Title Page

  • Person Conducting Inspection

  • Date Of Inspection Being Undertook

  • Date Of Inspection Report Finalised

External Area

  • Are all paths / walkways clear of debris, overgrown forestry, shrubbery, trip hazards etc.

  • Does all lighting work as intended, and illuminating the area adequately.

  • Is the refuse area in a clean, tidy, presentable condition?

  • Are their any other issues to be raised / reported

Foyer

  • Is the front door in a good, presentable and safe condition?

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the waiting room room in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Front Disabled Toilet

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the toilet room in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Waiting Room

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the corridor in a good, presentable & safe condition

  • Are all light fittings working

  • Is the manual callpoint in a visually working condition?

  • Are the fire-extinguishers still in place? (WAITING AREA)

  • Is the automatic fire detector still in place, and visually okay

  • Are their any other issues to be raised / reported

Reception Area

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the corridor in a good, presentable & safe condition

  • Are all light fittings working

  • Is the automatic fire detector still in place, and visually okay

  • Are their any other issues to be raised / reported

Reception Office

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the reception area in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Doctors Room

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the doctors room in a good, presentable & safe condition

  • Is the door leading into the exam room in a good, presentable & safe condition

  • Does the red panic button work and reset.

  • Are all light fittings working

  • Are all clinical couches and accessories in a good, safe working order.

  • Are their any other issues to be raised / reported

Exam RM2

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the corridor in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Treatment RM4

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the treatment room in a good, presentable & safe condition

  • Are all light fittings working

  • Are all clinical couches and accessories in a good, safe working order.

  • Are their any other issues to be raised / reported

Treatment RM3

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the treatment room in a good, presentable & safe condition

  • Are all light fittings working

  • Are all clinical couches and accessories in a good, safe working order.

  • Are their any other issues to be raised / reported

Treatment RM2

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the treatment room in a good, presentable & safe condition

  • Are all light fittings working

  • Are all clinical couches and accessories in a good, safe working order.

  • Are their any other issues to be raised / reported

Boiler Cupboard

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the boiler cupboard room in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Clinical Waste Storage

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the clinical waste storage in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Disabled Toilet

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the disabled toilet room in a good, presentable & safe condition

  • Is the red emergency pull cord, in a useable position, and working correctly.

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Kitchen

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the kitchen room in a good, presentable & safe condition

  • Are all light fittings working

  • Is the automatic fire detector still in place, and visually okay

  • Are their any other issues to be raised / reported

Treatment RM1

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)

  • Is the door leading into the treatment room in a good, presentable & safe condition

  • Is the door leading into the exam room in a good, presentable & safe condition

  • Does the red panic button work and reset.

  • Are all light fittings working

  • Are all clinical couches and accessories in a good, safe working order.

  • Are their any other issues to be raised / reported

Exam RM1

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the exam room in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Admin Hub Office

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the admin hub office in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Admin Hub Rear

  • Are the glass windows in a good, presentable condition?

  • Is the flooring in a good & safe condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Is the door leading into the admin hub rear room in a good, presentable & safe condition

  • Are all light fittings working

  • Are their any other issues to be raised / reported

Corridor

  • Is the flooring in a good & safe condition

  • Is the rear fire door in a good, safe working condition

  • Are all electrical fittings in a good & safe condition

  • Is their a general reasonable standard of cleaning present?

  • Are all light fittings working

  • Is the manual callpoint in a visually working condition? (PANEL)

  • Is the manual callpoint in a visually working condition? (FIRE DOOR)

  • Is the manual callpoint in a visually working condition? (KITCHEN)

  • Are the fire-extinguishers still in place? (KITCHEN)

  • Are the fire-extinguishers & blanket still in place? (BOILER CUPBORD)

  • Is the automatic fire detector still in place, and visually okay (BY PANEL)WA

  • Is the automatic fire detector still in place, and visually okay (BY KITCHEN)

  • Is the automatic fire detector still in place, and visually okay (BY FIRE DOOR)

  • Are their any other issues to be raised / reported

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.