Health and safety arrangements
KD-HSA-PR-020
Health and Safety Policy Review and Objectives Record
The annual review record: the policy and each arrangement reviewed with the change made or none, the year in figures written in from the accident and monitoring records, enforcement and insurer contact, and the objectives for the coming year with an owner and a date.
2 pages · 173 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 2 — click to enlarge
Read all 2 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- HSWA 1974 s.2(3)
- MHSWR 1999 reg 5
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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