Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
-
UNIT ID
-
START DATE ON SITE
-
DATE
-
TIME
-
CLEAN
-
SITED LEVEL
-
WASTE REMOVED
-
EARTH TEST CARRIED OUT
-
CIRCUIT BREAKER TESTED
-
WASTE WATER CONNECTED TO DRAIN / DIRTY WATER DRUM
-
WATER SUPPY CONNECTED / CLEAN WATER DRUMS
-
GAS SUPPLY CONNECTED
-
BOILER FUNCTIONING, DOOR SEAL INTACT,AIR VENTS CLEAR, NO ITEMS STORED IN COMPARTMENTS
-
NPU FUNCTIONING
-
HEATING FUNCTIONING
-
SOAP / GEL / TOWELS / NAILBRUSH
-
DOORS CLOSING CORRECTLY
-
MIRROR IN PLACE
-
SIGNS IN PLACE
-
ALL CERTIFICATES AVAILABLE AND IN DATE
-
CLEARANCE AIR TEST CERTIFICATE DISPLAYED
-
CO MONITOR FITTED & SERVICABLE
-
FAULTS IDENTIFIED
-
INITIALS
-
ALL FAULTS REMEDIED
-
SUPERVISORS INITIALS
