Title Page
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Site conducted
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Prepared by
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Conducted on
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Location
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Branch managers name and contact details
H&S
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2. Have the install team signed in?
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3. Has a permit to work been approved?
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4. Are all the install team wearing the correct uniform and PPE?
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5. Have the RA,MS been read, Understood and signed?
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6. Is the area clear of staff and customers?
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7. Are the correct barriers in place to ensure segregation?
Removals
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8. Have all Covid stickers been removed from all flooring including External, Banking hall and meeting rooms?
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9. Have the carpets/flooring been left with staining following the covid sticker removal?
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10. Have you made every effort to clean the localized area of Carpet/flooring?
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11. Please Provide images of the cleaned floor
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12. Have all the screens been removed from counters, welcome desks and meeting rooms?
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13. Have any screens been removed by others before you arrived?
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14. Has any damage been caused by screens removed by others?
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15. Please provide images of damage caused from screen removals by others?
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16. Have you made any repairs to damage caused from screen removal by others?
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18. How many screens have been removed?
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19. Can the screens be recycled?
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Please state reason why the screens can not be recycled?
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20. Have you repaired any damage caused when you have removed screens?
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21. Have you cleaned all residue from surfaces where screens were stuck down?
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22. Please provide images of cleaned surfaces on Counters, Welcome desk and Meeting room desks
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23. Has there been any delays?
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What are the reasons for the delay?
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24. Is a return visit required?
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Please explain why a revisit is required
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25. Has there been any near misses?
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Please describe the near miss
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26. Has there been any accidents?
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Please explain the accident
Branch Sign Off
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27. Branch Manager Feed back
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28. Branch manager to confirm all screens and stickers have been removed
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Fit Out UK Representative Sign Off
