CLP Technical - Fixed Appliances

• Conducted on

  Date

• Prepared by

• Location
  Address

Office

1. Wall Heater

• Is item fit for purpose?

  Yes

  No

2. Wall Heater

• Is item fit for purpose?

  Yes

  No

Kitchen

Extractor Hood

• Is item fit for purpose?

  Yes

  No

Roller Shutter

• Is item fit for purpose?

  Yes

  No

Heater

• Is item fit for purpose?

  Yes

  No

Outside Defibrillator

• Is item fit for purpose?

  Yes

  No

Cafe

1. Seating Area Wall Heater

• Is item fit for purpose?

  Yes

  No

2. Seating Area Wall Heater

• Is item fit for purpose?

  Yes

  No

3. Seating Area Wall Heater

• Is item fit for purpose?

  Yes

  No

4. Seating Area Wall Heater

• Is item fit for purpose?

  Yes

  No

1. Seating Area Roller Shutter

• Is item fit for purpose?

  Yes

  No

2. Seating Area Roller Shutter

• Is item fit for purpose?

  Yes

  No

Lobby WC Roller Shutter

• Is item fit for purpose?

  Yes

  No

Male Toilets

Extractor Fan

• Is item fit for purpose?

  Yes

  No

Water Heater

• Is item fit for purpose?

  Yes

  No

Wall Heater

• Is item fit for purpose?

  Yes

  No

Hand Dryer

• Is item fit for purpose?

  Yes

  No

Female Toilets

Extractor Fan

• Is item fit for purpose?

  Yes

  No

Water Heater

• Is item fit for purpose?

  Yes

  No

Wall Heater

• Is item fit for purpose?

  Yes

  No

Hand Dryer

• Is item fit for purpose?

  Yes

  No

Disabled Toilet

Water Heater

• Is item fit for purpose?

  Yes

  No

Extractor

• Is item fit for purpose?

  Yes

  No

• Signature

  Sign