Customer name *
Is there a Health and Safety Law poster on-site? * YesNoDon't know
Health and Safety Law poster location:
Are you satisfied the site has no unavoidable trip hazards and that access and movement around the site is unobstructed? * YesNoDon't know
Are stairways, fire escapes and high-level openings provided with suitable handrails and guarding? * YesNoDon't know
Accidents and first aid
Is there a first aid box on site? * YesNoDon't Know
First aid box location:
In the event of an accident, Green Mop has its own accident reporting procedures. If you have your own accident reporting process for site visitors or contractors, please give the name and email address of the person responsible.
Name of person responsible for accident reporting:
Email of person responsible for accident reporting:
Gas and electrical safety
Are periodic checks and tests undertaken on electrical and gas installations by a competent person? * YesNoDon't know
Are electrical safety checks made on portable appliances? * YesNoDon't know
The Control of Asbestos at Work Regulations 2006 require the management of asbestos in non-domestic premises appropriate action regarding faults found.
Are arrangements in place to monitor and review asbestos or asbestos containing materials? * YesNoDon't know
Is any asbestos or asbestos containing material present at your premises? * YesNoDon't know
If asbestos is present at your site, please give details:
Is there an emergency procedure for raising the alarm and evacuation in the event of a fire? * YesNoDon't know
Do you have a Fire Risk Assessment for your premises? * YesNoDon't know
Are Emergency Escape Procedures displayed in your Premises? If so, please state where:
Will you be able to email us copies of your emergency procedures and fire risk assessment? * YesNo
Other relevant information.