5% Monthly check Contractors / Stat Checks

• Document No.

• Prepared by

• Conducted on

  Date

I auditor checks

• Emergency lights - monthly check

  Compliant

  Non-Compliant

  N/A

• Toilet alarms - monthly check

  Compliant

  Non-Compliant

  N/A

• Flushing - weekly check

  Compliant

  Non-Compliant

  N/A

• Fire doors - monthly check

  Compliant

  Non-Compliant

  N/A

• First aid kits and eye wash - monthly check

  Compliant

  Non-Compliant

  N/A

• Defibrillator - weekly check

  Compliant

  Non-Compliant

  N/A

• Fire extinguishers - monthly check

  Compliant

  Non-Compliant

  N/A

• Fire refuge call points - monthly check

  Compliant

  Non-Compliant

  N/A

• Ladders - termly check

  Compliant

  Non-Compliant

  N/A

• Asbestos - monthly check

  Compliant

  Non-Compliant

  N/A

• Fire call points - monthly check

  Compliant

  Non-Compliant

  N/A

• Wheelchairs - monthly check

  Compliant

  Non-Compliant

  N/A

• Lock down Drill Termly

  Compliant

  Non-Compliant

  N/A

• Fire Evacuation Termly

  Compliant

  Non-Compliant

  N/A

• Shower head Clean descale

  Compliant

  Non-Compliant

  N/A

Contractor 1 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 2 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 3 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 4 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 5 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 6 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 7 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 8 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 9 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Contractor 10 PTW / RAMS / SCOP / SSOW

• Name

• Contractor signed in

  Compliant

  Non-Compliant

  N/A

• Permit to work present

  Compliant

  Non-Compliant

  N/A

• RAMS Present and approved

  Compliant

  Non-Compliant

  N/A

• Key Log signed (If keys required)

  Compliant

  Non-Compliant

  N/A

• SSOW/ CCOP Present

  Compliant

  Non-Compliant

  N/A

Stat Checks details 1.

• Name

• Is it compliant?

  Compliant

  Non-Compliant

  N/A

• Are there outstanding remedials

  Compliant

  Non-Compliant

  N/A

Stat Checks details 2.

• Name

• Is it compliant?

  Compliant

  Non-Compliant

  N/A

• Are there outstanding remedials

  Compliant

  Non-Compliant

  N/A

Stat Checks details 3.

• Name

• Is it compliant?

  Compliant

  Non-Compliant

  N/A

• Are there outstanding remedials

  Compliant

  Non-Compliant

  N/A

Stat Checks In date

• Electric Gates - 6m

  In Date

  Expired

  N/A

• Good Hoist servicing 4m

  In Date

  Expired

  N/A

• Goods Hoist - LOLER 12m

  In Date

  Expired

  N/A

• Pallet Trucks - 6M

  In Date

  Expired

  N/A

• Asbestos Register

  In Date

  Expired

  N/A

• Sky Jack / MEWP 12m

  In Date

  Expired

  N/A

• Tree assessment report

  In Date

  Expired

  N/A

• Kitchen equipment - 12m

  In Date

  Expired

  N/A

• Auto Doors - 6m

  In Date

  Expired

  N/A

• Roller Shutters - 6m

  In Date

  Expired

  N/A

• Intruder Alarm System - 6m

  In Date

  Expired

  N/A

• Dry Riser 6m

  In Date

  Expired

  N/A

• LEV Construction 12m

  In Date

  Expired

  N/A

• Speedlanes 6m

  In Date

  Expired

  N/A

• Evac chairs 12m

  In Date

  Expired

  N/A

• Stair climber service 12m

  In Date

  Expired

  N/A

• Stair climber LOLER - 6m

  In Date

  Expired

  N/A

• Air Conditioning - 6m

  In Date

  Expired

  N/A

• Air Handling Units - 6m

  In Date

  Expired

  N/A

• Boiler - 12m

  In Date

  Expired

  N/A

• Gas Tightness - 5 Year

  In Date

  Expired

  N/A

• Glazing - 5 Year

  In Date

  Expired

  N/A

• Electrical - PAT Testing - 12m

  In Date

  Expired

  N/A

• Lifts - 3m

  In Date

  Expired

  N/A

• Lifts - 6m

  In Date

  Expired

  N/A

• Lightning Conductors - 12m

  In Date

  Expired

  N/A

• Theatre chairs service

  In Date

  Expired

  N/A

• ANPR barrier - 6m

  In Date

  Expired

  N/A

• Lock Down Drill - 12m

  In Date

  Expired

  N/A

• Electrical - Fixed 5 Year

  In Date

  Expired

  N/A

• Patient Hoist servicing 6m

  In Date

  Expired

  N/A

• Fire - Risk Assessment 12m

  In Date

  Expired

  N/A

• Pan mixer - Brickworkshop 12m

  In Date

  Expired

  N/A

• Display Energy Cert - 12M

  In Date

  Expired

  N/A

• Solar PV Array

  In Date

  Expired

  N/A

• Emergency Lights - 12m (3hr)

  In Date

  Expired

  N/A

• LEV - science lab 12m

  In Date

  Expired

  N/A

• Fire - Extinguishers - 12m

  In Date

  Expired

  N/A

• Fire - Smoke Detectors - 6m

  In Date

  Expired

  N/A

• Fire - Alarm - 6m

  In Date

  Expired

  N/A

• Fire - Call Points - 6m

  In Date

  Expired

  N/A

• Disabled Toilet Alarm - 6m

  In Date

  Expired

  N/A

• Legionnaires/Water - 1m

  In Date

  Expired

  N/A

• Legionella - Risk Assessment

  In Date

  Expired

  N/A

• Air Compressors - 12M

  In Date

  Expired

  N/A

• PE Equipment - 12m

  In Date

  Expired

  N/A

• Kitchen Ventilation - 12M (cleaning)

  In Date

  Expired

  N/A

• Mansafe Systems 12m

  In Date

  Expired

  N/A

• Playground - 12m

  In Date

  Expired

  N/A

• LEV - Welding / Gas Workshop

  In Date

  Expired

  N/A

• Fire dampers 12m

  In Date

  Expired

  N/A

• LEV - Hair and beauty 12m

  In Date

  Expired

  N/A

• CCTV - 12m

  In Date

  Expired

  N/A

• Lockdown alarm 12m

  In Date

  Expired

  N/A

• Urinal PPM quarterly

  In Date

  Expired

  N/A

• Inflatable Roof - 6M

  In Date

  Expired

  N/A

• Electrical - PAT Testing - 3m

  In Date

  Expired

  N/A

• Grease Traps - 4M

  In Date

  Expired

  N/A

• Sliding Gates - 12M

  In Date

  Expired

  N/A

• Sectional Overhead/High Speed - 12M

  In Date

  Expired

  N/A

• Genie AWP Serivce 12m

  In Date

  Expired

  N/A

• Movable wall

  In Date

  Expired

  N/A

• LEV - Motor vehicle

  In Date

  Expired

  N/A

• Defibrillator - annually

  In Date

  Expired

  N/A