Edgerley Simpson Howe

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Defects

• 1. WALKWAYS- Are there any Health and Safety concerns or trip hazards

  Safe

  At Risk

  N/A

• Add media

  Media

• 2. CAR PARK SURFACE- Are there any Health and Safety Concerns or trip hazards? To include pot holes and lining issues

  Safe

  At Risk

  N/A

• Add media

  Media

• 3. SURFACE WATER DRAIN CHANNELS- Are there any Health and Safety Concerns or trip hazards<br>

  Safe

  At Risk

  N/A

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  Media

• 4. SIGNAGE- Are there any Health and Safety Concerns including physical damage, graffiti or changes to the height of signs that could lead to injury?

  Safe

  At Risk

  N/A

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  Media

• 5. LIGHTING AND LAMPOSTS- Is there any damage to the lamposts or light fittings? If lights were on were any not working (all columns are numbered

  Safe

  At Risk

  N/A

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  Media

• 6. BARRIERS AND GATES- If there are entrance gates or barriers are they secured with a padlock? Are height restrictiors closed and free of vehicle damage?

  Yes

  No

  N/A

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  Media

• 7. CLEANING SPILLAGES- Are there any spillages that could cause slippage or damage to visitors?

  Safe

  At Risk

  N/A

• Add media

  Media

• OBSERVATIONS The contractor is encouraged to report observations on matters of housekeeping that are not of a critical Health and Safety nature but require attention by way of good practice

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• Select date

  Date

• Add signature

  Sign