6 Monthly Record Check - Safe & Legal - duplicate

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Has the electrical installation report been completed in the last five years

  Yes

  No

  N/A

• When was the last installation report compleated

• Is the summary of the condition of installation (section E of the report) marked as satisfactory.

  Yes

  No

  N/A

• If unsatisfactory have that next steps have been produced and escalated, with a clear time scale

  Yes

  No

  N/A

• Has the work been completed and a minor works certificate has been produced.

  Yes

  No

  N/A

• What date is the work due to be completed

Emergency Lighting

• Has the Emergency Lighting inspection been completed in the last 6 months and test certificate Issued?

  Yes

  No

  N/A

• What was the date of the last inspection

• Have all comments from the inspection been actioned

  Yes

  No

  N/A

• What comments are outstanding

Portable Appliance Test Certification

• When was the last PAT test completed

• Check five items of equipment to ensure that they have a valid test label

  Media

Fire Alarm System & Risk Assesment

• When was the fire alarm system service conducted

• Have all observations and recommendations been completed

  Yes

  No

  N/A

• Has the Fire Risk assessment been completed

  Yes

  No

  N/A

Compressor and Water boiler

• Has the the pressure system been tested in the last 12 months

  Yes

  No

  N/A

Asbestos

• Has The asbestos survey been completed within the last 12 months

  Yes

  No

  N/A

Fork Lift Truck/ Reach Trucks

• Do all fork Lift Truck/ Reach Trucks have valid LOLER certificate

  Yes

  No

  N/A

Signiture

• Sign to say you have completed this inspection

  Sign