Title Page
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Site
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Job / Document No.
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Conducted on
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Prepared by
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Additional Information If Required:
Calling Systems (enter notes and pictures, select the space under the option to open up the fields)
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Is the PA system working and audible from all dispensers?
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Is the PA Amp and microphone free from damage?
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Is the hearing induction loop system working at minimum POS1?
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Is the night pay intercom system working and audible?
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Is the disabled persons AutoChair / MyHailo window mount calling system working and visible from all dispensers (except HGV)?
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Is the disabled toilet alarm system working?
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Comments / recommendations where required:
Lighting (enter notes and pictures, select the space under the option to open up the fields)
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Are all internal luminaire systems working?
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Are all external luminaire systems working?
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Comments / recommendations where required:
Power (enter notes and pictures, select the space under the option to open up the fields)
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Are the oven isolators and sockets sound and free from damage?
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Are all general electrical accessories sound and free from damage?
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Comments / recommendations where required:
Distribution Board (enter notes and pictures, select the space under the option to open up the fields)
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Are all DBs intact; finger guards, blanks, doors etc.?
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Confirm there are no DB devices in a tripped state?
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Confirm there are no DB devices locked off?
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Are all DB contactors sound and free from overheating?
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Are all DBs free from Hot Spots (use temperature gun)?
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Comments / recommendations where required:
HVAC (enter notes and pictures, select the space under the option to open up the fields)
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Are all ventilation systems working and grills free from debris, including toilet extraction units (please add photo of tissue/paper to evidence operation)
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Is the overdoor heater working and grills free from debris (clean where required)?
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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.
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Are all wall mount heaters working and free from debris and dust etc. around the vents (clean where required)?
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Comments / recommendations where required:
Hot Food (enter notes and pictures, select the space under the option to open up the fields)
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Make
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Model
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Serial Number
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Load check, is the Overcurrent 12.4A or less?
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Do the rear door top air vents align with the unit?
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Are the door hinges secure and screw caps fitted?
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Are the door catch magnets secure and free from damage?
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Are the plastic side glass panel clips in place and glass aligned in runners?
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Isolate unit check fan for debris, jack plug connections and free movement?
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Is the plug top and flex in good condition with no signs of overheating?
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Is on/off switch in good condition and not pushed into unit?
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Is the unit calling for heat, if so what level?
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Are the shelf edge trims fitted correctly and free from damage?
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Are the black trays / stainless steel in good condition and not peeling (Inc. no slates fitted)?
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Are the wire grills fitted and in good condition?
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Are controller Parameters set up and labelled correctly?
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Are the probes protruding 30mm from the gland?
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Is there a hot surface label fitted to the unit?
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Are all the lamp holders in good condition and located properly?
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Check all electrical connections/jack plugs are all secure
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Are the encapsulators/curved diffusers fitted and in good order?
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Are the stainless steel end caps fitted and protecting any exposed cable?
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Is the protective cover 13W T5 tube free from damage?
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Is the LED strip light one colour (Not Blue)?
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Confirm there are no external influences causing a draught i.e. AC vents or shop door?
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Check the WBC food temperature sheet for any abnormalities?
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Remove back cover of unit and clean any dust/debris that has built up, taking a photo of clean area
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Comments / recommendations where required:
General Appliances (enter notes and pictures, select the space under the option to open up the fields)
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Is the dishwasher working and free from damage (inspect the plug for signs of overheat)?
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Confirm salt has been added to the dishwasher?
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Are all customer facing hand driers Xlerator or BlueDry and are they operational and undamaged?
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Are all non customer facing hand driers operational and undamaged?
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Is hot water present throughout the installation (check all taps)?
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Has a water heater inspection been carried out within the past 12 months?
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Are all ovens working and free from any signs of damage?
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Comments / recommendations where required:
Fuel System (enter notes and pictures, select the space under the option to open up the fields)
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Is the tanker delivery luminaire working?
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Is an eStop fitted to all POS's that are capable of approving fuel sales?
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Are all eStops intact, free from damage on a yellow backing with a red interlock or keyed button?
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Are all eStops labelled "Petrol Pumps Switch Off Here"?
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Is the public outdoor eStop switch(es) free from damage?
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Is the public outdoor eStop switch labelled "Petrol Pumps Switch Off Here" and legible from all dispensers?
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Is the public outdoor eStop switch(es) visible from all dispensers and accessible to the public?
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Agree with the site manager to test all eStops (including the DCD and Public outdoor eStop)
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Is the tank gauge system free from errors?
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Are all tank gauge switches labelled "Tank Gauge Do NOT Switch Off"?
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Comments / recommendations where required:
Emergency Lighting and Fire Alarm
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Carry out a flick test on the EM Lighting
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Carry out a sounder test on the FA
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Comments / recommendations where required:
Signatures
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Confirm with the manager that any items that were not permitted to be inspected MUST be inspected at the next PPM
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Signature of Electrician:
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Signature of the Site Manager (deputy):