Title Page

  • Conducted on

  • Prepared by

  • Location

Existing building information

  • Address of the trade counter
  • take photos of the external elevations

  • What's the fabric of the building

  • Takes photos of the trade counter area with any existing heating ie over door heaters etc

  • What is the current heating scheme in the trade counter ie Warm air, radiant tube , Air conditioning

  • Take photos of the current heating and position in the trade counter.

  • Has the trade counter got multiple warehouse and do these have a heating scheme ?

Proposed Heating upgrades

  • What is the flow rate for the gas meter

  • Take photos of all the utility meters

  • What is the proposal for the heating upgrade

  • Is there any electrical work required for the upgrade.

  • Take photos of the fuse board and position in the store.

  • Takes photos of the proposed position of any new equipment.

  • Are there any access issues for the new equipment installation

  • Would the site benefit from stress mats

  • What are the trade counter delivery schedules

  • Will the proposed works need to be completed overnight

  • Will a security guard be required for the proposed works

  • Take a photo of the Asbestos register front page and analysis sheet.

  • Is there any other works planned for the site in the next 3 months ie ESMP

  • Full management team names & Area manager for the site.

  • Time and date for the scope

  • Store management on site whilst the scope/survey was being completed.

  • Who completed the scope/survey

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.