Below are copies of completed Monitoring and Checklist forms. The item column contains the question that needs to be answered. The yes/no answer is recorded in the next two columns. The final column is for comments and, on the monitoring form, a short statement should be entered explaining how the answer has been proved or validated. Where it has been identified that there is a shortfall and standards are not being met, indicate an action number in the first column. A corrective action record should then be completed, identified by the corresponding action number. This applies to both Monitoring and Checklist forms.
A senior manager, following his/her monitoring activities, should complete the corrective action record. It is also possible that the senior manager may wish to make a record of items requiring action that have been highlighted on a checklist completed by other staff members, e.g. where the senior manager ultimately is the person who needs to carry out or endorse the action required. The person within the company who has overall control of health and safety should validate the corrective action record.
The Corrective Action Record below is a copy of the one that has been completed by the member of staff following completion of their checklist. Items that are able to be actioned by the member of staff have been done. Items requiring the senior manager's approval are then dealt with by the senior manager.
The Corrective Action Record below shows how it may be completed by a Senior Manager following validation of a checklist which has been completed by a member of staff and where defects have been identified. In this case, the Operations Director is the person within the Company authorised to arrange maintenance works.
All Monitoring Forms and Checklists should be retained for at least three years as they may need to be produced as evidence to prove a 'due diligence' defence in legal proceedings.