Information

  • Document No.

  • Location

  • If you selected "Other" please provide details of your location below.

  • Conducted on

  • Prepared by

Section 1 - Before you start

  • Have you been provided or do you have the correct PPE and/or ID for the site you are at?

  • Have you signed in at reception/Site Office or made the relevant building/site manager aware you are on site?

Section 2 - Building Condition

  • Use the sliders to rate the overall score for the building relating to the specific area in the question.
    Please provide information and a photographs in the boxes provided of any individual area that you think needs immediate attention.

    Score Ratings - <3 = Bad, 3 - 5 = Poor, 5 - 7 = Good, >7 = Excellent

  • External Building condition: <3 = Bad, 3 - 5 = Poor, 5 - 7 = Good, >7 = Excellent

  • Add media

  • Cleanliness: <3 = Bad, 3 - 5 = Poor, 5 - 7 = Good, >7 = Excellent

  • Add media

  • Condition and appearance of walls and paint: <3 = Bad, 3 - 5 = Poor, 5 - 7 = Good, >7 = Excellent

  • Add media

  • Condition of Floors (all flooring, Carpet, tiles, laminate etc) : <3 = Bad, 3 - 5 = Poor, 5 - 7 = Good, >7 = Excellent

  • Add media

Section 3 - Equipment & Fabric

  • Please provide any additional information and photo's of equipment that is NOT in normal working order in the boxes provided under each question.

  • All office lighting working properly?

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  • Are all the ceiling tiles correctly positioned, clean and undamaged?

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  • Appropriate blinds on all windows?

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  • All workstations have appropriate equipment ready to use (chair, desktop and monitor) & Hotdesk's have clear desks's with chairs.

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  • All signage is clean/dust free, visable, undamaged and in the appropriate holdings?

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Section 4 - Health and Safety

  • In this section please tick the box appropriately to what you find. If you answer "No" to any question you be be prompted to given details and photographs.

  • Have the weekly fire alarm tests and the Axis Alarm test Survey been completed?

  • Has a planned building evacuation been carried out within the last 6 months?

  • Are all fire exits clearly labelled?

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  • All Fire extinguishers up to date?

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  • Are all break glass panels intact and free from damage?

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  • Is there an appropriate first aid equipment and supply?

  • Please give a description of what equipment and supplies are missing

Section 5 - Waste and Recycling

  • Does the site/office you are at have each of the following?

  • Bulb coffin?

  • Green and Yellow recycling bins (as a pair) in the correct locations?

  • Battery box?

  • Electrical/IT waste area?

  • Printer Toner bins?

Section 6 - External Facilities

  • Please answer the followingh questions with a yes or no. If "NO" please provide more information and photographs in the boxes provided.

  • Fire Exits clear from obsruction?

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  • Car Park spacing lines and markings visable? (If site has parking facilities. If it doesnt, move on)

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  • External security gates are locked or closed when on remote access

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  • External floodlights and Security lights are all working and come on when required?

  • Add media

Sign, Date and Complete

  • Once you have completed this audit, please provide a short summary, followed by the date and signature.

  • Summary

  • Select date

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.