Title Page

  • Site

  • Job / Document No.

  • Conducted on

  • Prepared by

  • Additional Information If Required:

Calling Systems (enter notes and pictures, select the space under the option to open up the fields)

  • Is the PA system working and audible from all dispensers?

  • Is the PA Amp and microphone free from damage?

  • Is the hearing induction loop system working at minimum POS1?

  • Is the night pay intercom system working and audible?

  • Is the disabled persons AutoChair / MyHailo window mount calling system working and visible from all dispensers (except HGV)?

  • Is the disabled toilet alarm system working?

  • Comments / recommendations where required:

Lighting (enter notes and pictures, select the space under the option to open up the fields)

  • Are all internal luminaire systems working?

  • Are all external luminaire systems working?

  • Comments / recommendations where required:

Power (enter notes and pictures, select the space under the option to open up the fields)

  • Are the oven isolators and sockets sound and free from damage?

  • Are all general electrical accessories sound and free from damage?

  • Comments / recommendations where required:

Distribution Board (enter notes and pictures, select the space under the option to open up the fields)

  • Are all DBs intact; finger guards, blanks, doors etc.?

  • Confirm there are no DB devices in a tripped state?

  • Confirm there are no DB devices locked off?

  • Are all DB contactors sound and free from overheating?

  • Are all DBs free from Hot Spots (use temperature gun)?

  • Comments / recommendations where required:

HVAC (enter notes and pictures, select the space under the option to open up the fields)

  • Are all ventilation systems working and grills free from debris, including toilet extraction units (please add photo of tissue/paper to evidence operation)

  • Is the overdoor heater working and grills free from debris (clean where required)?

  • Are the POS ceiling heaters in good order, free from debris and dust around the element etc and clean where required. Please check Dimplex POS controllers/switches/isolators for any heat damage adding a clear photo of the internal connections, if ANY heat damage is noted please contact Line Manager immediately and isolate unit.

  • Are all wall mount heaters working and free from debris and dust etc. around the vents (clean where required)?

  • Comments / recommendations where required:

Hot Food (enter notes and pictures, select the space under the option to open up the fields)

  • Make

  • Model

  • Serial Number

  • Load check, is the Overcurrent 12.4A or less?

  • Do the rear door top air vents align with the unit?

  • Are the door hinges secure and screw caps fitted?

  • Are the door catch magnets secure and free from damage?

  • Are the plastic side glass panel clips in place and glass aligned in runners?

  • Isolate unit check fan for debris, jack plug connections and free movement?

  • Is the plug top and flex in good condition with no signs of overheating?

  • Is on/off switch in good condition and not pushed into unit?

  • Is the unit calling for heat, if so what level?

  • Are the shelf edge trims fitted correctly and free from damage?

  • Are the black trays / stainless steel in good condition and not peeling (Inc. no slates fitted)?

  • Are the wire grills fitted and in good condition?

  • Are controller Parameters set up and labelled correctly?

  • Are the probes protruding 30mm from the gland?

  • Is there a hot surface label fitted to the unit?

  • Are all the lamp holders in good condition and located properly?

  • Check all electrical connections/jack plugs are all secure

  • Are the encapsulators/curved diffusers fitted and in good order?

  • Are the stainless steel end caps fitted and protecting any exposed cable?

  • Is the protective cover 13W T5 tube free from damage?

  • Is the LED strip light one colour (Not Blue)?

  • Confirm there are no external influences causing a draught i.e. AC vents or shop door?

  • Check the WBC food temperature sheet for any abnormalities?

  • Remove back cover of unit and clean any dust/debris that has built up, taking a photo of clean area

  • Comments / recommendations where required:

General Appliances (enter notes and pictures, select the space under the option to open up the fields)

  • Is the dishwasher working and free from damage (inspect the plug for signs of overheat)?

  • Confirm salt has been added to the dishwasher?

  • Are all customer facing hand driers Xlerator or BlueDry and are they operational and undamaged?

  • Are all non customer facing hand driers operational and undamaged?

  • Is hot water present throughout the installation (check all taps)?

  • Has a water heater inspection been carried out within the past 12 months?

  • Are all ovens working and free from any signs of damage?

  • Comments / recommendations where required:

Fuel System (enter notes and pictures, select the space under the option to open up the fields)

  • Is the tanker delivery luminaire working?

  • Is an eStop fitted to all POS's that are capable of approving fuel sales?

  • Are all eStops intact, free from damage on a yellow backing with a red interlock or keyed button?

  • Are all eStops labelled "Petrol Pumps Switch Off Here"?

  • Is the public outdoor eStop switch(es) free from damage?

  • Is the public outdoor eStop switch labelled "Petrol Pumps Switch Off Here" and legible from all dispensers?

  • Is the public outdoor eStop switch(es) visible from all dispensers and accessible to the public?

  • Agree with the site manager to test all eStops (including the DCD and Public outdoor eStop)

  • Is the tank gauge system free from errors?

  • Are all tank gauge switches labelled "Tank Gauge Do NOT Switch Off"?

  • Comments / recommendations where required:

Emergency Lighting and Fire Alarm

  • Carry out a flick test on the EM Lighting

  • Carry out a sounder test on the FA

  • Comments / recommendations where required:

Signatures

  • Confirm with the manager that any items that were not permitted to be inspected MUST be inspected at the next PPM

  • Signature of Electrician:

  • Signature of the Site Manager (deputy):

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