6 Monthly Inspection of Windows

• Conducted on

  Date

• Prepared by

• Location
  Address

Location of window

• Location

• Ward / Dept.

• Room No.

Window Inspection

• General condition of window for security of the frame and glass panel

  Pass

  Fail

  N/A

• Do the window restrictors prevent the window opening more than 100mm

  Pass

  Fail

  N/A

• Is the window restrictor suitably robust to withstand foreseeable forces applied by a determined individual to open the window further

  Pass

  Fail

  N/A

• Is the restrictor fitted with tamperproof fittings or they cannot be removed or disengaged using readily accessible implements and require a special tool or key

  Pass

  Fail

  N/A

• Are the hinges / catches / handles / locks in good operational order

  Pass

  Fail

  N/A

• NB - Any window found not to be restricted to 100mm of opening should be secured shut and the condition notified to the supervisor

Summary and Sign-off

• Summary of any issues

• Name and signature of inspector

  Sign