Title Page

  • Conducted on

  • Prepared by

  • Location
  • Is the unit operational with support legs deployed and level?

  • Is there a current gas test certificate

  • Is there a current electrical safety certificate?

  • Is the unit connected to power via an RCD?

  • Is the unit connected to mains water supply or self contained?

  • Is there an air clearance test certificate present?

  • Is the unit earned via an earth rod?

  • Is the unit clean in all compartments?

  • Have the water filters been renewed?

  • Is the unit free from waste items and stored equipment?

  • Is waste water being collected or piped to foul water drain?

  • Is the unit self powered via an in built generator?

  • Is the unit locked and secure when unoccupied?

  • Is a Carbon Monoxide alarm fitted?

  • Are Operatives responsible for cleaning the unit wearing suitable PPE and RPE?

  • Insert Unit ID Number

  • Supervisor Name

  • Supervisor Signature

  • Auditor Name

  • Auditor Signature

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.