Title Page
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Site conducted
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Site name
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Conducted on
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Prepared by
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Location
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Scheme Type
Legionella (Weekly)
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Weekly Flush Required and carried out at this visit
Fire Panel / System
Fire Panel (Weekly Check)
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Is a Fire Panel Check required?
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Complete Fire Panel Weekly Check section
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Is the Fire Panel working correctly?
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Did you carry out a functional test of the Fire Alarm? If NO state why in notes section of question.
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If functional test carried out did the Fire Alarm operate correctly and as expected?
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Provide details of fault
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Reported on FRA Maintenance Works and Customer Services as urgent if alarm is not fully functioning.
General Safety - Immediate Area Only
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Is the area free from hazards?
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Record as hazard in section below and provide risk rating, report required action to Customer Services as necessary
Compliance - IDENTIFIED RISKS and/or HAZARDS
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Have risks and/or hazards been identified?
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What is the risk rating?
- High Risk - Urgent Action Required
- Medium Risk - Action Required
- Low Risk - Monitoring Required (Potential Hazard)
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Add the required action or action taken using the ACTION box. You must give the action the same priority rating. Add photos as required.
Signature
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Add signature