AJ Leasehold Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

• Weather Conditions

Executive Summary

• Inspectors Summary

• General Result (most severe factor)

  Good Pass

  Pass

  Compliant

  Fail

  Severe Fail

Liability Section

• Is the property regularly inspected for liability issues including, slips, trips & falls etc? If yes is this information recorded?

  Yes

  No

  N/A

• There is a visible signage display in the common areas informing occupiers of the importance to report repairs and potential risks to the relevant person(s)?

  Yes

  No

  N/A

• Are all relevant health and safety reports available if relevant including, asbestos, legionella, risk assessments, gas, electrical, fire alarm emergency lighting?

  Yes

  No

  N/A

• There has been NO reported accidents, fires, or near misses in the last year? If yes please give details of them.

  Yes

  No

  N/A

• There been NO insurance claims made in the past 12 months relating to public liability claims, contractor liability claims or injuries?

  Yes

  No

  N/A

• The responsible person aware is aware of the property and its current health and safety compliance level.

  Yes

  No

  N/A

General Information

• What is the main use for the building?

• Type of occupier?

• Aprox number of flats/ units?

• Who is responsible for Health & Safety? Person or Ltd Management Company? Please specific?

• What is the general construction of the property?

• How many storeys from ground floor up are there?

• How many basement floors are there, (below ground floor)

• When was the main building constructed?

• Is it purpose built or conversion?

• What is the general condition of the property?

• When was the last fire risk assessment of property undertaken?

• When was the last electrical test certificate completed on the buildings common areas?

• When was the last legionella test completed if required?

• Does the property benefit from a passenger lift?

• If yes who maintains it?

• State the current security provisions and access systems including CCTV?

Signatures

• Signature of Property Surveyor

  Sign

Field Audit Results & Recommendations

• Add location

Location

• Location

• Risk

Risk

• Type of risk

• Risk to who?

  Residents

  Residents Visitors

  General Public

  All

  Contractors

• Severity of risk?

  1

  2

  3

  4

  5

• Recommendation