Workplace Solutions

• Document No.

• SHEQ Safety audit

• TLMP

• Conducted on

  Date

• Prepared by

• Location
  Address

• Auditors name

  Sign

Fire Extinguishers

0.1- Fire

Fire Alarm System Test Records

• 0.1- Are the fire alarm system weekly test records available and up to date?

  Yes

  No

  N/A

• 0.2- Has the responsible person been identified?

  Yes

  No

  N/A

• 0.3- Has a cause and effect test been completed?

  Yes

  No

  N/A

1.3 - Fire Extinguishers

• 1.3.1 - Have all fire extinguishers been identified and recorded including details of the quantity and types of units?

  Pass

  Fail

  In progress

  Non Applicable

• 1.3.2 - Are inspection and test records available and up to date?

  Yes

  No

  N/A

• Add media

  Media

• 1.3.3 - Extinguishers clear of obstructions?

  Pass

  Fail

  In progress

  Non Applicable

• 1.3.4 - Is there a fire register on site and inspections cared out

  Pass

  Fail

  In progress

  Non Applicable

1.4.0 - Fire Hose reels

• 1.4.1 - Have all fire hose reel locations been identified?

  Pass

  Fail

  In progress

  Non Applicable

• 1.4.2 - Are inspection and test records available and up to date?

  Pass

  Fail

  In progress

  Non Applicable

• Add media

  Media

• 1.4.3 - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

2.0 - Sprinkler System Test weekly Records

• 2.1 - Are sprinkler system test records available showing weekly bell tests?

  Pass

  Fail

  In progress

  Non Applicable

• 2.1.1 - Is there a fire register on site and inspections cared out

  Pass

  Fail

  In progress

  Non Applicable

2.2 - Sprinkler System Test Records

• 2.2.1 - Are sprinkler system service records available?

  Yes

  No

  N/A

• 2.2.2 - Are Maintenance Service Records by an LPC accredited company? (4 VPA)

  Yes

  No

  N/A

3.0 Electricity

3.1 - High Voltage

• 3.1.1 - Are high voltage equipment records available showing details of service work and switching activities?

  Pass

  Fail

  In progress

  Non Applicable

• 3.1.2 - Where applicable is a COMA agreement in place?

  Pass

  Fail

  In progress

  Non Applicable

3.2 - Low Voltage Fixed Eelctrical Installation

• 3.2.1 - Are fixed electrical installation condition report records available showing the test date and the extent of testing completed?

  Pass

  Fail

  In progress

  Non Applicable

• 3.2.2 - Are records available to include details of any remedial actions?

  Pass

  Fail

  In progress

  Non Applicable

3.3 - New Electrical Installations & Minor Works

• 3.3.1 - Are new electrical installations and minor works test and inspection records available including records detailing the work and testing carried out?

  Pass

  Fail

  In progress

  Non Applicable

3.4 - Electrical Generators

• 3.4.1 - Are electrical generator test and service records available and up to date?

  Pass

  Fail

  In progress

  Non Applicable

• 3.4.2 - Are the testing routines applicable to the site requirements?

  Pass

  Fail

  In progress

  Non Applicable

• 3.4.3 - Is the generator being run on load?

  Pass

  Fail

  In progress

  Non Applicable

3.5.0 - Portable Electrical Appliances

• 3.5.1 - Are portable appliance test records available including a register of all appliances?

  Pass

  Fail

  In progress

  Non Applicable

• 3.5.2 - Portable equipment tested and tagged?

  Pass

  Fail

  In progress

  Non Applicable

• 3.5.3 - No broken plugs, sockets or switches?

  Pass

  Fail

  In progress

  Non Applicable

• 3.5.4 - No frayed or damaged leads?

  Pass

  Fail

  In progress

  Non Applicable

• 3.5.5 - No strained leads?

  Pass

  Fail

  In progress

  Non Applicable

3.6 - Emergency Lighting Test Records

• 3.6.1 - Are the emergency lighting test records available and up to date?

  Yes

  No

  N/A

• 3.6.2 - Do they show monthly function tests, annual duration tests and the annual system reviews?

  Yes

  No

  N/A

• 3.6.3 - Are records available to include details of remedial actions?

  Yes

  No

  N/A

3.7.1 - Lightning Protection

• 3.7.2 - Are lightning protection test records available and up to date?

  Yes

  No

  N/A

• 3.7.3 - Are records available to include details of any remedial actions and rectification?

  Yes

  No

  N/A

4.0 - Water systems

4.1 closed loop Water Risk Assessment

• 4.1.1 - Is a water risk assessment available?

  Pass

  Fail

  In progress

  Non Applicable

• 4.1.2 - Is this reviewed at periods not exceeding two years or following system or usage changes?

  Pass

  Fail

  In progress

  Non Applicable

• 4.1.3 - Has the responsible person been identified along with their contact details?

  Pass

  Fail

  In progress

  Non Applicable

• 4.1.4 - Has the responsible person been identified along with their contact details?

  Pass

  Fail

  In progress

  Non Applicable

• 4.1.5 - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

• 4.1.6 - Are schematic drawings available and up to date?

  Yes

  No

  N/A

4.2 - Cooling Towers

• 4.2.1 - Is a risk assessment available?

  Yes

  No

  N/A

• 4.2.2 - Has the responsible person been identified along with their contact details?

  Yes

  No

  N/A

• 4.2.3 - Do the cooling tower records include details of testing and cleaning?

  Yes

  No

  N/A

• 4.2.4 - Is the registration document available?

  Yes

  No

  N/A

• 4.2.5- Are records available to include details of any remedial actions?

  Yes

  No

  N/A

• 4.2.6 - Are schematic drawings available and up to date?

  Yes

  No

  N/A

5.0 - Water

5.1- Cold Water Storage Tanks

• 5.1.1 - Have all cold water storage tanks been identified?

  Yes

  No

  N/A

• 5.1.2 - Are sampling, cleaning and disinfection records up to date where applicable?

  Yes

  No

  N/A

• 5.1.3 - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

5.2 Water Outlets & Storage

• 5.2.1 - Are water outlet and calorifier temperature test records available identifying sentinal test points?

  Yes

  No

  N/A

• 5.2.2 - Are temperature test records up to date?

  Yes

  No

  N/A

• 5.2.3 - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

• 5.2.4 - For stored drinking water, are microbiological samples being taken and tested at intervals not exceeding six monthly?

  Safe

  At Risk

  N/A

• These samples taken from the incoming supply and sentinal points are to be tested for Ecoli, Coliforms, TVCs and Legionella. (In Healthcare premises, tests are also required for Pseudmonas)

5.3. - Water Little Used Outlets

• 5.3.1 - Have all little used outlets been identified?

  Yes

  No

  N/A

• 5.3.2 - Are weekly flushing records for little used outlets available and up to date?

  Yes

  No

  N/A

5.4 - Showers

• 5.4.1 - Have all showers on site be identified?

  Yes

  No

  N/A

• 5.4.2 - Are cleaning and disinfection records up to date?

  Yes

  No

  N/A

• 5.4.3 - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

6.0 - Lifts & Lifting Equipment

• 6.1 - Are the lifts and lifting equipment test and insurance inspection records available and up to date?

  Yes

  No

  N/A

• 6.1.1 - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

7.0 Gas

7.1 - Gas Appliance O & Ms

• 7.1.1 - Are the Gas appliance manufacturer's instructions available on site for all appliances?

  Yes

  No

  N/A

7.2 - Gas Appliances & Systems

• 7.2.1 - Is a Gas Safe Register inspection record for each gas appliance?

  Yes

  No

  N/A

• 7.2.2 - Are gas appliance service records available?

  Yes

  No

  N/A

• 7.2.3 - Is a register of site gas assets available?

  Yes

  No

  N/A

7.3 - Gas Pipework & Storage

• 7.3.1 - Is a line diagram in place?

  Yes

  No

  N/A

• 7.3.2 - Has annual visual inspection been completed?

  Yes

  No

  N/A

• 7.3.3 - Does emergency isolation valve at meter have fixed handle?

  Yes

  No

  N/A

• 7.3.4 - Is emergency number displayed at meter?

  Yes

  No

  N/A

• 7.3.5 - Has five yearly tightness test been completed?

  Yes

  No

  N/A

8.0 - Pressure Systems

• 8.1 - Are pressure systems written schemes and insurance inspection records up to date and available?

  Yes

  No

  N/A

• 8.1.1 Have relevant site based engineers been issued with copies of the Workplace Solutions RED Book and have they been formally appointed?

  Yes

  No

  N/A

9.0 - Refrigerant Register

• 9.1 - Is the refrigerant register showing details of all refrigerant containing assets along with the type of refrigerant and its quantity in each asset?

  Yes

  No

  N/A

• 9.1.1 - Does the register contain details of any refrigerant added or removed?

  Yes

  No

  N/A

• 9.1.2 - Are there any engineers on the contract who work on refrigerant systems?

  Yes

  No

  N/A

• 9.1.3 - are the engineers on the contract have current training certification and are they registered by Workplace Solutions with REFCOM?

  Yes

  No

  N/A

10.0 - Asbestos

10.1 - Asbestos Register

• 10.1.1 - Is an asbestos register available and up to date?

  Yes

  No

  N/A

• 10.1.2 - Is there evidence of Asbestos survey being conducted and are up to date?

  Yes

  No

  N/A

10.2 - Asbestos Management Plan

• 10.2.1 - Is an Asbestos management Plan available and up to date?

  Yes

  No

  N/A

11.0 - Statutory Inspection

11.1.0 - Local Exhaust Ventilation Systems

• 11.1.1 - Are local exhaust ventilation system servicing records available and up to date?

  Yes

  No

  N/A

• 11.1.2 - Are insurance inspection record available and up to date?

  Yes

  No

  N/A

• 11.1.3 - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

11.2.0 - Fall Arrest Systems

• 11.2.1 - Are all assets for Fall arrest system(s) records (including eye-bolts) identified?

  Yes

  No

  N/A

• 11.2.2. - Are inspections records available and up to date?

  Yes

  No

  N/A

• 11.2.3. - Are records available to include details of any remedial actions?

  Yes

  No

  N/A

11.3.0 - Workshop Machines

• 11.3.1 - Have all required tests and inspections been completed and are records available and up to date?

  Yes

  No

  N/A

• 11.3.2 - Are tools and equipment fit for purpose and in good condition?

  Yes

  No

  N/A

• 11.3.3 - Are plant room and plant areas clean, well maintained and free of obstructions?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign

• Select date

  Date

• Notes for improvement !