Heath and Safety


Please complete this form as best you can to help us work safely on your premises. Thank you.

    Your details

    Customer name *

    Email *

    Site safety

    Is there a Health and Safety Law poster on-site? *

    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? *

    Are stairways, fire escapes and high-level openings provided with suitable handrails and guarding? *

    Accidents and first aid

    Is there a first aid box on site? *

    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? *

    Are electrical safety checks made on portable appliances? *

    Asbestos

    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? *

    Is any asbestos or asbestos containing material present at your premises? *

    If asbestos is present at your site, please give details:

    Fire safety

    Is there an emergency procedure for raising the alarm and evacuation in the event of a fire? *

    Do you have a Fire Risk Assessment for your premises? *

    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? *

    Other relevant information.