Title Page
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Person Conducting Inspection
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Date Of Inspection Being Undertook
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Date Of Inspection Report Finalised
External Area
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Are all paths / walkways clear of debris, overgrown forestry, shrubbery, trip hazards etc.
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Does all lighting work as intended, and illuminating the area adequately.
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Is the refuse area in a clean, tidy, presentable condition?
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Are their any other issues to be raised / reported
Foyer
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Is the front door in a good, presentable and safe condition?
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the waiting room room in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Front Disabled Toilet
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the toilet room in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Waiting Room
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the corridor in a good, presentable & safe condition
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Are all light fittings working
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Is the manual callpoint in a visually working condition?
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Are the fire-extinguishers still in place? (WAITING AREA)
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Is the automatic fire detector still in place, and visually okay
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Are their any other issues to be raised / reported
Reception Area
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the corridor in a good, presentable & safe condition
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Are all light fittings working
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Is the automatic fire detector still in place, and visually okay
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Are their any other issues to be raised / reported
Reception Office
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the reception area in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Doctors Room
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the doctors room in a good, presentable & safe condition
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Is the door leading into the exam room in a good, presentable & safe condition
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Does the red panic button work and reset.
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Are all light fittings working
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Are all clinical couches and accessories in a good, safe working order.
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Are their any other issues to be raised / reported
Exam RM2
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the corridor in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Treatment RM4
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the treatment room in a good, presentable & safe condition
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Are all light fittings working
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Are all clinical couches and accessories in a good, safe working order.
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Are their any other issues to be raised / reported
Treatment RM3
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the treatment room in a good, presentable & safe condition
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Are all light fittings working
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Are all clinical couches and accessories in a good, safe working order.
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Are their any other issues to be raised / reported
Treatment RM2
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the treatment room in a good, presentable & safe condition
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Are all light fittings working
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Are all clinical couches and accessories in a good, safe working order.
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Are their any other issues to be raised / reported
Boiler Cupboard
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the boiler cupboard room in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Clinical Waste Storage
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the clinical waste storage in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Disabled Toilet
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the disabled toilet room in a good, presentable & safe condition
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Is the red emergency pull cord, in a useable position, and working correctly.
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Are all light fittings working
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Are their any other issues to be raised / reported
Kitchen
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the kitchen room in a good, presentable & safe condition
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Are all light fittings working
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Is the automatic fire detector still in place, and visually okay
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Are their any other issues to be raised / reported
Treatment RM1
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all plumbing fittings in a good, safe, clean working condition? (including electrical water heaters)
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Is the door leading into the treatment room in a good, presentable & safe condition
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Is the door leading into the exam room in a good, presentable & safe condition
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Does the red panic button work and reset.
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Are all light fittings working
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Are all clinical couches and accessories in a good, safe working order.
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Are their any other issues to be raised / reported
Exam RM1
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the exam room in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Admin Hub Office
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the admin hub office in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Admin Hub Rear
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Are the glass windows in a good, presentable condition?
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Is the flooring in a good & safe condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Is the door leading into the admin hub rear room in a good, presentable & safe condition
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Are all light fittings working
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Are their any other issues to be raised / reported
Corridor
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Is the flooring in a good & safe condition
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Is the rear fire door in a good, safe working condition
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Are all electrical fittings in a good & safe condition
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Is their a general reasonable standard of cleaning present?
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Are all light fittings working
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Is the manual callpoint in a visually working condition? (PANEL)
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Is the manual callpoint in a visually working condition? (FIRE DOOR)
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Is the manual callpoint in a visually working condition? (KITCHEN)
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Are the fire-extinguishers still in place? (KITCHEN)
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Are the fire-extinguishers & blanket still in place? (BOILER CUPBORD)
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Is the automatic fire detector still in place, and visually okay (BY PANEL)WA
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Is the automatic fire detector still in place, and visually okay (BY KITCHEN)
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Is the automatic fire detector still in place, and visually okay (BY FIRE DOOR)
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Are their any other issues to be raised / reported
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