Management of Health and Safety
YES
NO
N/A
QUESTION COMMENTS
Is there a Health & Safety policy signed by the manager?
Are Health and Safety responsibilities assigned?
Are Health & Safety meetings held regularly?
Is Health & Safety discussed at company meetings?
Does the company have a Health & Safety manual?
Has the Health & Safety manual been updated in the
Is all equipment assessed for Health & Safety prior
Are regular reviews conducted of the Health & Safety
Hazards
YES NO N/A QUESTION COMMENTS
Is there a hazard register in place?
Have hazards been systematically identified?
Have significant hazards been determined?
Is the hazard register up to date?
Are new hazards reported and actioned?
Is there a hazard reporting and review process in place?
Do you have a documented means of controlling and monitoring
Accidents
YES NO N/A QUESTION COMMENTS
Is there an accident register present?
Do you record near misses in the accident register?
Have all serious harm accidents been reported to OSH?
Have accident investigation forms been completed for
Is a first aid kit available and well stocked?
Is its location known to staff?
Is there a trained first aider on site?
Training and Information
YES NO N/A QUESTION COMMENTS
Have all employees received Health & Safety training?
Have all new employees received Health & Safety induction
Do you keep training records for individual employees?
Have employees received safety training for their specific
Is there a process in place for staff who don’t
Are employees provided with information on the hazards
Is Health and Safety information kept on site and is
Contractors
YES NO N/A QUESTION COMMENTS
Do you clearly understand your responsibilities as a
Have all contractors been asked for information on their
Do you have a contractors register in place?
Have all contractors signed the contractors register?
Have contractors been informed of company policy and
Have any contractors reported new hazards or accidents
Is there a system in place to measure the performance
Emergency Procedures
YES NO N/A QUESTION COMMENTS
Is there and emergency evacuation plan in place?
Have employees been included in the development of a
Have all staff received training in emergency procedures?
Are the emergency procedures prominently displayed?
Has an emergency evacuation drill been carried out in
Have fire extinguishers and hoses been inspected in the
Are emergency exits clear and unobstructed?
Is there clear access to fire fighting equipment?
