OHSAS 18001 Supplementary Questionnaire

In order for us to determine the amount of audit time required to cover all elements of your Health & Safety Management System, please provide the information detailed below. Company Details Company ame!

Contact!

Activities "lease give a brief description of your main activities, products and services and attach a copy of your #is$ %ssessments&register and register of legislation if available!

Site / Facility/ Office (please continue on separate sheets for a %ppro' si(e of office facility )sq ft or sq metres*!

itional sites!

"lease provide a basic description of the office facility )single story etc*!

+oes the facility operate any plant, if so please detail type of plant used, +etails!

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+oes the organisation wor$ on clients sites, If so the appro'imate number of sites at any one time +etails!

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Form 1C/1

OHSAS 18001 Supplementary Questionnaire

Health an Safety "is#s $ %e&islation "lease identify the main health and safety legislation and regulations that relate to your activities!

Si&nificant Ha'ar s

%ccess & .gress Manual Handling Ha(ardous Materials&Substances oise Impact with /raffic & "lant Impact with In0Situ .quipment & Machinery 1 "arty Interface )"ublic&Staff* 2se of /ools & .quipment 2se of "lant 3ibration +ust 4alls of "ersonnel 56m. 4alls of "ersonnel 7 6m & 4alls on flat. 4alls of Materials 8ive Services .lectrocution 4ire .'plosion Confined Spaces 4ragile Materials /railing 8eads .'cavations 9eather +etails of any other ha(ards not covered above!
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Form 1C/1

OHSAS 18001 Supplementary Questionnaire

Description of (eneral Control )easures

+isplay 9arning Signs :arrier & Cone ;ff 9or$ing %rea .rect Security 4encing & Hoarding Clear #ubbish & Combustibles "rovide .dge "rotection "rovide 3entilation & .'traction .quipment .nsure Clear and Safe %ccess & .gress "rovide Safety 9atchman "rovide 4ire 4ighting .quipment 2se 9elding Screen Suspend wor$s in :ad 9eather Inspect wor$s area for #esidual 4ire Ha(ard 8ea$ Chec$ <as .quipment .nsure 4lashbac$ %rrestor 4itted 2se <as /orch Stands 2se ==>3 )ma'imum* .lectrical /ools only .nsure Services Isolated %llow for out of hours wor$ing Secure "ermits! *solation+ Hot ,or#s Competency Certificates! A-rasive .heels+ CSCS+ C/S Details0

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"rovide %dditional /raining! *n uction+ 1ool-o2 1al#s Details0

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Form 1C/1

OHSAS 18001 Supplementary Questionnaire

Details of any other control measures employe not covere a-ove0

Health an Safety "is#s an %e&islation +o your activities create any potential significant nuisance )e.g. noise, odour etc*, +etails!

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+o you use any special "". and would the auditor need to bring this, If so please give details!

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Have you conducted your ris$ assessments,

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"lease give details of any other significant health and safety issues relating to your activities, not covered by the above questions!

4orm Completed by! Signed! +ate

Form 1C/1