Information

  • Audit Title

  • Client / Site

  • Responsible person on site.

  • Contact information.

  • Conducted on

  • Prepared on Behalf of Health & Safety Services by

  • Location
  • Give a brief description of the workplace and it's primary function

Executive summary

  • Report summary

  • Risk rating of the site

  • This is a LOW risk site

  • This is a MEDIUM risk site

  • This a HIGH risk site

  • Work should cease on this site until the following has been corrected

1.0 - Previous inspection

  • Has the last inspection been signed off?

  • Issue

  • Outstanding issue

2.0 Health & Safety management and documentation

  • Is there a signing in policy for all visitors?

  • Is there a health and safety policy?

  • Is the health and safety policy fit for purpose?

  • Failing identified.

  • Identified failing.
  • Are all employees inducted?

  • Are there suitable risk assessments provided?

  • Explain the failings identified

  • Are statutory notices posted?

  • Is there an employee liability insurance certificate displayed?

  • Are there suitable documented safe systems of work provided?

  • Explain the failings identified

  • Is there provision for managing 3rd party(sub-contractors) workers on site?

  • Is 3rd party safety documentation vetted and approved?

  • Are 3rd party activities audited?

  • Is the health and safety provision adequately resourced?

  • Explain the issue

  • is there competent safety management in place?

  • Explain the failings identified

  • Is there adequate safety supervision on site?

3.0 - Fire Prevention

  • Evacuation plan displayed and understood by all employees?

  • Evacuation drills carried out annually as a minimum

  • Extinguishers in place, clearly marked for type of fire?

  • Extinguishers service within date?

  • Extinguishers clear of obstructions?

  • Explain the failings identified

  • Extinguisher no more than 1200 mm max height & base not lower that 100 mm?

  • Adequate direction notices for fire exits?

  • Explain the failings identified

  • Exit doors easily opened from inside?

  • Exits clear of obstructions?

  • Explain the failings identified

  • Fire alarm system functioning correctly?

  • Explain the failings identified

  • Are all statutory checks and inspections being carried out?

  • Explain the failings identified

  • Are there sufficiently trained fire marshals on site?

  • Is there a current and valid fire risk assessment available for viewing?

  • Are there statutory fire action notices displayed?

  • is there functioning emergency lighting ?

  • Is the emergency lighting subject to statutory testing and checks?

  • Explain the failings identified

  • Are there any other fire safety issues?

  • Issue

4.0 - General Lighting

  • Good natural lighting?

  • Sufficient artificial lighting available

  • Explain the failings identified

  • Light fittings clean and in good condition?

  • Explain the failings identified

  • Emergency exit lighting operable?

  • Explain the failings identified

5.0 - Building Safety

  • Floor surfaces even and uncluttered?

  • Explain the failings identified

  • Entry and walkways kept clear?

  • Explain the failings identified

  • Walkways adequately and clearly marked?

  • Explain the failings identified

  • Stair and risers kept clear?

  • Are liquid spills prevented from polluting the environment?

  • Explain the failings identified

  • Are railings in good condition?

  • Explain the failings identified

  • Are fall preventive measures in place and used where gaps occur in railings?

  • Explain the failings identified

  • Are footpaths in good condition?

  • Explain the failings identified

  • Furniture in sound condition?

  • Loading area clean and tidy?

  • Explain the failings identified

6.0 - Work Stations

  • Clear of rubbish?

  • Tools not in use kept in place?

  • Damaged power tools in taken out of service?

  • Explain the failings identified

  • Work at height controls correct for the type of work being carried out?

  • Explain the failings identified

7.0 -Housekeeping

  • Are there any housekeeping issues?

  • Issue

8.0-Welfare

  • Are the welfare facilities compliant with current legislative requirements?

  • Issue identified

  • Issue
  • Has provision been made for employees who smoke?

9.0-Waste Storage and Removal

  • Bins located at suitable points around site?

  • Bins emptied regularly?

  • Oily rags and combustible refuse in covered metal containers?

  • Explain the failings identified

  • Is waste material stored away from buildings so as to minimise the impact of arson?

  • Explain the failings identified

  • Have all waste streams been identified?

  • Where possible is waste generated being recycled?

10.0-Storage Design and Use

  • Materials safely stored in racks and bins wherever possible?

  • Explain the failings identified

  • Storage designed to minimise lifting problems?

  • Explain the failings identified

  • Floors around racking clear of rubbish?

  • Explain the failings identified

  • General condition of racks and pallets?

  • Explain the failings identified

11.0- Work equipment

  • Is equipment kept clean?

  • Explain the failings identified

  • Are the floors clean?

  • Explain the failings identified

  • Are Guards in place and in good condition?

  • Explain the failings identified

  • Starting and stopping devices within easy reach of operator?

  • Waste/off cuts removed and stored safely?

  • Explain the failings identified

  • Adequate work space for the process/activity?

  • Is lighting adequate?

  • Explain the failings identified

  • Is all equipment subject to planned and recorded maintenance

  • Explain the failings identified

  • Are Noise levels controlled?

  • Explain the failings identified

  • Do processes generate excessive bending or stooping?

  • Explain the failings identified

  • Are Duck-boards in good repair?

  • Are Operators trained/inducted into the operation of the equipment?

  • Explain the failings identified

  • Is the training recorded?

  • Do operators comply with the training?

  • During maintenance are lock off procedures implemented and followed?

  • Explain the failings identified

12.0-Electrical Safety

  • Safety switches installed?

  • Are double adapters avoided in favour of multi gang sockets?

  • Portable equipment tested and tagged?

  • Explain the failings identified

  • Are there any broken plugs, sockets or switches?

  • Are there any frayed or damaged leads?

  • Explain the failings identified

  • Portable power tools in good condition?

  • Where required are emergency shut-down procedures in place?

13.0-Chemical Safety

  • Hazardous Substance Register complete and available?

  • Material Safety Data Sheets available for all chemicals?

  • Explain the failings identified

  • COSHH assessments completed for hazardous substances?

  • All containers labelled correctly?

  • Unused or waste substances disposed of in an environmentally friendly manner?

  • Explain the failings identified

  • Do special storage conditions apply?

  • If applicable are special storage conditions followed?

  • Workers trained in the use of hazardous substances?

  • Explain the failings identified

  • If required is PPE available?

  • Is adequate ventilation provided?

  • Explain the failings identified

  • Are eye washes and showers easily accessed?

  • Are spill kits available?

14.0-Work at Height

  • Is Work at Height Required?

  • What access equipment is being used?

  • Are operatives trained to use the access equipment?

  • What qualification is required for safe use of the equipment?

  • Is all equipmentIndustrial strength? (Non Household rated, check label.)

  • Is all equipment in good condition?

  • Explain the failings identified

  • If used for electrical work are they non conductive? (Wood or fibre glass.)

  • Used according to instructions?

  • Select the appropriate required inspection certificate/tag

  • Is the appropriate cert/tag/inspection paper work in place?

  • Is all access equipment being used in harmony with the manufacturers instructions?

  • Is all access equipment being used in harmony with the SSOW?

  • Is there appropriate pedestrian segregation in place?

  • Is the work at height activity managed in harmony with the 2005 work at height regulations?

  • Work at height breach

  • Breach

15.0: Manual handling

  • Is manual handling required on site?

  • Can mechanical handling be employed for all tasks?

  • Have manual handling assessments been carried out?

16.0: PPE

  • What PPE is required on site?

  • Is there. PPE register on site?

  • Are there any other PPE requirements?

  • State the requirements

  • Is the required PPE being worn where required?

17.0: First Aid Facilities

  • Are cabinets and contents clean and orderly?

  • Are contents regularly checked?

  • Are contents within their expiry date?

  • Cabinets clearly labelled?

  • Is there easy access to cabinets?

  • Employees aware of location of first aid cabinet?

  • Are first aid officers accessible?

  • Are emergency numbers displayed?

18.0: HAVs

  • Are tools that generate vibration used?

  • What vibrating equipment is used?
  • If "other" selected State the type of equipment.

  • Is a vibration assessment required?

  • Explain Why not.

19.0; Confined Spaces

  • Are there any confined space issues or activities on site?

  • What is the Confined space issue

  • Issue/activity

20.0: Office Hazards

  • Condition of chairs? (Five star bases.)

  • Desks in good condition? (No damage.)

  • Screen Based Equipment positioned to reduce glare from windows etc?

  • Photocopiers positioned to avoid fumes?

  • Tasks designed to prevent Occupational Overuse Syndrome? (Breaks included.)

  • Air conditioning systems regularly maintained?

  • Stable non-slip floor coverings in good condition?

21.0: Vehicle Condition

  • Schedule maintenance performed?

  • Explain the failings identified

  • Are Pre-use checks carried out and recorded?

  • Explain the failings identified

  • Condition of drivers seat?

  • Condition of other seats?

  • First aid kit supplied and adequate?

  • Is there suitable vehicular/pedestrian segregation?

  • Are fork lift trucks used on site?

  • Are they subject to statutory inspections?

  • Are operatives trained to operate them?

  • Are they being operated safely?

22.0: Safety signage

  • Are there sufficient safety signs on site?

  • Explain the failings identified

23.0: Accidents & incidents

  • Is there a provision for accident reporting?

  • Is there a provision for reporting near misses and incidents?

  • Is there an accident book on site?

  • Is there a provision for accident investigation?

24.0: : Additional issues

  • Are there any other safety issues on site?

  • Additional issue identified

  • Issue
  • Have all parties co-operated with the audit process?

Required actions

  • Immediate corrective actions

  • Time weighted corrective actions

Sign Off

  • On site representative

  • Auditor's signature

Regulatory breaches

  • Regulatory Breaches

  • Breach
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.