Balcony restriction agreement

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hotel details

• Hotel name

• Address

• Add location
  Address

• Resort

• Email

• Date of restriction

  Date

Balcony features

• Balcony height

• Step up height

• Effective height

• Size of gaps

• Solid rails

• Solid + rail

• Vertical rails

• Horizontal rails

• Other, please draw

  Drawing

• Photo of balcony

  Media

Reason for restriction

• Height less than 1 meter

• Step up reduces effective height to less than 80cm

• Gaps are larger than 10cm

• Balcony has a climbable design

• Other reason

• This restriction must apply to

  Select all Virgin Holidays bookings all Virgin Holidays bookings with children under 16 years

  • all Virgin Holidays bookings
  • all Virgin Holidays bookings with children under 16 years

• Other

Supplier action required

• Increase balcony height

  yes

  no

  N/A

• Remove step up allurement

  yes

  no

  N/A

• Reduce gaps to less than 10cm

  yes

  no

  N/A

• Add additional rail at top of balcony 15cm back from original railing

  yes

  no

  N/A

• Add Perspex or mesh barrier to balcony

  yes

  no

  N/A

• Other

Comments about restriction

• Information:

Agreement

• The balcony restriction detailed on this report must be applied to ALL Virgin Holidays bookings as specified above. The restriction must stay in place until the balcony defect has been rectified and notification has been received from Virgin Holidays Health & Safety Department that the restriction can be lifted. If at any time it is not possible to adhere to this restriction, you must notify Virgin Holidays or the agents acting on behalf of Virgin Holidays. By signing this agreement, you are confirming that the balcony , walkway, and stair railings comply with local standards and regulations.

• Restriction agreed by

  Sign

• Position

• Select date

  Date

• Officers name

• Priority level

  1

  2

  3