Facilities Monthly Inspection Report

• Audit Title

• Client / Site Name

• Location / Address
  Address

• Conducted on

  Date

• Personnel

• Prepared by

Audit Feed-Back to Facilities Department

• Location/Site Manager

  Date

• Initial Facilities Manager

  Date

• Safety Representative

  Date

• Signature

  Sign

Safety Administration

• Fire Escape Route Floor Plans are displayed by each exit

  Yes

  No

  N/A

• List of current Fire Marshals and First-Aiders names displayed on notice boards

  Yes

  No

  N/A

• First Aid Box locations are visible and clearly marked with contents replenished

  Yes

  No

  N/A

• Health and Safety poster clearly displayed with information correctly filled in and in date

  Yes

  No

  N/A

• Certificate of Xerox's Employer's liability displayed on each notice board and in date

  Yes

  No

  N/A

• Xerox's Company Health and Safety Policy displayed on each notice board and in date

  Yes

  No

  N/A

• Helpdesk Poster is in place clearly indicating the contact number,out of hours number and who the site contact is

  Yes

  No

  N/A

• External Fire Assembly Point Plan and fire Evacuation Plan in place

  Yes

  No

  N/A

• Have the weekly fire alarm sounder tests been carried out and recorded

  Yes

  No

  N/A

• Have the water tap temperatures been taken and recorded accurately - are all readings 50C or above for hot water and below 20C for cold

  Yes

  No

  N/A

Fire

• Smoke, doors, fire exits -

• Are Fire Doors in a good condition, fire strips and door brushes visible

  Yes

  No

  N/A

• Are any doors propped open or being left on a latch

  Yes

  No

  N/A

• Are they marked as fire doors

  Yes

  No

  N/A

• Are the markings unobstructed - not covered by posters etc.

  Yes

  No

  N/A

• All the fire door mag locks operate accordingly when the fire alarm sounds

  Yes

  No

  N/A

• Is the fire alarm tested on a weekly basis and results recorded in the log book

  Yes

  No

  N/A

• There are no missing or covered smoke / heat detectors

  Yes

  No

  N/A

• Fire extinguishers -

• Accessible and unobstructed

  Yes

  No

  N/A

• Wall mounted or appropriate stands in place

  Yes

  No

  N/A

• Has a clear sign advising what the extinguisher type is and what it is used for

  Yes

  No

  N/A

• Checked within last twelve months

  Yes

  No

  N/A

• Seals intact

  Yes

  No

  N/A

• Is there a fire suppression system in place

  Yes

  No

  N/A

• Have you checked the fire suppression system gauges are in the green pressure area and not in the red

  Yes

  No

  N/A

• Check that any Fire Suppression System controlled area has the panel key turned to automatic and not manual

  Yes

  No

  N/A

• Vision panels not obscured

  Yes

  No

  N/A

• Fire escape routes -

• Adequate, clear direction signs throughout the route

  Yes

  No

  N/A

• Escape routes clear to final exit including externally (once the door is open there should be a clear path to assembly point)

  Yes

  No

  N/A

• Call points clear and unobstructed

  Yes

  No

  N/A

Work Environment

• Confirm no trip / slip hazards on carpets or stairwells

  Yes

  No

  N/A

• Are carpets and flooring in good condition

  Yes

  No

  N/A

• Are stair rails on staircases stable and in good condition

  Yes

  No

  N/A

• Lighting levels appropriate for work carried out

  Yes

  No

  N/A

• Is ambient temperature comfortable for type of work carried out

  Yes

  No

  N/A

• Confirm no heavy items stored at high level

  Yes

  No

  N/A

• Are noise levels acceptable

  Yes

  No

  N/A

• Is cable management around desks acceptable

  Yes

  No

  N/A

• Are there adequate sockets at workstations for the amount of equipment being used

  Yes

  No

  N/A

• Are extension leads being used

  Yes

  No

  N/A

• Are any fridges, vending machines or water machines being plugged into extension leads (causing a fire risk)

  Yes

  No

  N/A

• All light fittings or diffusers are secured and not hanging down

  Yes

  No

  N/A

• Are blinds securely fixed

  Yes

  No

  N/A

• Have all alarms/call buttons been tested monthly, lifts, disabled toilets, reception alarms, have they been recorded

  Yes

  No

  N/A

Electrical

• Check five electrical appliances at random -

• Portable appliance test sticker in visible

  Yes

  No

  N/A

• In date

  Yes

  No

  N/A

• Connections to plug-tops in good condition

  Yes

  No

  N/A

• Power leads in good condition

  Yes

  No

  N/A

• Appliance in visible good order

  Yes

  No

  N/A

• Extension cords are not used in place of permanent wiring, not damaged or taped cords, or daisy chained

  Safe

  At Risk

  N/A

• Is access to all riser cupboards where switches and circuit breakers are kept locked not obstructed and have signage to reflect this in place

  Yes

  No

  N/A

• Are all lights including emergency lighting working

  Yes

  No

  N/A

Facilities

• Are work areas clean and tidy

  Yes

  No

  N/A

• Are areas being kept clear of rubbish and unwanted items

  Yes

  No

  N/A

• Is computer equipment kept clean (screens clean)

  Yes

  No

  N/A

• Are telephones / headphones clean and in good condition

  Yes

  No

  N/A

• Are the conference rooms clean and tidy

  Yes

  No

  N/A

• Are kitchen and vending areas in good order, clean and tidy

  Yes

  No

  N/A

• Are cupboards in good condition

  Yes

  No

  N/A

• Are toilets and showers clean and tidy

  Yes

  No

  N/A

• Is washroom equipment in good order and not damaged

  Yes

  No

  N/A

• Are floor areas free from litter, spillages and leaks

  Yes

  No

  N/A

• Ceiling tiles are free from damage

  Yes

  No

  N/A

• Have all cleaning supply cupboards/areas been checked to ensure all equipment is tidy, compliant and stored correctly

  Yes

  No

  N/A

Hazardous Substances

• Are up to date Safety Data Sheets easily accessible to users

  Yes

  No

  N/A

• Are COSHH assessments readily accessible for chemicals

  Yes

  No

  N/A

• Are appropriate safety precautions followed

  Yes

  No

  N/A

Work Equipment

• Stools / Step ladders available for high level storage

  Yes

  No

  N/A

• Are they in a good state of repair, stable and appropriate for use in the area

  Yes

  No

  N/A

• Are they numbered and logged for the site

  Yes

  No

  N/A

• Are window eyebolts in date as indicated on label

  Yes

  No

  N/A

Building General

• Is the building in generally good order

  Yes

  No

  N/A

• Are walls or woodwork in good repair (no damp or damage)

  Yes

  No

  N/A

• Are windows secure and undamaged

  Yes

  No

  N/A

• Are outside access areas in a good state of repair (walls, doors and walkways)

  Yes

  No

  N/A

• Is water in downpipes flowing freely - no signs of overflowing on walls

  Yes

  No

  N/A

• Is there any other issues you would like to raise about this site