Title Page

  • Site Address

  • Conducted on

  • Prepared by

  • Arrival Time

Inspection Report

Present:

  • Name:

  • Company:

  • Position:

Occupancy

  • Number of Residents:

  • Number of Voids:

Purpose of Visit

  • Purpose:

Compliance Check - PMV Type

  • Fire Risk Assessment:

  • Fire Alarm & Emergency Lighting:

  • Fire Extinguishers:

  • Gas / Oil Boiler Safety Check:

  • Fixed Electrical Testing:

  • Asbestos Survey:

  • Legionella Risk Assessment:

  • PAT Testing:

  • Sprinklers:

  • Lift LOLER:

  • Lift Servicing:

  • TMV Servicing:

  • Any Additional Comments?

  • Maintenance Men Works - Reactive Works (Within 30 days)
  • Location:

  • Description:

  • Budget Cost

  • Status:

  • Capital/Cyclical Works - Current Financial Year
  • Location:

  • Description:

  • Budget Cost:

  • Job Status:

  • Additional Business
  • Any Additional Business:

Budget Costings

  • Reactive

  • Planned

Next Visit

  • Time and Date:

  • Attachments
  • Any Additional Media:

  • Distribution
  • All Present

Sign Off

  • Conducted By:

  • Departure Time:

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.