FM Health Check

• Site

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• 1.1 Site Overview

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 2.3 RCD Testing (3 Mthly & Annually) (Best Practice) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 2.4 PAT Records (Annually) (Best Practice) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 2.7 BMS 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

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 2.12 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 Microwave Emission Test (Annually) (Best Practice)- Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

FIRE & LIFE SYSTEMS

• 3.1 Fire Evacuation Procedure (Annually Reviewed) (Statutory) - Review Sign Off section

  Yes

  No

  N/A

• 3.2 Fire Risk Assessment (Annually Reviewed) (Statutory) - Identify in date FRA and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 3.5 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 Fire Alarm Planned Activation Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.7 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 Portable Fire Extinguisher Servicing (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 3.11 Fire Hydrant Test Records (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.12 Fire Shutters / Damper Records (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 3.15 Emergency Lights Annual Test (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 3.20 Fire Door Inspections (Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 3.21 Lift Phone Checks (Mthly) - - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

MECHANICAL SYSTEMS

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

  Yes

  No

  N/A

• 4.2 Boilers / Gas Water Heater Test / Service Records (Annually / Periodic Service Sheets) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.3 Pressure Systems - Insurance Inspection (Annually) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.4 Gas Catering Equipment tests / maintenance (Annually / Periodic Service Sheets) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.5 Generator Service Records (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 4.6 Oil Diesel Tank Inspections (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 4.8 Passenger Lift Insurance Inspection (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 4.15 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 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 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 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 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 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 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 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 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 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 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 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 Water Temperatures being Recorded (Mthly) - Identify in date Log Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 5.7 Tank Chlorination (Annually / As Per WRA) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

• 5.8 Water Fountain Servicing (6 Mthly) - Identify in date Certification / Service Sheets and ensure any remedials have been actioned and completed.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

HEALTH & SAFETY (MINI VISUAL CHECK)

• 7.1 H&S Poster

  Yes

  No

  N/A

• 7.2 Employers Liability Insurance

  Yes

  No

  N/A

• 7.3 Health & Safety Policy

  Yes

  No

  N/A

• 7.4 H&S Meeting - Agenda, Minutes, Actions

  Yes

  No

  N/A