Action required
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Is lighting sufficient to enable people to safely move from place to place?
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Action required
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Is there sufficient lighting in areas of pedestrian/vehicle interaction?
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Action required
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Is lighting positioned to be free from glare?
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Action required
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Is task specific local lighting available and in use?
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Action required
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Is there a a schedule in place for the cleaning of light fittings?
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Action required
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Are windows and skylights cleaned on a regular basis?
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Action required
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is there sufficient emergency lighting?
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Action required
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is emergency lighting powered by a source independent of normal lighting?
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Action required
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is emergency lighting tested and inspected on a regular basis?
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Action required
Regulation 9: Cleanliness and waste materials
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Is the workplace regularly cleaned?
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Action required
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Are wall and floor surfaces maintained to enable effective cleaning?
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Action required
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Are waste materials removed as soon as practicable from the working area?
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Action required
Regulation 10: room dimensions and space
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Is there enough space for people to move around freely?
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Action required
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Are all jobs carried out without restricted movement, so far as is reasonably practicable?
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Action required
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Taking equipment and furniture into account is there at least 11M3 space available for each person employed in a workplace?
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Action required
Regulation 11: Workstations and seating
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Are workstations arranged so that tasks can be carried out safely and comfortably?
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Action required
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Are workstation heights suitable for the tasks being carried out?
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Action required
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Are workstations and seating suitably arranged for persons with suitable needs?
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Action required
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Do workspaces have sufficient clear and unobstructed space to allow for freedom of movement, manoeuvring and positioning of materials?
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Action required
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Is the seating in use suitable for the task?
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Action required
Regulation 12: Condition of floors and traffic routes
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Are floors and traffic routes free from holes, slopes, uneven or slippery surfaces likely to cause a hazard?
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Action required
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Are all damaged surfaces marked conspicuously or guarded?
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Action required
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Are any uneven or sloped surfaces marked conspicuously?
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Action required
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Are there arrangements in place to tackle snow and ice?
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Action required
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Are spillages cleaned up or contained immediatly?
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Action required
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Are traffic routes kept clear of obstructions?
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Action required
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Are the open sides of staircases adequately fenced and do all staircases have a handrail?
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Action required
Regulation 13: Falls or falling objects
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Is every vessel containing a hazardous substance adequately fenced or covered to prevent a person falling into it?
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Action required
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Are all barriers sufficiently high, and filled in to prevent falls over or through the barrier?
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Action required
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Are all barriers constructed of a material sufficiently strong enough to restrain any person or object falling agaist them?
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Action required
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Are all covers capable of supporting all loads likely to be imposed on them and any traffic likely to travel over them?
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Action required
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Are all covers of a type that cannot be easily displaced or moved?
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Action required
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In the event of barriers or covers being removed are there alternative control measures in place?
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Action required
Regulation 14: Windows and transparent or translucent doors, gates and walls
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Are all windows etc. made from a material which is inherently robust, breaks in a safe manner or of adequate thickness?
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Action required
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Where the material used is "safety glass" is the British Standards Kitemark apparent on every pane?
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Action required
Regulation 15: Windows, skylights and ventilators
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Can all windows, skylights and ventilators be opened from floor level?
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Action required
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When they cannot be opened from floor level is there a safe means of access?
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Action required
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When opened , are people prevented from falling through windows, skylights and ventilators?
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Action required
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When opened , are people prevented from colliding with them?
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Action required
Regulation 16: Ability to clean windows safely
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Can all windows be cleaned from ground level or internally?
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Action required
Regulation17: Organisation of traffic routes
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Discounting pedestrians whose work requires an interface with vehicles. is there a physical barrier between pedestrians and vehicles?
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Action required
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Is there sufficient segregation between traffic routes and any doors or gates which may be used by pedestrians?
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Action required
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Are all traffic routes suitably indicated for reasons of health and safety?
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Action required
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Is there any soft or uneven ground on which a vehicle could overturn, shed its load or become stranded adequately signed?
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Action required
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Is there a prominent warning of limited headroom?
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Action required
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Has a site speed limit been set and is it appropriate?
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Action required
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Has the need to reverse been reduced so far as is reasonably practicable?
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Action required
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Where reversing is unavoidable is this carried out under the control of a banks man?
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Action required
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Where pedestrian routes cross vehicle routes is there a suitable indication of the route?
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Action required
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Are barriers in place, where appropriate, to prevent pedestrians entering a traffic route unobserved?
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Action required
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Do all pedestrians on, or near to a traffic route wear hi-vis clothing?
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Action required
Regulation 18: Doors and gates
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Do sliding doors or gates have a device to prevent it coming off its track?
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Action required
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Do powered doors or gates have a device to prevent it trapping a person?
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Action required
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Do all upward opening doors or gates have a device to prevent them falling back?
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Action required
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Do all doors or gates have that can be pushed open from either side provide a clear view when closed of the space into which it opens?
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Action required
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Can all doors required for escape in an emergency be opened easily, without the need for a tool or key, whilst the building is occupied?
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Action required
Regulation 20: Sanitary conveniences
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Are sanitary conveniences readily accesible?
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Action required
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Are sanitary conveniences adequately ventilated?
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Action required
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Are sanitary conveniences adequately lit?
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Action required
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Are there separate sanitary conveniences for men and women, or is there a separate room the door to which can be locked from the inside?
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Action required
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Is there an adequate number of sanitary conveniences?
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Action required
Regulation 21: Washing facilities
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Are there washing facilities in the immediate vicinity of sanitary conveniences?
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Action required
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Are there washing facilities in the immediate vicinity of changing rooms?
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Action required
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do all washing facilities contain a ready supply of clean hot and cold water?
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Action required
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do all washing facilities contain a ready supply of soap or other means of cleaning?
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Action required
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do all washing facilities contain an hygienic means of hand drying?
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Action required
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Are all washing facilities adequately ventilated?
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Action required
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Are all washing facilities well lit?
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Action required
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Are there a an adequate number of washing facilities?
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Action required
Regulation 22: Drinking water
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Is there a ready supply of wholesome drinking water?
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Action required
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Are drinking water taps situated where contamination is unlikely?
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Action required
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Are cups, beakers or glasses provided where the water is not supplied by a drinking fountain?
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Action required
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Where non-disposable cups, beakers or glasses are used, is there a means to wash them in the immediate vicinity?
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Action required
Regulation 23: Accommodation for clothing
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Is there sufficient secure accommodation for personal clothing not worn during working hours?
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Action required
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Is there sufficient accommodation for special clothing not worn home?
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Action required
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Is the accommodation dry and well ventilated?
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Action required
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Are there facilities to dry work clothing?
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Action required
Regulation 24: facilities for changing clothing
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Where there is a need to remove clothing other than outer clothing, has a changing room been provided?
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Action required
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Where clothing can become contaminated by a hazardous substance, is there a changing room which prevents the workers own clothging becoming contaminated?
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Action required
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Do Changing rooms contain adequate seating?
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Action required
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Are changing rooms directly connected to clothing accommodation and showering/bathing facilities?
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Action required
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Do changing rooms ensure users privacy?
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Action required
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Are the facilities large enough to allow the maximum number of people expected to use them at any one time to do so without overcrowding or delay?
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Action required
Regulation 25: Facilities for rest and to eat meals
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Do Facilities contain an adequate supply of seating for the maximum number of people expected to use them at any one time?
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Action required
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Are the facilities situated in an area that allows for rest and food breaks to be taken without the need to wear PPE
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Action required
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Are the facilities situated in an area that prevents discomfort from cigarette smoke?
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Action required
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Have suitable facilities been provided for pregnant women and nursing mothers?
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Action required
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Have suitable facilities been provided for disabled persons?
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Action required
Sign Off
Sign Off
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Final meeting and discussion held with local manaagment
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Auditee's signature
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Auditors signature