FM Health Check RL 22

• Site

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

• 2.1 STATUTORY - HV Electrical Test & Inspection (Frequency Annually & 3 Yearly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.2 STATUTORY - LV Electrical System Test & Inspection - Fixed Wire Testing (20% Annual / 3/5 Year)

  Yes

  No

  N/A

• 2.3 OPERATIONAL - RCD Testing (Quarterly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.4 OPERATIONAL - PAT Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed. (law states portable appliances must be maintained with no specific frequency)

  Yes

  No

  N/A

• 2.5 STATUTORY - Lightning Protection System (every 11 months) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.6 OPERATIONAL - UPS Maintenance (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.7 OPERATIONAL - BMS System Maintenance (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.8 OPERATIONAL - Disabled WC Call Alarms (Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.9 OPERATIONAL - CCTV Maintenance Records (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.10 OPERATIONAL - Intruder Alarm Maintenance (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.11 OPERATIONAL - Access Control Maintenance (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.12 OPERATIONAL - P.A. System Maintenance (6 Mthly) (Best Practice)- Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.13 OPERATIONAL - Microwave Emission Test (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed. (law states they must be maintained with no specific frequency)

  Yes

  No

  N/A

FIRE & LIFE SYSTEMS

• 3.1 STATUTORY - Fire Evacuation Procedure (Bi-annually Reviewed) - Review Sign Off section

  Yes

  No

  N/A

• 3.2 STATUTORY - Fire Risk Assessment - Identify in date FRA and ensure any remedials have been actioned and completed. Frequency dependant on risk of (between 1 and 4 years) as identified in FRA.

  Yes

  No

  N/A

• 3.3 STATUTORY - Fire Alarm Weekly Test Records (Weekly) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.4 STATUTORY Fire Alarm Service Records (Qtly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.5 OPERATIONAL - Fire Alarm False Activation Records (Ass Occurs ) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.6 STATUTORY - Fire Alarm Planned Activation Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed. Organisational standard is 6 monthly.

  Yes

  No

  N/A

• 3.7 OPERATIONAL - Fire Fighting Equipment Checks (Weekly) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.8 STATUTORY - Portable Fire Extinguisher Servicing (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed. Discharge (not Co2 ) 60 monthly.

  Yes

  No

  N/A

• 3.9 OPERATIONAL - Fire Suppression Maintenance (Kitchen Systems / Server Room Systems) (6 monthly inspect and test and enclosure integrity Annually ) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed

  Yes

  No

  N/A

• 3.10 STATUTORY - Wet / Dry Riser Test Records (Annually tested and 6 monthly visual inspection) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.11 STATUTORY - Fire Hydrant Test Records (Annually) - maintenance, inspection and servicing - ensuring remedial actions have been closed off.

  Yes

  No

  N/A

• 3.12 STATUTORY - Fire Shutters / Damper Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.13 OPERATIONAL - Sprinkler System Weekly Inspection (Weekly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.14 OPERATIONAL - Sprinkler System Maintenance (Qtly risk based) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.15 STATUTORY - Emergency Lights Annual Test (Annually) - check that all lights turn on and hold charge for at least 60 minutes Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• 3.16 STATUTORY - Emergency Lights Monthly Check (Mthly) - Check lights are illuminating - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.17 STATUTORY - Central Battery System Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.18 OPERATIONAL - Means of Escape Inspection (Mthly) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.19 OPERATIONAL - Fire Signage Checks (Weekly) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.20 OPERATIONAL - Fire Door Inspections (Mthly and 6 monthly by a competent person) BS999:2008 - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.21 STATUTORY - Lift Phone Checks (6 monthly) LOLER 1998- Organisational standard is monthly - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

MECHANICAL SYSTEMS

• 4.1 STATUTORY - Gas Pipework Soundness Test (Annually) - Gas Safety (Installation and use ) Regulations 1998 - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.2 STATUTORY - Boilers / Gas Water Heater Test / Service Records (14 monthly) Pressure System Safety Regulations 2000 and PUWER 1998. - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.3 STATUTORY - Pressure Systems - Insurance Inspection (Annually) - Pressure Systems Safety Regulations 2000 and PUWER 1998. - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed. Currently completed by RLAM for our non-landlord buildings - speak to WEM for information.

  Yes

  No

  N/A

• 4.4 STATUTORY - Gas Catering Equipment tests / maintenance (Annually ) - Gas Safety (Installation and Use) Regulations 1998 - - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.5 STATUTORY - Generator Service Records (Annual) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.6 STATUTORY - Oil Diesel Tank Inspections (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.7 STATUTORY - Passenger Lifts Maintenance (6 Mthly Min) LOLER 1998 and PUWER1998- Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.8 STATUTORY - Passenger Lift Insurance Inspection (6 Mthly) - LOLER 1998 and PUWER 1998 - Identify in date Insurance Certification / Service Sheets and ensure any remedials have been actioned and completed. This is completed by ALlianz in our non-landlord buildings - speak to WEM to obtain certification from RLAM.

  Yes

  No

  N/A

• 4.9 STATUTORY Mansafe / Latchway Insurance Inspection (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.10 STATUTORY - Eyebolt Test Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.11 OPERATIONAL - Fixed Access Ladder Inspections (6 Mthly) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.12 OPERATIONAL - Petrol Interceptor Maintenance (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.13 OPERATIONAL - AHU (Qtly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.14 OPERATIONAL - AHU (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.15 OPERATIONAL - Chiller 3 Month (Qtly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.16 OPERATIONAL - Chillers 6 Month (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.17 OPERATIONAL - Chillers 12 Month (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.18 STATUTORY - Chiller A/C Systems F-Gas Documents (Safe Handling & Records of Work) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.19 STATUTORY - Chillers A/C Systems F-Gas Documents - Leak test for applications containing more than 30kg (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.20 OPERATIONAL - AC Units 3 Month (Qtly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.21 OPERATIONAL - AC Units 6 Month (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.22 OPERATIONAL - AC Units 12 Month (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.23 STATUTORY - A/C Systems F-Gas Documents (Safe Handling & Records of Work) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.24 STATUTORY - A/C Systems F-Gas Documents - Leak test for applications containing more than 3kg (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.25 A/C Systems F-Gas Documents - Leak test for applications containing more than 300kg (Qtly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

WATER MONITORING & MAINTENANCE

• 5.1 STATUTORY - Water Risk Assessment (L8) (2 Years) - Identify in date RA and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.2 STATUTORY - Monitoring as Instructed per WRA (As per WRA) - Identify in date WRA and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.3 STATUTORY - Water Temperatures being Recorded (Mthly) or as specified in WRA - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.4 STATUTORY - Hot above 50c (Mthly) or as highlighted in WRA - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.5 STATUTORY - Cold below 20c (Mthly) or as specified in WRA - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.6STSTUTORY - Shower Heads Cleaned & Chlorinated (3 Mthly) or as specified in WRA - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.7 STATUTORY - Tank Chlorination (Annually) or more frequently if specified in WRA - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.8 OPERATIONAL - Zip tap (or similar ) (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.9 STATUTORY - Microbiology / water quality sampling (6 Mthly) or as identified in WRA - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.10 STATUTORY - Flushing of low Use Outlets (Wkly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

BUILDING FABRIC, EQUIPMENT & OTHER

• 6.1 OPERATIONAL - Kitchen Deep Clean Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.2 OPERATIONAL - Kitchen Grease Trap Servicing Records (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.3 OPERATIONAL - Ductwork Cleaning Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.4 OPERATIONAL - Automatic Door Maintenance (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.5 OPERATIONAL - General Door Maintenance (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.6 Folding Wall System Maintenance (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.7 STATUTORY - where applicable - Asbestos Survey (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.8 STATUTORY - Asbestos Management Plan / Inspection (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.9 OPERATIONAL - Server Room Monitoring System Tests (Mthly) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 6.10 OPERATIONAL - Pest Control (Qtly) - Implement a pest control solution

  Yes

  No

  N/A

HEALTH & SAFETY (MINI VISUAL CHECK)

• 7.1 STATUTORY - H&S Poster

  Yes

  No

  N/A

• 7.2 STATUTORY - Employers Liability Insurance

  Yes

  No

  N/A

• 7.3 STATUTORY - Health & Safety Policy

  Yes

  No

  N/A