Employee Safety Evaluation Form for the United Kingdom

Employee Safety Evaluation Form Template for England and Wales

An Employee Safety Evaluation Form is a comprehensive document used in England and Wales to assess and document workplace safety conditions and risks specific to individual employees. It complies with the Health and Safety at Work etc. Act 1974 and related regulations, providing a structured approach to identifying hazards, evaluating risks, and documenting control measures. The form serves as both a legal record and a practical tool for maintaining workplace safety standards.

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What is a Employee Safety Evaluation Form?

The Employee Safety Evaluation Form is designed to meet the requirements of English and Welsh workplace safety regulations, particularly the Health and Safety at Work etc. Act 1974. It should be used whenever new employees join, roles change, or periodic safety reviews are due. The form captures crucial information about workplace hazards, risk assessments, control measures, and training requirements specific to individual employees. It helps organizations maintain compliance with legal obligations while protecting worker safety.

What sections should be included in a Employee Safety Evaluation Form?

1. Employee Information: Basic personal details, job role, department, and work location details of the employee being evaluated

2. Hazard Identification: Assessment of workplace hazards specific to role, equipment used, and environmental factors

3. Risk Assessment: Evaluation of likelihood of incidents, severity of potential consequences, and current control measures in place

4. Safety Training Record: Documentation of completed training, certifications, and due dates for refresher training

5. Personal Protective Equipment (PPE): Assessment of required PPE, condition assessment, and replacement needs

What sections are optional to include in a Employee Safety Evaluation Form?

1. Display Screen Equipment Assessment: Optional section for office-based workers, including ergonomic evaluation and workstation setup assessment

2. Manual Handling Assessment: Optional section for roles involving physical handling, including lifting techniques evaluation and equipment usage assessment

3. COSHH Assessment: Optional section for work with hazardous substances, including exposure monitoring and control measures

What schedules should be included in a Employee Safety Evaluation Form?

1. Risk Matrix: Standard risk assessment scoring tool and risk level definitions

2. Incident Report Forms: Template for reporting accidents/near misses and investigation procedures

3. Safety Equipment Checklist: Detailed PPE requirements and equipment maintenance schedules

4. Training Matrix: Required certifications by role and training frequency requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

England and Wales

Publisher

Genie AI

Document Type

Evaluation Form

Cost

Free to use
Industries

Health and Safety at Work etc. Act 1974 (HSWA): The main piece of workplace health and safety legislation that sets out general duties of employers to ensure employee safety

Management of Health and Safety at Work Regulations 1999: Legislation requiring risk assessments and detailing management obligations for safety systems

The Workplace (Health, Safety and Welfare) Regulations 1992: Regulations covering basic workplace conditions and safety requirements

Data Protection Act 2018 and UK GDPR: Legislation governing the handling of personal information in safety records and ensuring confidentiality of health-related data

Display Screen Equipment Regulations 1992: Specific regulations dealing with safety requirements for work involving display screen equipment

Manual Handling Operations Regulations 1992: Regulations covering safety requirements for manual handling and lifting operations in the workplace

Personal Protective Equipment at Work Regulations 1992: Legislation governing the provision and use of personal protective equipment in the workplace

Control of Substances Hazardous to Health Regulations 2002 (COSHH): Regulations controlling exposure to hazardous substances in the workplace

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 2013 (RIDDOR): Legislation requiring the reporting and recording of workplace accidents, diseases and dangerous occurrences

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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