Covid -19 Health and Safety Assurance Checklist

Name of Department - Service - Site - School
Name of person(s) carrying out this assurance activity	Date

Risk Management Process	Please add examples or notes where appropriate
Have new risk assessments (service, task or activity specific) for Covid-19 been developed?	Yes No N/A Notes
Have your existing (service, task or activity specific) risk assessments been reviewed and now includes Covid-19 as a hazard?	Yes No N/A Notes
Who is involved in your risk assessment process?	Examples
How was information shared and consulted on with the Trade Unions and employees regarding risk assessments and safe work processes?	Examples
Have other risk assessments and arrangements been reviewed as part of this work e.g. Buildings, Fire and Emergencies, First Aid?	Examples
Do the control measures and safe systems reflect the findings of the risk assessment process and the current Government/ PHE/ Council Covid-19 guidance?	Yes No Notes
Where appropriate, have suitable control measures been introduced so services, tasks and activities involving members of the public can take place safely and without risk to others?	Yes No N/A Notes
Do these control measures also safeguard employees where they interact with members of the public via services, tasks, activities?	Yes No N/A Notes
Where PPE is required - suitable training and instruction has been given on the safe application, use, removal (donning and doffing) cleaning and its disposal?	Yes No N/A Notes
What tests have been carried out to ensure control measures and or safe systems are suitable and effective?	Examples
What monitoring and reviewing processes have been implemented to ensure risk assessments and safe working processes will be kept up to date?	Examples

Workplaces	Please add examples or notes where appropriate
Has the workplace been reorganised so safe working and social distancing can be maintained? Including for welfare facilities, communal areas, meeting rooms, thoroughfares, access and egress points	Yes No N/A Notes
Can employees and others operate safely and without risk to others?	Yes No Notes
Enhanced cleaning regimes for the workplace have been implemented, especially for “high touch” points, surfaces and welfare facilities?	Yes No Notes
Suitable supplies of cleaning materials are available for employees to use? e.g. liquid soap, hand sanitiser, wipes, and paper towels.	Yes No Notes
There are suitable processes in place for the collection and removal of waste?	Yes No Notes
Has suitable signage been placed around the workplace to inform and warn employees and others of safe working practices and restrictions?	Yes No Notes
Have suitable processes been implemented to safely manage visitors and contractors in the workplace?	Yes No N/A Notes
Have suitable processes been implemented to safely manage goods and deliveries?	Yes No N/A Notes

Workforce	Please add examples or notes where appropriate
Employees that are working at home have completed their Display Screen Equipment Workstation assessments?	Yes No N/A Notes
Managers have reviewed these assessments and where appropriate have taken action where concerns have been raised?	Yes No N/A Notes
Where appropriate, flexible working agreements have been completed and are up to date?	Yes No N/A Notes
Where appropriate, individual staff assessments been carried out?	Yes No N/A Notes
Where appropriate, individual BAME assessments have been carried out?	Yes No N/A Notes
Remedial actions arising from those assessments are complete?	Yes No N/A Notes
Additional employee training has been planned and completed e.g. induction refresher, safe working procedures?	Yes No N/A Notes
How are key messages including the need to adhere to current controls measures and to raise concerns as necessary, being communicated to employees?	Examples
Have employees been advised and signposted to the Health and Wellbeing support as part of established support and supervision processes?	Yes No Notes

Director / Assistant Director Assurance Approval
The contents of this assurance document have been reviewed and where appropriate, remedial actions have been taken to resolve any issues and or concerns raised.
Name of Director / Assistant Director	Date
Date informing Occupational Safety Team that this assurance process is complete	Date