Instructions for the Use of the Excel Spreadsheet. There are three tabs at the bottom of this worksheet. Instructions tab is the one you are reading

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1 Instructions for the Use of the Excel Spreadsheet There are three tabs at the bottom of this worksheet Instructions tab is the one you are reading Title Tab TITLE Tab is the front cover page of the Audit Insert your Company Name and Date where indicated Print the front cover once you have completed your Audit Do not enter any data other than Company name and Date The data will copy from the Audit Details worksheet Audit Details Tab Read each section and answer the questions Enter Data ONLY in the white coloured boxes for each question and comments boxes Enter a score for each question as indicated by the "How and What to score" column If the question is not applicable score it as max potential score Note; Different questions have different weighted score potential Enter comments in the comments box Once complete simply print off both the Title Page and the Audit Details pages You may have to adjust the print settings to suit your printer You have now completed your Health & Safety Audit You can save this spreadsheet and use it as many times as you like Any problems me at tim.hill2@zoom.co.uk

2 Health & Safety Management System Audit ( HSG 65 Model) Section Performance Policy Organising Planning & Implementation Date Measuring Reviewing Company Total Audit % Performance not acceptable - urgent action required Performance marginal - ongoing action required Section 1 - Policy Section s Section 3 - continued Policy statement Provision Display Screen equipment Communication PPE Responsibility Safe systems/ Permits Contractors & Visitors Section 2 - Organising Electrical safety Workplace safety Implementation Equipment Safety Selection & Training Fire & emergency Specialist Training Occupational Health Co-Operation & Communication H&S Committee Methods of Communication Section 4 - Measuring Section 3 - Planning / Implementation Proactive monitoring Reactive monitoring Safety Plan Auditing General Risk Assessment Hazardous substances Section 5 - Reviewing Noise Manual Handling Review Asbestos TCH Safety 26

3 The Policy Statement Health and Safety Policy statement - Is it prominently displayed Policy date Policy signed by company designate Health & Safety Policy 1 one copy on display; 2 Displayed in two or more locations 2 1 for dated within 3 years, 2 for within 2 years; 3 for within 1 year 3 1 for most senior site contact, 2 for director; 3 for MD / CEO 3 Total 8 Provision Policy Complies to Legal Requirements definitely not; 1 partially ; 2 mostly ; 3 yes but may need updating ; 4 fully 4 Appropriate Resources are provided to implement the policy 3 Does the policy publish Health and Safety Objectives 3 Does it identify Health and Safety Responsibility 3 Is there a Review Mechanism 3 Does it identify Third Party Protection 3 Communication Is the policy communicated to all individually Is the whole policy document available to all Total 19 1 on noticeboard, 2 with individual contract of employment, 3 H&S booklet given to individuals ; 4 Employee signs for receipt 4 3 Are employees involved in it's development 3 Total 1 Page 3

4 Responsibility Are Managers and Supervisors named as responsible for H&S 3 Is there a responsibility management diagram 1 yes, no 1 Managers/Supervisors Responsibilities documented and identified 3 Maintenance Responsibilities identified 3 Management of Third Parties identified 3 Responsibilities fully understood at all levels 3 Total 16 Section Totals 53 Page 4

5 Organising Implementation Healthy and Safety part of Appraisal System for employees 3 Employee Responsibilities documented and identified within policy 3 Competent H&S Person available no; 1 consultant used as and when; 2 Consultant retained; 3 qualified in house person 3 Are H&S competent person contact details published and circulated no; 1 yes 1 Is responsibility for contact with outside bodies identified no; 1 yes 1 Is there an accountability map published no; 1 yes 1 Are Health and Safety targets/objectives stated no; 1 yes 1 Total 13 Selection & Training Training identified at recruitment & documented 3 Training and Information provided for all 3 Health and Safety Training is Managers responsibility no; 5 yes 5 New Starters - Induction Course provided 3 Young Persons - Induction course provided Pregnant or Nursing Mothers - Induction course provided Disabled Persons - Induction Course provided Managers - Health and Safety Training provided Supervisors - Heatlh and Safety Training provided Employee - Health and Safety Training provided no; 5 yes no; 5 yes Total 36 Page 5

6 Specialist Training Fork Lift Truck Drivers training provided 3 Abrasive Wheel Users training provided 3 Woodworking Machinery Users training provided 3 Racking Awareness training provided 3 Battery Charging training provided 3 Fire Evacuation/Awareness training provided 3 HGV Drivers qualification checked and documented 3 Use of PPE training provided 3 Refresher Training requirements documented 3 Up-to-date Site Training Programme in place 3 Site Training Record System avaliable no; 1 yes 1 Training Records available by individual 3 Informal (on the job) Training provided and documented 3 Total 46 Co-operation & Communication Effective and Open Communication within company 3 Employee's Health and Safety Booklet no; 2 yes 2 Location/Shift Pattern Safety Cover provided New Working Procedures discussed and consulted Appointing Competent Persons discussed and consulted Health and Safety Training/Information discussed and consulted New Equipment/Technology discussed and consulted no; 5 yes Total 22 Page 6

7 H&S Committee Joint Health and Safety Committee in place no; 3 yes 3 Departmental/Section Safety Committees in place no; 1 yes 1 Committee Meetings monthly 3 Published Agenda 3 Action Minutes circulated 3 Minutes - Follow-up Actions checked 3 Methods of Communication Total 16 Health, Safety and Welfare noticebaords no; 2 yes 2 Promotional Literature provided no; 2 yes 2 Other notice boards present no; 2 yes 2 Information from External Sources provided no; 2 yes 2 Team Briefings for All Employees 3 HSE Posters displayed no; 2 yes 2 Employee Liability Insurance Certificate displayed no; 5 yes 5 Signs & Signals - appropriate and up to date no; 2 yes 2 Total 2 Section Totals 153 Page 7

8 Safety Plan Annual Health and Safety Plan no; 5 yes 5 Implemented - Timescales no; 2 yes 2 Legislative Compliance Checks no; 5 yes 5 Corrective Actions within Timescales no; 2 yes 2 Safety Plan - Personnel Awareness of plan no; 2 yes 2 Departmental/Section Plan no; 2 yes 2 Safety Plan has performance targets no; 2 yes 2 Safety Plan - part of overall company business Plan no; 2 yes 2 Total 22 General Risk Assessment Areas Planning & Implementation Contractors no; 5 complete and documented 5 Visitors/Members of the Public no; 5 complete and documented 5 Delivery Drivers no; 5 complete and documented 5 Workplace Transport Operations no; 5 complete and documented 5 Occupational Stress no; 5 complete and documented 5 Pregnant Women/Nursing Mothers no; 5 complete and documented 5 Young Persons (under 18) no; 5 complete and documented 5 Disabled Persons no; 5 complete and documented 5 Lone working no; 5 complete and documented 5 Risk assessments reviewed no; 2 every two years; 3 annually 3 Total 48 Page 8

9 Hazardous Substances Hazardous Substances identified no; 3 yes 3 Material Safety Data Sheets for all substances available no; 3 yes 3 COSHH Assessment complete no; 1 partially, 2 mostly; 3 fully 3 COSHH Review no; 2 every two years; 3 annually 3 Engineering Controls in place no; 3 yes 3 Local Exhaust Ventilation (LEV) in place no; 3 yes 3 LEV Testing every 14 months and documented no; 3 yes 3 Non-disposable RPE used no; 3 yes 3 Disposable RPE used no; 3 yes 3 Occupational Exposure Limits published no; 3 yes 3 Health/Medical Surveillance in place no; 3 yes 3 Hazards of Substances communicated no; 3 yes 3 Precautions/Control Measures communicated no; 3 yes 3 Results of Monitoring/Surveys communicated no; 3 yes 3 Hazardous Substance Emergency action communicated no; 3 yes 3 Legionella risk assessment complete no; 1 yes 1 Ionising Radiation assessment complete no; 1 yes 1 Isocyanates risk assessment complete no; 1 yes 1 Lead risk assessment complete no; 1 yes 1 Total 85 Page 9

10 Noise Noise at Work Regulations Survey complete no; 3 yes 3 Plan to Reduce Noise in workplace developed no; 3 yes 3 Plan to reduce Employees Exposure no; 3 yes 3 Noise Zones marked no; 3 yes 3 Hearing Protection mandatory no; 3 yes 3 Employees Utilise Hearing Protection is monitored / audit no; 3 yes 3 Pre-employment Medicals undertaken no; 3 yes 3 Noise Audiometry completed no; 3 yes 3 Employee Awareness training on noise no; 3 yes 3 Total 27 Manual Handling Residual Manual Handling Tasks assessed no; 3 yes 3 Third Party Premises also assessed no; 3 yes 3 Risk assessments reviewed no; 3 yes 3 Products 'Weight Stamped' no; 3 yes 3 Automation/Mechanisation used where possible no; 3 yes 3 WRULD risk assessed no; 3 yes 3 Lifting/Handling Injuries analysed no; 3 yes 3 Employee Risk Awareness training no; 3 yes 3 Training records maintained no; 3 yes 3 Total 27 Page 1

11 Asbestos Asbestos surveys completed for all locations no; 1 partially; 5 fully 5 Type 1 survey complete no; 1 yes 1 Type 2 survey complete no; 1 yes 1 Type 3 survey complete no; 1 yes 1 Asbestos register complete no; 1 partially; 5 fully 5 Asbestos register available to all visiting contractors no; 1 partially; 3 fully 3 Training given to maintenance personnel no; 1 partially; 3 fully 3 General awareness training given no; 1 partially; 3 fully 3 Management plan developed no; 1 partially; 3 fully 3 Management plan implemented no; 5 yes 5 Work on Asbestos containing materials subject to permit no; 1 partially; 2 fully 2 Total 32 Display Screen Equipment Users Identified no; 1 partially, 3 fully 3 DSE Workstation assessments complete no; 1 partially, 3 fully 3 DSE - Home Workers assessed no; 1 partially, 3 fully 3 Up-to-date Assessments no; 1 within last two years; 2 within last year 2 Safety Requirements explained no; 1 yes 1 Breaks explained no; 1 yes 1 Eye Tests policy and communicated no; 1 yes 1 Assessment Reviewed no; 1 reviewed every 2 years; 3 reviewed annually 3 Training received and documented no; 1 partially, 3 fully 3 Total 2 Page 11

12 PPE Appropriate types of PPE risk assessed no; 1 partially, 3 fully 3 Risk Reduction measures looked at no; 1 partially, 3 fully 3 Storage Facilities available no; 1 partially, 3 fully 3 PPE - Safety Helmets provided no; 2 yes 2 PPE- Gloves/Gauntlets provided no; 2 yes 2 Eye Protection provided no; 2 yes 2 Hearing Protection provided no; 2 yes 2 Safety Footwear provided no; 2 yes 2 High Visibility Clothing provided no; 2 yes 2 Supervisory Monitoring audits carried out and documented no; 1 partially, 3 fully 3 PPE Records of issue no; 2 yes 2 PPE Training provided no; 1 partially, 3 fully 3 Safe Systems / Permits Total 29 PTWS - Hot Work/Welding in place no; 2 yes 2 PTWS - Working at Heights/Roof in place no; 2 yes 2 PTWS - Confined Spaces Entry in place no; 2 yes 2 PTWS - Electrical/Mechanical Isolation in place no; 2 yes 2 PTWS - High Voltage in place no; 2 yes 2 PTWS - Contractor Operations in place no; 2 yes 2 PTWS - Chemical Isolation in place no; 2 yes 2 PTWS - Work on Pressure Systems in place no; 2 yes 2 Safe Systems of Work written no; 1 partially; 2 full 2 Review/Updating of SSW no; 1 partially, 3 fully 3 Regular Briefings - SSW no; 1 partially, 3 fully 3 PTWS Awareness training none; 2 employees aware 2 SSWs on Display no; 1 partially, 3 fully 3 PTWS Authorised Signatures none; 2 signed by Manager 2 Total 31 Page 12

13 Contractors / Visitors Contractors - Approved List no; 5 yes 5 Method Statements received before each job no; 1 partially, 3 fully 3 CDM Regulations followed for building works no; 3 always 3 Managing of Contractors supervised no; 1 partially, 3 fully 3 Regular Inspection of Contractor Work no; 1 partially, 3 fully 3 Contractor Personnel/Vehicles checks completed no; 1 partially, 3 fully 3 Delivery Vehicles checked no; 1 partially, 3 fully 3 Visitors' Vehicles parked in designated bays no; 1 partially, 3 fully 3 Visitor Badge/Site Accompanied no; 2 yes 2 Site Emergency/Evacuation Procedures explained no; 2 yes 2 Delivery Information displayed no; 2 yes 2 Site Systems/Permits and Work Procedures explained no; 2 yes 2 Induction Training Sessions for contractors no; 2 yes 2 Employee Training on Contractors and documented no; 2 yes 2 Total 38 Page 13

14 Electrical safety Electrical Equipment manuals and Wiring Diagrams available no; 2 yes 2 Qualified, Competent Electricians/Engineers used no; 5 yes 5 Electrical Isolation/Lock Off System no; 5 yes 5 Low Voltage Systems used where possible no; 5 yes 5 Live Work - Trained, Competent Persons no; 5 yes 5 Inspections/Checks - Tagged/Labelled no; 5 yes 5 I.E.E. Requirements followed no; 2 yes 2 Fixed Wiring Inspections undertaken within last five years- Records/Logs no; 5 yes 5 Portable Appliance testing completed no; 1 within last two years; 2 within last year 2 Employee Training - Electrical Equipment no; 2 yes 2 Electrical Equipment - Information available no; 2 yes 2 Total 4 Workplace Safety (at this point carry out an inspection and grade marks from to 1 for each question) Traffic/Pedestrian Routes - Marked Vehicle and Pedestrian Segregation Vehicle Reversing/Parking safe system written Vehicle Loading/Unloading safe system written Clear Labelling/Colour Coding of Pipework Racking Awareness/Safe Use Good Housekeeping Safe Stacking/Storage/Stability Minimisation of Passive Smoking Risk Minimising the Risk of Slips/Trips/Falls Racking Systems - Regular Checks Racking Systems - Maximum Load Notices Total 12 Page 14

15 Equipment Safety Work Equipment Complies with PUWER no ; 5 yes 5 Equipment Disposal policy in place no; 2 yes 2 New Equipment - compliance with PUWER no; 2 yes 2 Safety considered at Design/Planning Stage no; 2 yes 2 New Equipment - Risk Assessments completed no; 2 yes 2 Marking Guarding Meets all Requirements no; 2 yes 2 Emergency Stop Buttons/Other Safety Devices no; 2 yes 2 Pre-use/Pre-shift Checks no; 2 yes 2 Planned Preventive Maintenance System no; 1 yes 1 Pressure Systems statutory inspections complete no; 5 yes 5 Lifting Equipment/Tackle statutory inspections no; 5 yes complete 5 Local Exhaust Ventilation (LEV) statutory inspections complete no; 5 yes 5 Lifts/Cranes/FLT's statutory inspections complete no; 5 yes 5 Power Presses statutory inspections complete no; 5 yes 5 FLT's - Regularly Maintained no; 2 yes 2 FLT's - Daily Maintenance and Pre-use Checks no; 2 yes 2 FLT's - Authorised Drivers no; 2 yes 2 FLT's - Visible/Audible Alarms no; 2 yes 2 Palletised Products no; 2 yes 2 Damaged Pallets disposed of no; 2 yes 2 Ladders - Tagged/Regularly Inspected no; 2 yes 2 Defective Ladders reporting system no; 2 yes 2 Ladders/Access Equipment controlled no; 2 yes 2 Total 72 Page 15

16 Fire / Emergency Arrangements Serious and Imminent Dangers risk assessment no; 3 yes 3 Fire Evacuation Procedure no; 3 yes 3 Third Parties catered for within emergency procedures no; 3 yes 3 Fire Evacuation Drills no; 3 yes 3 Obstructed Exit Routine Drills no; 3 yes 3 Clearly Labelled, Unobstructed Fire Points no; 3 yes 3 Fire Extinguishers available no; 3 yes 3 Fire Extinguishers - Trained Persons no; 3 yes 3 Clearly Labelled Evacuation Routes/Fire Exit Doors no; 3 yes 3 Trained Fire Wardens no; 3 yes 3 Labelled Fire/Muster Points no; 3 yes 3 Systems to Detect Fire automatic no ; 5 yes 5 Fire Alarm System no ; 3 yes 3 Testing of all Call Points no; 2 yes 2 Fire Alarm System Checks no; 2 yes 2 Sprinkler Systems present no; 5 yes 5 Flammable Gases/Substances stored on premises yes; 3 no 3 Explosives stored on premises yes; 3 no 3 Total 56 Page 16

17 Occupational Health / First Aid Risk Assessments for Occupational Health complete no; 3 yes 3 Pre-employment Medicals/Health Screening no; 3 yes 3 First Aid Needs in the Workplace adequate no; 3 yes 3 Return to Work interviews held no; 3 yes 3 Adequate number of First-Aiders no; 3 yes 3 First Aid Facilities adequate no; 3 yes 3 First-Aiders & Location Clearly Displayed no; 3 yes 3 Record all Injury Accident no; 3 yes 3 Occupational Health Records no; 3 yes 3 Specific assessments completed for Dermatitis no; 3 yes 3 Specific assessments completed forrespiratory ailments no; 3 yes 3 Total 33 Section Totals 648 Page 17

18 Proactive Monitoring Joint Safety Inspections no; 3 yes 3 Findings/Recommendations published no; 3 yes 3 Housekeeping Inspections no; 3 yes 3 Manager/Supervisor - Safety Tours/Visits no; 3 yes 3 Hazard Log System no; 3 yes 3 Unsafe Activities recorded/reported no; 3 yes 3 Employee Health/Medical Surveillance no; 3 yes 3 Regular Safety Checks by Managers/Supervisors no; 3 yes 3 Health & Safety Training Programme Checks/audits no; 3 yes 3 Personal Protective Equipment Checks audits no; 3 yes 3 Risk Assessment Checks / audits no; 3 yes 3 Reactive Monitoring Measuring Total 33 Fatal/Major/Reportable Injuries reported no; 2 yes 2 Reportable Diseases reported no; 2 yes 2 Dangerous Occurrences reported no; 2 yes 2 Notification to Company's Insurers no; 2 yes 2 BI51 Accident Book no; 2 yes 2 Causal Analysis (Accidents) no; 2 yes 2 Site/Company Accident Reporting System no; 2 yes 2 Investigation of all Accidents no; 5 yes 5 Damage and Near Miss Accidents reported no; 2 yes 2 Costs of Accidents analysed no; 2 yes 2 Analysis - Diseases/Injuries/Non-injuries no; 2 yes 2 Analysis Results used to 'Benchmark' no; 2 yes 2 Total 27 Page 18

19 Monitoring / Auditing Formal Site Health & Safety Audits no; 5 yes 5 An Audit Checklist in place no; 3 yes 3 Audit - Findings and Recommendations published no; 3 yes 3 Site/Individual Action Plans no; 3 yes 3 Satisfactory Completion of all Recommendations no; 3 yes 3 Set Quantitative Targets no; 3 yes 3 Audit Results communicated no; 3 yes 3 Total 23 Section Totals 83 Reviewing Overall Performance reviewed no; 3 yes 3 Findings/Recommendations published no; 3 yes 3 Accident/Disease Record reviewed periodically no; 3 yes 3 Organisational Structure/Staff reviewed periodically no; 3 yes 3 New and Pending Legislation reviewed periodically no; 3 yes 3 New Technology/Processes reviewed periodically no; 3 yes 3 Future Health & Safety Action Plans developed no; 3 yes 3 Company/Group Circulation of H&S performance no; 3 yes 3 Health & Safety Performance - Annual Report no; 3 yes 3 Improving trend in Health and Safety no; 3 yes 3 Performance Section Totals 3 Total Audit 967 Page 19

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