Site Code:

  • Site location

  • Conducted on

  • Prepared by

  • Location

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FIRE

  • Fire Safety Strategy In Place? (Single Time Event/Post Significant Changes)

  • Fire Risk Assessment In Place? (Annual)

  • Fire Alarm Zone Map, (Displayed at Reception / Next to Fire Alarm Panel)

  • Fire Alarm System Servicing In Place? (Annual)

  • Call Point Device Inspection/ Testing (Logged) In Place? (Weekly)

  • Fire Evacuation - (Last Carried Out?) (6 Monthly)

MACHINERY

  • MHE Servicing In Place? ( 6 Monthly)

  • ADTA Servicing In Place? ( 6 Monthly)

  • ASL Servicing In Place? ( 6 Monthly)

  • TIPPER Servicing In Place? ( 6 Monthly)

  • Dock Levellers (Service Certificate) In Place? ( 6 Monthly)

  • Passenger Lift Service Certificates In Place? ( 6 Monthly)<br>

  • Passenger Lift LOLER Certificates In Place? ( 6 Monthly)

  • V2G Lift Service Certificates In Place? ( 6 Monthly)

  • V2G Lift LOLER Certificates In Place? ( 6 Monthly)

  • Water Risk Assessment (Legionella) In Place? (Annual)<br>

  • Water - Cleaning / Cleansing (Testing Certificates) In Place? (Annual)

  • Pinch Point Register In Place? (Single Time Event/Post Significant Changes)

ELECTRICIAL

  • EICR - Electrical Inspection Certificate Report/ Fixed Wiring (3-5Y) In Place?

  • LUX - Emergency Internal Lighting (Monthly Servicing / Flick Test Servicing) (in Place? (Annual)

FOUR CORNERS

  • Drainage - Interceptors (Servicing) In Place? (Annual)

  • COSHH - Janitorial Safety Data Sheets (Presnet / Available) (Single Time Event/Post Significant Changes)

  • COSHH - RME Safety Data Sheets (Presnet / Available) (Single Time Event/Post Significant Changes)

  • Permit-to-Work (Documentation / Storage Method) In Place? (Daily Per Event)

  • Gas Safety Check In Place? (Annual)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.