Title Page

  • DATE & TIME

  • NAME

  • LOCATION

Site Patrol


  • PLEASE ENSURE YOU TAKE THE FOLLOWING ITEMS ON YOUR PATROL:

    - EMERGENCY PENDANT
    - DSM GATEHOUSE MOBILE PHONE
    - TORCH
    - SITE KEYS

  • PLEASE SEE SITE MAP ATTACHED BELOW

  • PLEASE SEE SITE EMERGENCY MAP ATTACHED BELOW

FENCE LINE


  • REPORT ANY NEW DAMAGE OR SIGNS OF BREAK & ENTER

  • IS GATE B AREA ALL CLEAR AND SECURE?

  • IS GATE C AREA ALL CLEAR AND SECURE?

  • IS GATE D AREA ALL CLEAR AND SECURE?

  • IS GATE E AREA ALL CLEAR AND SECURE?

  • IS GATE F AREA ALL CLEAR AND SECURE?

  • IS GATE G AREA ALL CLEAR AND SECURE?

  • IS GATE H AREA ALL CLEAR AND SECURE?

  • IS GATE I AREA ALL CLEAR? (VISUAL INSPECTION IS FINE)

  • IS THERE ANY VISIBLE DAMAGE TO THE CONTAINER AREA? (CONTAINER AREA UNDER THE BOLTE BRIDGE)

  • ARE EXTERIOR LIGHTS OPERATIONAL

  • IS THE STORM WATER AREA IN THE SOUTH EAST CORNER ALL CLEAR?

WORKSHOPS

  • PLEASE SEE MAP OF WORKSHOPS ATTACHED BELOW

  • CHECK THE FOLLOWING FOR EACH BAY

    - ROLLER DOORS DOWN
    - EXTERNAL DOOR SECURE
    - NO VISIBLE ONGOING LEAKS OR NEW DAMAGE
    - ATTACH IMAGE OF EACH BAY

  • IS BAY 1 ALL CLEAR?

  • IS BAY 2 ALL CLEAR?

  • IS BAY 3 ALL CLEAR?

  • IS BAY 4 ALL CLEAR?

  • IS THE BAY 4 MEZZANINE ALL CLEAR?

  • IS BAY 5 ALL CLEAR?

  • IS BAY 6 ALL CLEAR?

  • IS THE BAY 6 MEZZANINE ALL CLEAR?

  • IS THE LAUNDRY ALL CLEAR?

  • IS BAY 7 ALL CLEAR?

  • IS THE LAUNDRY ALL CLEAR?

  • IS BAY 8 ALL CLEAR?

  • IS THE FIRE EQUIPMENT INCLUDING PUMPS AND THE BELL ALL CLEAR?

  • IS THE KITCHEN AND HALLWAY ALL CLEAR?

  • ARE ELECTRICAL DISTRIBUTION BOARDS ALL CLEAR?

STAGE 1

  • PLEASE SEE MAP OF STAGE 1 ATTACHED BELOW

  • IS ANNEX GROUND FLOOR ALL CLEAR AND SECURED?

  • IS ANNEX LEVEL 1 ALL CLEAR?

  • IS THE SOUND STAGE IS ALL CLEAR AND SECURED?

  • IS THE FIRE EQUIPMENT, EMERGENCY EXIT AND EMERGENCY EQUIPMENT ALL CLEAR?

STAGE 2

  • PLEASE SEE MAP OF STAGE 2 ATTACHED BELOW

  • IS ANNEX GROUND FLOOR IS ALL CLEAR AND SECURED?

  • IS ANNEX LEVEL 1 ALL CLEAR?

  • IS THE SOUND STAGE ALL CLEAR AND SECURED?

  • IS THE FIRE EQUIPMENT, EMERGENCY EXIT AND EMERGENCY EQUIPMENT ALL CLEAR?

STAGE 3

  • PLEASE SEE MAP OF STAGE 3 ATTACHED BELOW

  • IS ANNEX GROUND FLOOR ALL CLEAR AND SECURED?

  • IS ANNEX LEVEL 1 ALL CLEAR?

  • IS THE SOUND STAGE IS ALL CLEAR AND SECURED?

  • IS THE FIRE EQUIPMENT, EMERGENCY EXIT AND EMERGENCY EQUIPMENT ALL CLEAR?

STAGE 4

  • PLEASE SEE MAP OF STAGE 4 ATTACHED BELOW

  • IS ANNEX GROUND FLOOR ALL CLEAR AND SECURED?

  • IS ANNEX LEVEL 1 ALL CLEAR?

  • IS THE SOUND STAGE IS ALL CLEAR AND SECURED?

  • IS THE FIRE EQUIPMENT, EMERGENCY EXIT AND EMERGENCY EQUIPMENT ALL CLEAR?

STAGE 5

  • PLEASE SEE MAP OF STAGE 5 ATTACHED BELOW

  • IS ANNEX GROUND FLOOR ALL CLEAR AND SECURED?

  • IS ANNEX LEVEL 1 ALL CLEAR?

  • IS THE SOUND STAGE IS ALL CLEAR AND SECURED?

  • IS THE FIRE EQUIPMENT, EMERGENCY EXIT AND EMERGENCY EQUIPMENT ALL CLEAR?

STAGE 6

  • PLEASE SEE MAP OF STAGE 6 ATTACHED BELOW

  • IS ANNEX GROUND FLOOR ALL CLEAR AND SECURED?

  • IS ANNEX LEVEL 1 ALL CLEAR?

  • IS ANNEX LEVEL 2 ALL CLEAR?

  • IS THE SOUND STAGE IS ALL CLEAR AND SECURED?

  • IS THE FIRE EQUIPMENT, EMERGENCY EXIT AND EMERGENCY EQUIPMENT ALL CLEAR?

APPLEBOXES

  • PLEASE SEE MAP OF APPLEBOXES ATTACHED BELOW

  • IS APPLEBOX 1 ALL CLEAR AND SECURE?

  • IS APPLEBOX 2 ALL CLEAR AND SECURE?

  • IS APPLEBOX 3 ALL CLEAR AND SECURE?

MESS HALLS

  • PLEASE SEE MAP OF MESS HALS ATTACHED BELOW

  • IS MESS HALL 1 ALL CLEAR AND SECURE?

  • IS MESS HALL 2 ALL CLEAR AND SECURE?

  • IS MESS HALL 3 ALL CLEAR AND SECURE?

  • IS THE COFFEE CART AREA ALL CLEAR AND SECURE?

  • ANY OTHER ISSUES TO REPORT?

  • 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.