A:   Do you have Employers' Liability Insurance in place?
No Yes

B:   Is your current certificate prominently displayed in your workplace?
No Yes

A:   If you have more than five employees, do you have a written, up to date health and safety policy?
No Yes

B:   Is your Policy Statement/Statement of Intent up to date, signed and prominently displayed in the workplace?
No Yes

C:   Do you have a named senior member of staff responsible for Health and Safety issues?
No Yes

D:   Is this person competent and trained in Health and Safety issues?
No Yes

E:   Do you have access to competent, up to date Health and Safety advice?
No Yes

F:   Has your policy been communicated to your workforce?
No Yes

G:   Are your staff consulted on health and safety matters, either via a committee or individually?
No Yes

H:   Is the Health and Safety at Work poster displayed in your workplace?
No Yes

I:   Does it contain up to date information?
No Yes

J:   Do you have an accident book?
No Yes

K:   Do all workers know where to find it?
No Yes

A:   Do you have an up-to-date written risk assessment covering activities of significant risk within the business?
No Yes

B:   Has this been distributed to the people who need to be aware of it?
No Yes

C:   Have you evidence to record they have received and understood this?
No Yes

D:   Do any of your processes involve manual handling? If so have you carried out a risk assessment?
No Yes

E:   Do you operate machinery?
No Yes

F:   Have you undertaken a COSHH assessment?
No Yes

G:   Do you undertake a separate risk assessment for each pregnant employee?
No Yes Not Applicable

H:   Do you undertake a separate risk assessment for each young worker (aged under 18)?
No Yes Not Applicable

A:   Do you have a fire alarm system? If so is it tested weekly and maintained annually?
No Yes

B:   Have you carried out a full fire evacuation exercise within the last twelve months?
No Yes

C:   Do you regularly monitor and physically check that gangways fire escape routes and fire doors are kept clear and do you check that fire exit doors are unlocked during business hours?
No Yes

D:   Have you established a suitable assembly point?
No Yes

E:   Do you have a procedure in place for ensuring that fire extinguishers are serviced annually?
No Yes

F:   If you have a sprinkler system, is it subject to regular testing as per the schedule issued by the installers?
No Yes Not Applicable

G:   Do you have a written fire risk assessment?
No Yes

H:   Do you have an emergency procedure in the event of fire?
No Yes

I:   Are workers and visitors to your organisation made aware of this?
No Yes

A:   Do you have racking or storage systems on site?
Yes Not Applicable

B:   If you have racking, is it inspected regularly to ensure that any damage is recorded and where necessary parts replaced?
No Yes Not Applicable

C:   If you have racking, do you have notices displayed identifying the safe loading of each bay?
No Yes Not Applicable

A:   Is there a risk of falling objects?
No Yes

A:   Do you operate fork lift trucks, electric hand pallet or other types of lifting equipment? If so, are they subject to statutory inspections and certification?
No Yes Not Applicable

B:   If you operate electrical lifting equipment, do you have a safe charging area which has suitable ventilation and battery changeover facilities?
No Yes Not Applicable

C:   If you operate Liquid Petroleum Gas (LPG) operated trucks, have you checked that the storage area is suitable and not subject to vandalism and that you have proper procedures in place to change the cylinders?
No Yes Not Applicable

D:   If you operate diesel fork trucks, have you checked that the storage area is suitable and not subject to vandalism and that you have proper procedures in place to refill the trucks?
No Yes Not Applicable

E:   Where lifting equipment such as fork lift trucks are used, have all the drivers received proper certificated training relevant to the type of truck and the attachments?
No Yes Not Applicable

A:   If you operate trucks and vans, do you carry out daily checks to ensure the safety of your vehicles?
No Yes Not Applicable

B:   Have you defined pedestrian and vehicle routes within your warehouse or loading bays?
No Yes

C:   Have you defined vehicle routes and safe reversing areas around the building?
No Yes

A:   Have you had the fixed electrical installation tested by a NICEIC contractor?
No Yes

B:   Have the portable appliances been tested?
No Yes

A:   Are workers knowingly exposed to any hazardous materials or substances in the workplace?
No Yes

B:   Have you any control measures in place to control exposure to employees of these substances?
No Yes Not Applicable

C:   Do you issue any Personal Protective Equipment to employees to control their exposure?
No Yes Not Applicable

D:   Have you undertaken any occupational monitoring of staff to determine their exposure to hazardous material and substances?
No Yes

A:   Do all new staff receive an induction covering health and safety issues?
No Yes

B:   Are your employees properly trained to work safely and to minimise any health and safety risks within your business?
No Yes

C:   Do you have written records for each employee's health and safety training?
No Yes

D:   Do ALL employees follow your health and safety rules and comply with any procedures you have put in place to minimise risk of accident or injury?
No Yes

E:   Do your staff receive annually refreshed fire awareness & evacuation training?
No Yes

A:   Do you have suitable and sufficient first aid provision in case of employees being injured or becoming ill whilst at work?
No Yes

B:   Do you have systems in place which ensure that you would always notify any serious accidents or those which result in an absence of more than 3 days to the HSE?
No Yes

A:   Are those employees who regularly use computers or other visual display units during their working day trained in the health and safety aspects of VDU working?
No Yes

B:   Have you undertaken assessments of their work stations?
No Yes

A:   Have you taken all reasonable steps to reduce the risk of injury to workers who may have to lift or carry heavy objects?
No Yes

B:   Have these staff received manual handling training?
No Yes

C:   Have you conducted risk assessments of all manual handling opperations within your organisation?
No Yes

A:   Do your managers realise the importance of acting on any complaints of stress from your staff?
No Yes

A:   If suitable protective clothing would reduce a risk to the health or safety of any of your workers, is this issued to them?
No Yes

B:   Have you conducted a risk assessment of all personal protective equipment (PPE)?
No Yes

A:   Do you hold an up to date asbestos register of your building?
No Yes

A:   Are you aware that the Control of Noise Regulations changed in 2005 and set new limits for noise exposure in the workplace?
No Yes

B:   Do you have a noise issue in any part of the building or plant?
No Yes

C:   Have you undertaken a noise risk assessment in relation to the above regulations?
No Yes Not Applicable

D:   Do you issue ear protection to employees or visitors?
No Yes Not Applicable

A:   Have you undertaken a legionella risk assessment on the water systems present within the building(s)?
No Yes