Health and Safety Checklist

faithfulparsleySoftware and s/w Development

Nov 2, 2013 (4 years and 10 days ago)

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SS.CC.7D

(A)

(Adopters)

(
03.01.12
)

ROTHERHAM METROPOLITAN BOROUGH COUNCIL


CHILDREN AND YOUNG PEOPLE’S SERVICES


Safeguarding, Children and Families



Health and Safety Checklist




Name of
Prospective Adopter(s)
:
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Address:

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Date Health and Safety Check Undertaken:

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A.

Fire Safet
y



Comments/Recommendations



1.

Smoke detector on each floor

Yes/No








2.

Smoke detectors tested.

Yes/No








3.

Carbon monoxide detector available
.

Yes/No








4
.

Doors and windows easily opened from inside.

Yes/No








5
.

Keys for d
oor and window locks accessible.

Yes/No








6
.

Fire extinguisher available.

Yes/No








7
.

Fire blanket available in kitchen.

Yes/No








8
.

Combustible material not kept near fires or
cooker (including tea towels, etc.).

Yes/No











9
.

Fireguards provided and securely in place.

Yes/No





-

2

-


SS.CC.7D

(A)

(Adopters)


B.

Electricity Safety



Comments/Recommendations



1.

Multi
-
way extension cables used instead of
multi
-
way adaptors.

Yes/No











2.

Plugs, sockets and cables in good condition.

Yes/No








3.

Socket covers fitted.

Yes/No








4.

Electrical leads not trailing.

Yes/No








5.

Electrical flex for kettle not too long and not
hanging over cooker or work surface.

Yes/No











6.

Electrical circuit breaker easily accessible.

Yes
/No








7.

Main fuse board good condition with correct
size fuses.

Yes/No











8.

Electric blankets, if used, in good condition and
inspected annually.

Yes/No











9.

Portable electrical appliances in good
condition.

Yes/No







C.

Gas Safety



Comments/Recommendations



1.

Do carers have annual service contract with
approved
Gas Safe

registered gas fitter?

Yes/No











2.

Is gas shut off valve accessible?

Yes/No








3.

Are rooms with gas appliances appropriately
ven
tilated?

Yes/No







-

3

-


SS.CC.7D

(A)

(Adopters)

D.

Kitchen Safety




Comments/Recommendations



1.

Is kitchen of sufficiently hygienic standard?

Yes/No








2.

Basic amenities available.

Yes/No








3.

Cooker guard fitted?

Yes/No








4.

Floor surface, clean non sli
p and free from
obstruction?

Yes/No











5.

Detergents, bleach, etc. stored in locked
cupboard.

Yes/No







E.

General Home Safety




Comments/Recommendations



1.

Adequately stocked first aid kit available.

Yes/No








2.

Carers trained
in basic first aid.

Yes/No








3.

Medicines stored in locked cupboard.

Yes/No








4.

Safety gates of good standard and fitted
appropriately.

Yes/No











5.

Portable heating appliances in good
condition,

regularly serviced and free from o
bstructions.

Yes/No











6.

Is lighting of adequate standard, especially on
stairs?

Yes/No











7.

Is two way light switch fitted on stairs?

Yes/No








8.

Are stairs and hall uncluttered?

Yes/No








9.

Is there a handrail on the

stairs?

Yes/No




-

4

-


SS.CC.7D

(A)

(Adopters)




Comments/Recommendations



10.

Are balustrade rails close enough together?

Yes/No








11.

Are stair carpets in good condition?

Yes/No








12.

Are mats and rugs non slip and positioned to
avoid tripping hazard?

Yes/No











13.

Is safety glass incorporated into patio doors,
other glazed doors and low level partition
windows?

Yes/No










14.

Are window blind cords out of the reach of

Babies and young children. Are all other
potential strangulation hazards beyond
the
reach of babies and young children?

Yes/No













F.

Bathroom Safety




Comments/Recommendations



1.

Are all electrical switches, sockets and
appliances appropriate for bathroom use?

Yes/No











2.

Portable electrical

apparatus or extension leads
not used in the bathroom?

Yes/No











3.

Can hot water temperature be controlled?

Yes/No








4.

Are showers fitted with thermostatic or
anti
-
scald controls?

Yes/No















-

5

-


SS.CC.7D

(A)

(Adopters)

G.

Outdoor Play Safety




Comme
nts/Recommendations



1.

Is pond or pool safe, i.e. covered, fenced off or
drained?

Yes/No











2.

Are garden chemicals kept in safe place?

Yes/No








3.

Are garages, sheds and outbuilding locked?

Yes/No








4.

Are slides and swings saf
e and secure?

Yes/No








5.

Is outdoor play equipment mounted over soft
surface?

Yes/No











6.

Are greenhouses and cold frames adequately
maintained and situated in safe place?

Yes/No











7.

Is back garden securely enclosed?

Yes/No








8.

Is front garden securely enclosed?

Yes/No








9.

Are paths, drives and steps in good condition?

Yes/No








10.

Is the garden free of poisonous plants or
berries?

Yes/No











11.

Is residual current device (power breaker) use
d
in conjunction with garden electrical
equipment?

Yes/No













-

6

-


SS.CC.7D

(A)

(Adopters)

H.

Pets




Comments/Recommendations



1.

What pets/animals do carers keep?


(Please state size, breed and nature of dogs
and large animals
-

see B.A.A.F. leaflet
"Placing children wi
th dog owning families".)




















2.

Is there a known risk from any animal? What is
the carer doing to minimise the risk?

Yes/No











3.

Are all pets children friendly?

Yes/No








4.

Is the garden free from dog dirt?

Ye
s/No








5.

Is the kitchen free of cat litter tray or other
animal hygiene risks?

Yes/No







I.

Guns




Comments


1.

Are guns of any description kept in the house?

Yes/No








2.

If guns are kept in house, what kind (list)?

















3.

Are all guns kept in an appropriate locked
cabinet?

Yes/No











4.

Does the gun owner have a relevant Fire Arms
Certificate? Please note Certificate Number
date and any other relevant information.

Yes/No




















-

7

-


SS.CC.7D

(A)

(Adopters)




Comme
nts



5.

Do
es

the family have any other weapons,
including ceremonial weapons, in the house?
State what and where kept, ceremonial
weapons, e.g. Samuri swords, must not be
displayed where children could access them
e.g. on a wall.

Yes/No



















J.

Smoking




Comments


Do any of the family smoke?


If any member of the family does smoke, please note
their name and details of their smoking habits (i.e.
how they comply with the Programme Area’s smoking
policy).

Yes/No





















K.

Bedroom Living Space




Comments/Recommendations


1.

Does each child or young person have own
bed?

Yes/No











2.

Are children and young people over 8 years
old in a single sex bedroom?

Yes/No











3.

Can children get in
and out of bed without
obstruction?

Yes/No











4.

Do all children have their own wardrobe and
drawer space?

Yes/No











5.

Do all children have a place to store their own
toys and personal possessions?

Yes/No










-

8

-


SS.CC.7D

(A)

(Adopters)




Comments/Rec
ommendations



6.

Do all children have access to a quiet space
for play activities, privacy and homework?

Yes/No











7.

Are beds (including bunk beds) in good state
of repair?

Yes/No











8.

Do bunk beds have safety bar and secure
ladde
r?

Yes/No











9.

Are window locks fitted and used in rooms
above ground floor?

Yes/No











10.

Is furniture positioned away from window?

Yes/No








11.

Is there adequate lighting in bedroom?

Yes/No








12.

Is there adequate ven
tilation to bedroom?

Yes/No




L.

Car Safety




Comments/Recommendations



1.

What is the make, model and year of
manufacture of the family vehicle?
















2.

How many seats has the vehicle?








3.

When is the M.O.T. due?









4.

Can the vehicle safely accommodate all family
members (including foster children)?

Yes/No








-

9

-


SS.CC.7D

(A)

(Adopters)




Comments/Recommendations



5.

Valid Insurance Certificate seen?

Yes/No


Dates Covered








6.

Are appropriate safety/booster seats provided
for al
l children who may be transported?


Yes/No






7.

Who drives the vehicle?









8.

Has anyone taken the Local Authority driving
test?

Yes/No










Signed:


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1st Applicant:


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Signed:


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2nd Applicant:


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Signed:


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Social Worker:


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Signed:


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Team Manager:


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