BP Gutter Survey

• Site conducted

  Select

• Job / Document No.

• BP Gutter Survey (Enter Site Name):

• Site Address Where The Audit Was Carried Out:
  Address

• City FM Limited / Bp Oil UK

• Conducted on

  Date

• Prepared by

• Additional Information If Required:

Equipment

• Is the space vac in good condition with all parts including all safety accessories i.e. Barriers, RCD plug, cable tidy and has all equipment been PAT tested where required

  Yes

  Stopped informed supervisor

Gutter Survey

• Has a full gutter clean been carried out from ground level with the space vac and no further work is required

  Yes

  No

• What work is remaining and why

• Insert pictures if required:

  Media

• What access equipment is required to complete

• is this a job for CFM or outside contractors

  CFM

  3rd Party

• Do you have any recommendations?

• Insert general pictures here if required:

  Media

Additional Work

• Any additional work completed (enter details)

• Any NMPI reportable

  No

  Yes

SIGNATURES

• Signature of Fabric Technician:

  Sign

• Signature of the Site Manager (deputy):

  Sign