CLP 3a. Facility Check by OPs/Tech

• Conducted on

  Date

Outside

• Are there any maintenance defects present or still outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Office & Entrance Corridor

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Ktichen

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Cafe area & Toilet corridor

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Cleaning cupboard

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Toilets (male, female & disabled)

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Garage

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Store room

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Outside seating area

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Outside playpark

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Crazy golf course

• Is There Any Maintenance Defects Present Or Still Outstanding

  None

  Still Outstanding

  New Defect

• Take Picture Of Defect & Report

  Media

• Is the area's cleanliness in line with the facility standard?

  Yes

  No

Legionella reporting

• Have the last month's weekly flushing been completed?

  Yes

  No

• Have the last month's monthly temps been completed?

  Yes

  No

• Have the last month's sentinel taps been completed?

  Yes

  No

Safe wall chart

• Emergency light check completed?

  Yes

  No

• Sect 7 Staff Areas check completed?

  Yes

  No

• Sect 8 Work Equipment check been completed?

  Yes

  No

  N/A

• Sect 16 Contractors sign in sheets been completed?

  Yes

  No

  N/A

• Visual Check of Fixed Appliances

  Yes

  No

• Test all RCD's

  Yes

  No

• Signature

  Sign