PREMISE SAFETY AUDIT FORM

HEALTH AND SAFETY INSPECTION CHECKLIST 2013
LOCATION:
INSPECTED BY:
 = In order
x = Requires attention
NA = Not applicable
A)
B)
C)
D)
E)
DATE:
DATE SENT:
/X/
Comment/ Observation
Remedial action required
NA
SECTION 1
DOCUMENTATION AND SYSTEMS
Check:
Fire Risk Assessment is completed,
in retrievable format and reviewed
annually
Generic Risk Assessments are
completed, in retrievable format,
communicated to staff and reviewed
annually
Incident reporting procedure is
clearly understood and in place
(Online or Incident Book used)
Copy of valid Asbestos Management
Plan (if appropriate) is available +
evidence of implementation
Water storage and delivery
temperatures are appropriate,
monitored monthly and recorded in
Health and Safety Inspection Checklist 2010
Page 1 of 12
F)
G)
H)
Water Services Log Book:
Cold water: <20C; Hot water storage
>60C; Hot water delivery >50C
(<43C if mixer tap controlled for
young children)
Little used outlets are purged
(weekly)
Has the manager ensured that
employees have received suitable
health and safety training
Systems for control of contractors
are implemented including contractor
risk assessment if work is
commissioned direct by a centre
 = In order
N/A = Not applicable
x = Requires attention
/X
Comment/ Observation
Remedial action required
N/A
SECTION 2 - FIRE
Ensure:
A)
Access to Call Points and fire
extinguishers is clear and
unobstructed. Both are routinely
checked
B)
Fire exits and fire routes are clear at
all times. Internal fire doors close
properly and are not wedged open.
C)
Fire exits are clearly marked, open
easily (without the use of a key) and
lead to an unobstructed place of
safety
D)
Stairwells are clear of all combustible
materials (no temporary storage)
E)
Fire Action notices are displayed, with
instructions clearly visible
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
F)
/X
Comment/ Observation
Remedial action required
N/A
Contractor quarterly alarm tests,
G)
Fire Fighting Equipment, including
extinguishers, blankets and hose
reels have been checked within 12
months (contractor)
H)
Fire alarms are checked weekly, from
different call points and recorded
(Caretaker)
I)
Fire Drills are carried out and
.
recorded
J)
Emergency Lighting Checks
K)
Fire safety information/instruction is
given to visitors and contractors,
Lettings
L)
Suitable arrangements are in place for
people with special needs
NB Fire exit doors must be capable of being opened without the aid of a key when the building is occupied.
All Fire Alarm tests and fire evacuations must be recorded in the Fire Precautions Log Book.
SECTION 3 - FIRST AID
Check:
A)
First aid box contents are correctly
stocked.
B)
First aid box locations are clearly
signed
C)
First Aiders names and locations are
clearly displayed.
D)
First Aid/Emergency First Aider in the
Workplace training is valid and current
(records)
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
/X
Comment/ Observation
Remedial action required
N/A
NB Check that incident reporting procedures are understood by those working in the area
SECTION 4 – ELECTRICITY
Check:
A)
Appliances display no overt signs of
damage or electrical faults (scorch
marks, excessive noise/vibration)
B)
Sockets & extension leads show no
overt signs of damage and are not
overloaded.
C)
Cables and leads are correctly routed
and secured, avoiding trip hazards.
D)
Portable appliances are subject to
Portable Appliance Testing regime
with appliances labelled.
E)
All Portable appliances are entered
onto an inventory (Service or ‘local’
inventory), which is ‘maintained’
F)
No unauthorised or unsuitable
electrical appliances are in use
G) All combustible materials are stored
not less than 1.00 metre from
electrical switchgear
H)
Electrical Services Log - Electrical
installation has been checked by
competent person within last 5 years,
valid installation check certificate
I)
Only competent people work with
electricity
SECTION 5 - ACCESS AND EGRESS
Health and Safety Inspection Checklist 2010
Page 4 of 12
 = In order
N/A = Not applicable
x = Requires attention
/X
Comment/ Observation
Remedial action required
N/A
Check:
A)
All areas of access and egress are
well lit and free of obstruction
B)
All stairs and corridors are well lit and
free of obstruction
C)
Stair covering, treads and nosings are
in good state of repair
D)
Floor surfaces are normally clean and
dry with ‘Wet floor’ signs available and
used when appropriate
E)
External steps and footpaths are in
good state of repair, not slippery,
damaged or uneven. Where
necessary, a secure handrail is
provided on at least one side
F)
Procedures are implemented for
spillages
G) Floors that are frequently wet have
non-slip surface or measures are in
place to prevent slipping, e.g. matting
H)
Access to all areas, including under
stage, basements, lift rooms, tank
rooms is suitable
SECTION 6- DSE WORKSTATIONS
Check:
A)
A programme of DSE workstation
assessments by a trained person is
in place (records maintained)
B)
Recommendations from
assessments have been
implemented – compare records with
workstation & user
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
/X
Comment/ Observation
Remedial action required
N/A
C)
Working environment is appropriate
(heating, lighting, ventilation and
humidity)
D)
A vision screening programme for
identified users is in place (records
maintained) – offered at 2 year
intervals
E)
Users have received appropriate
DSE training
F)
Where laptop computers are in use –
are docking stations and/or separate
keyboard or monitors are readily
available
SECTION 7 – MANUAL HANDLING
Check:
A)
Manual handling tasks have been
identified, assessed by a trained
person and measures introduced to
reduce risks (records maintained)
B)
Appropriate lifting aids are available
where identified as required. Staff
are trained in the use of this
equipment
C)
Staff have been trained in Manual
Handling Techniques where
appropriate
SECTION 8 – TOOLS and EQUIPMENT
Check:
A)
All tools and equipment in use are
appropriate for the intended task
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
/X
Comment/ Observation
Remedial action required
N/A
B)
All tools and equipment are correctly
stored and properly maintained
C)
All lifting equipment, hoists, slings,
shackles etc. are subject to statutory
examination in accordance with
LOLER ’98. Inventory & records
available
D)
Users of tools and equipment have
received appropriate information,
instruction and training in their
correct use and operation (records)
E)
Personal Protective equipment has
been issued as appropriate, is in
satisfactory condtion, is being used
correctly and users have received
appropriate information, instruction
and training
F)
Aluminium ladders and stepladders
are Class1 and in good condition
(Class 3 stepladders and ladders are
unsuitable)
SECTION 9 – WORKPLACE
Check:
A)
The workplace is clean and in good
repair (floors, walls & ceilings)
B)
Occupied rooms are correctly
furnished and are not overcrowded
C)
Lights are in good working order.
Lighting levels are sufficient without
glare or flicker
D)
Thermal comfort and ventilation are
adequate
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
E)
F)
G)
H)
I)
J)
K)
L)
M)
N)
/X
Comment/ Observation
Remedial action required
N/A
Toilets are clean, tidy and in working
order
Hot and cold water available,
including drinking water, suitably
signed
Adequate storage provision is
available and is correctly used (no
evidence of inappropriate storage)
Redundant equipment is written off
and disposed of correctly – (no
evidence of discarded equipment)
Storage on high shelves is avoided
where possible. Suitable ‘kick stools’
or stepladders are readily available
where necessary
Waste material is correctly stored
and disposed of in accordance with
instruction
Where chemicals are in use – an
inventory and copies of the Safety
Data Sheet for those chemicals is
maintained
Chemicals are stored, transported,
used and disposed of correctly, in
accordance with COSHH
assessment and instruction
Low level glass where there is a risk
of collision with people is safety
glass or protected against breakage
Suitable arrangements for control of
contractors (contractor risk
assessment if work commissioned
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
/X
Comment/ Observation
Remedial action required
N/A
direct by school / centre
A)
B)
C)
D)
E)
F)
A)
B)
C)
D)
E)
A)
SECTION 10 – EXTERNAL
Check:
Surfaces of play areas are free from
defects and broken glass
Main pathways are treated with
grit/salt when necessary
Perimeter fences are in good repair
Fixed play equipment is visually
checked daily and inspected by a
competent person
Buildings are free from defects such
as broken or missing rainwater
channels, tiles or sizeable cracks in
structure, etc.
Pedestrians and vehicles can
circulate in a safe manner
SECTION 11 - KITCHENS
Check:
Floors are in good condition and non
slip
All food preparation surfaces are
clean
Protective clothing is used during
food preparation
Gas isolation valve is clearly
identified and staff aware
Glass not used in kitchens
SECTION 12 – GENERAL AREAS
Check:
Lighting is suitable. Nothing is hung
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
B)
C)
D)
A)
B)
C)
D)
E)
F)
D)
E)
F)
/X
Comment/ Observation
Remedial action required
N/A
from lights
Window pole provided if necessary
Hot surfaces (>43c) are guarded if
room used by children or vulnerable
persons
Escape routes are kept clear
SECTION 13 NURSERY/PLAYGROUP/
RECEPTION ROOMS
Check:
Dummy plug covers are fitted to all
low level electrical sockets
Children’s toys are clean and free
from splinters and sharp edges
Door guards fitted
Rooms occupied by young children
inspected and checked for defects,
sharp edges
Suitable toilet and hand washing
facilities
Risk assessments available for all
activities play areas
SECTION 14 – BOILER HOUSES
Check:Combustibles are not stored in Boiler
House
Moving parts of machinery are
guarded
Ventilation grilles and louvers are
clear
SECTION 15 – GAS
Health and Safety Inspection Checklist 2010
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 = In order
N/A = Not applicable
x = Requires attention
A)
B)
A)
/X
Comment/ Observation
Remedial action required
N/A
Check:Gas appliances are checked
annually by Gas Safe Registered
contractor and records available
Compressed (cylinder) gas control
equipment meets current BS EN
Standards, is subject to annual
inspection/check and recorded
SECTION 15 – OTHER
Check:Health and Safety Law Poster
Signed: ……………………………………………………………….. Date: …………………………….
School/Centre:
Centre Manager:
Inspector(s):
Kristian Skipper Health and Safety Assistant
Action Plan
Item
Deficiency
Action Required
Date of
Inspection:
Date of Issue:
Review Date:
By Who
By
When
Complete
(Date)
1
2
3
4
5
Health and Safety Inspection Checklist 2010
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Item
Deficiency
Action Required
By Who
By
When
Complete
(Date)
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Signed ……………………………………………………………………………………………….. (Centre Manager)
Health and Safety Inspection Checklist 2010
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