Title Page
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Client
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Site
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Conducted on
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Prepared by
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Location
Electrical
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Q.1 - Are Records of changes to installations carried out by a registered electrician?
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Q.2 - Where required, is the site Fixed Electrical Installation Certificate available?
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Q.3 - Where required, are records available for the testing of earthing systems?
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Q.4 - Are Lightning Protection Inspection records available for site?
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Q.5 - Are electricians competence records available?
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Q.6 - Are HV Equipment Operation records available for the site?
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Q.7 - Are Appointment Certificates in place for HV Authorised Competent Engineers?
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Q.8 - Are LOTO kits and proving equipment available?
Water Hygiene
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Q.1 - Where required, have Water Hygiene Risk Assessments been carried out?
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Q.2 - Are Cooling Towers notified to authorities where required by legislation?
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Q.3 - Are Dipslide / Bioscan results available for site?
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Q.4 - Are Clean / Chlorination Records (Cooling Towers) available for site?
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Q.5 - Are Legionella Test Records (Cooling Towers) available for site?
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Q.6 - Are TVC Test Records (Cooling Towers) available for site?
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Q.7 - Are Clean / Chlorinated Records (Domestic System) available for site?
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Q.8 - Are Legionella Test Records (Domestic System) available for site?
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Q.9 - Are TVC Test Records (Domestic Systems) available for site?
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Q.10 Tap Temperatures
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Q.11 Flushing of Little used Outlets
Fire
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Q.1 - Are Emergency Lighting Test Records available for site?
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Q.2 - Are Fire / Smoke Detection, Alarm System Inspection / Maintenance records available for site?
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Q.3 - Are Sprinkler System Inspection / Maintenance records available for site?
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Q.4 - Are records of Sprinkler Main Pump Tests available for site?
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Q.5 - Are Fire Suppression System (Ansul / Mist / Gas) Test Records available for site?
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Q.6 - Are Room Integrity Test Records available for site?
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Q.7 - Are High Pressure Cylinder Inspection Records available for site?
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Q.8 - Are Fire Extinguisher / Fire Blanket Inspection / Maintenance records available for site?
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Q.9 - Are Hose Reel Inspection / Maintenance records available for site?
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Q.10 - Are Wet / Dry Riser Inspection / Maintenance records available for site?
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Q.11 - Are Fire Door Inspection / Maintenance records available for site?
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Q.12 - Are records of Stairwell Pressurisation System Checks available for site?
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Q.13 - Is a Fire Risk Assessment available for site and have all actions been addressed?
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Q.14 - If breaches in fire stopping have been identified has corrective action been taken?
Asbestos
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Q.1 - Has an Asbestos Survey been carried out where ACM's may be present on site?
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Q.2 - Is there an Asbestos Management Plan in place?
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Q.3 - Are Re-Inspections against the Asbestos Register carried out as per the Asbestos Management Plan?
F Gas
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Q.1 - Is there an FGas Register in place?
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Q.2 - Are Refrigeration System Maintenance Records in place?
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Q.3 - Are Leak Test Records in place for FGas Systems
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Q.4 - Is Refrigerant Usage for FGas Systems recorded?
Environmental/Waste
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Q.1 - Has an Initial Environmental Review for the site been been undertaken?
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Q.2 - Have Operational Control Procedures been documented for significant aspects?
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Q.3 - Is there a Pollution Prevention Response Plan in place?
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Q.4 - Are Environmental Permits in place (Discharge Consent, Abstraction Licence, Fuel Storage, etc)?
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Q.5 - Have relevant Waste Producers Notifications been obtained?
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Q.6 - Are Vendors' Waste Carriers Licences available?
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Q.7 - Is an Annual Transfer Note / Season Ticket in place for general waste streams / recycling?
Lifting Equipment
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Q.1 - Inspection & Examination of Lifts & Escalators
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Q.2 - Inspection & Examination of Lifting Equipment
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Q.3 - Inspection & Examination of Lifting Accessories
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Q.4 - Maintenance, Inspection & Examination of MEWPs
Other Services
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Q.1 - Are Written Schemes of Examination for Pressure Systems in place and valid?
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Q.2 - Have Insurance Inspections been carried out for Pressure Systems as per the Written Scheme?
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Q.3 - Are Maintenance records in place for Combustion Systems / Boilers
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Q.4 - Has the maintenance of Combustion Systems / Boilers been carried out by Competent Persons?
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Q.5 - Are Maintenance records in place for Latchway Systems?
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Q.6 - Are Maintenance records in place for Runway Systems / Cradles?
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Q.7 - Are Maintenance records in place for Eyebolts?
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Q.8 - Are Maintenance records in place for Local Exhaust Ventilation (LEV)?
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Q.9 - Has a Noise Survey / Noise Risk Assessment been carried out where noise levels may exceed 85db(A)?
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Q.10 - Are Indoor Air Quality Testing Records available where required by Risk Assessment / in country legislation?
QHSE Site Walk
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Q.1 - Are Emergency Exits available and properly identified?
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Q.2 - Are Emergency Routes clear and free from obstruction?
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Q.3 - Are fire extinguishers easily located and unobstructed?
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Q.4 - Are fire extinguishers located at their designated points?
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Q.5 - Are overhead sprinkler/detectors clear of obstructions, stores etc.?
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Q.6 - Are electrical plugs, leads, sockets and switches in good repair?
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Q.7 - Is there adequate lighting for the work undertaken?
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Q.8 - Is mechanical equipment available for lifting heavy loads?
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Q.9 - Are materials stored on shelves or in storage rooms as appropriate?
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Q.10 - Are hazardous materials clearly and correctly marked?
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Q. 11 - Are minimum quantities of hazardous materials stored in the workplace, in proper bunded storage areas?
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Q. 12 - Are sufficient supplies of absorbent material for treating oil/fuel spillages available?
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Q.13 - Are plant rooms clear of rubbish, materials and locked?
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Q. 14 - Is roofing in good condition, with safe access to plant, and appropriate edge protection in place?
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Q. 15 - Are fragile surfaces clearly marked and protected if requried?
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Q.16 - Do floors have even surfaces [no cracks or holes]?
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Q.17 - Are the floors and aisles clear of rubbish, materials and equipment?
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Q. 18 - Are walkways free of trip hazards ?
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Q. 19 - Are stairs in good condition?
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Q. 20 - Are handrails in good repair?
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Q. 21 - Are carpets and floor coverings in good condition?
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Q. 22 - Can all plant be safely accessed?
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Q.23 - Is safe access/egress available to all plant rooms e.g. steps in place if needed?
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Q. 24 - Area roads clear and without debris?
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Q. 25 - Are pedestrian routes and roads free from build up of water?