Health and Safety Audit
Date
*
/
Day
/
Month
Year
Date
Completed By
*
Client's Name
*
Fire Safety
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Are fire alarms in the client’s home tested regularly and checks recorded?
Is a Personal Emergency Evacuation Plan (PEEP) in place and up to date?
Have fire risks been assessed? e.g. cooking, smoking, oxygen use
Are clients being referred to the local fire service for a fire safety check?
Hoists and Equipment
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Are hoists checks completed as per policy?
Is hoist servicing up to date?
Are hoists and slings checked before every use?
(Check other manual handling equipment and add to audit as necessary)
House Keeping
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Has the client’s home been checked for any health and safety concerns during assessments and reviews?
Have any concerns been recorded and actioned?
Water and Hot Surfaces
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Are water temperature checks completed and recorded as per policy?
Have any hot surfaces in the property been risk assessed?
Security
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Are doors kept secure and are these checked as per policy?
Are door codes changed regularly?
Are clients advised to put key safes in a place which is out of sight from the street?
Are key safe access codes stored securely?
Are staff resetting the key safes before the visit to ensure that access codes are not left visible during the visit?
Personal Protective Equipment (PPE)
Rows
Met
Not Met
Action Required
Responsibility
Target Date
Completed Date
Gloves are available for staff and are in a range of sizes.
Gloves are worn if there is a risk of exposure to blood and bodily fluids, cleaning fluids or chemicals.
Gloves are worn for single use only.
Disposable plastic aprons are worn when preparing or serving food.
Disposable plastic aprons are worn as single use items.
Additional Comments/Observations
Signature
Date
-
Month
-
Day
Year
Date
SUBMIT
SUBMIT
Should be Empty: