ACSE Office - H&S Inspection

• Conducted on

  Date

• Room Number

Building

• Building

  Select Mappin Amy Johnson PLB SHSB Modular Village Kroto

  • Mappin
  • Amy Johnson
  • PLB
  • SHSB
  • Modular Village
  • Kroto

• Is the room occupied?

  Yes

  No

• By Whom?

• Do persons present know where the nearest escape route is?

  Yes

  No

  N/A

• Do persons present know where the assembly point is?

  Yes

  No

  N/A

• Do persons present know how to summon help in an emergency?

  Yes

  No

  N/A

• Do persons present know how to locate a first aider?

  Yes

  No

  N/A

Housekeeping

• Are the walkways clear of obstruction

  Yes

  No

  N/A

• Is the room free from accumulations of waste?

  Yes

  No

  N/A

• Are the lights working correctly

  Yes

  No

  N/A

• Is the floor surface in good condition?

  Yes

  No

  N/A

• Is there a fridge in the room

  No

  Yes

• Is the fridge clean and the contents in good condition?

  Yes

  No

  N/A

• Are there any trailing cables?

  No

  Yes

  N/A

• Sample at least 10 PAT items - are they in date?

  Yes

  No

  N/A

• Overall does PAT compliance look good?

  Yes

  No

  N/A

• Are any non UK adaptors present?

  No

  Yes

  N/A

• Are extension leads being used correctly?

  Yes

  No

  N/A

• Are desk chairs all 5 star base compliant chairs?

  Yes

  No

  N/A

• Does all furniture look in a good state or repair?

  Yes

  No

  N/A

• Are shelves / bookcases overloaded?

  No

  Yes

  N/A

• Are heavy/large objects stored at high level?

  No

  Yes

  N/A

• Are there any stepstools / ladders present?

  No

  Yes

• Are the logged and in date?

  Yes

  No

  N/A

• Are all doors in working order?

  Yes

  No

  N/A

• Are there any open element heaters present?

  No

  Yes

  N/A

• Are there any drones present - these should be included on the ACSE register and i.d.

  No

  Yes

• Does the drone have an ACSE i.d. number?

  Yes

  No

  N/A

Any other comments

• Other comments