Information

  • Conducted on:

  • The name of site inspected:

  • Inspected by:

  • weather condition at the time of inspection:

  • IMPORTANT INFORMATION please read:-
    By ticking the relevant boxes below you are confirming that the subject field has been checked... If the subject field has not been checked then do not tick this box

Fire safety related

  • FIRE DOORS

  • Please enter nature of fault (s) - Location & any supporting media:

  • FIRE EXITS

  • Please enter nature of fault (s) - Location & any supporting media:

  • FIRE PANEL

  • Please enter nature of fault (s) - Location & any supporting media:

  • FIRE EXTINGUISHERS

  • Please enter nature of fault (s) - Location & any supporting media:

  • FIRE BLANKETS (if applicable)

  • Please enter nature of fault (s) - Location & any supporting media:

  • WEEKLY FIRE TEST

  • Please enter nature of fault (s) - Location & any supporting media:

  • WEEKLY EMERGENCY LIGHTING

  • Please enter nature of fault (s) - Location & any supporting media:

  • DISABLED EVAC CHAIRS (if applicable)

  • Please enter nature of fault (s) - Location & any supporting media:

  • Miscellaneous

  • Please enter nature of fault (s) - Location & any supporting media:

EXTERNAL

  • Roads and road signage

  • Please enter nature of fault (s) - Location & any supporting media:

  • Road crossings and pathways

  • Please enter nature of fault (s) - Location & any supporting media:

  • Car parks

  • Please enter nature of fault (s) - Location & any supporting media:

  • Bike sheds

  • Please enter nature of fault (s) - Location & any supporting media:

  • Steps & Ramps

  • Please enter nature of fault (s) - Location & any supporting media:

  • Gates and compound areas

  • Please enter nature of fault (s) - Location & any supporting media:

  • Miscellaneous

  • Please enter nature of fault (s) - Location & any supporting media:

GROUNDS & RECREATIONAL

  • Play grounds

  • Please enter nature of fault (s) - Location & any supporting media:

  • Playing fields & grassed areas

  • Please enter nature of fault (s) - Location & any supporting media:

  • Play ground furniture & equipment

  • Please enter nature of fault (s) - Location & any supporting media:

  • Perimeter fencing & barriers

  • Please enter nature of fault (s) - Location & any supporting media:

  • Trees & flower beds

  • Please enter nature of fault (s) - Location & any supporting media:

  • Drain covers, gutters & down pipes

  • Please enter nature of fault (s) - Location & any supporting media:

  • External bins

  • Please enter nature of fault (s) - Location & any supporting media:

  • Miscellaneous

  • Please enter nature of fault (s) - Location & any supporting media:

INTERNAL ROUTES & PUBLIC AREAS

  • Corridors, lobbies & stairs

  • Please enter nature of fault (s) - Location & any supporting media:

  • Doors, including door furniture

  • Please enter nature of fault (s) - Location & any supporting media:

  • Floors and mats

  • Please enter nature of fault (s) - Location & any supporting media:

  • Reception & meeting areas

  • Please enter nature of fault (s) - Location & any supporting media:

  • Windows: glass & ventilation

  • Please enter nature of fault (s) - Location & any supporting media:

  • Electrical: e.g. Sockets, lighting faults etc.

  • Please enter nature of fault (s) - Location & any supporting media:

  • Fixtures, furniture & fittings

  • Please enter nature of fault (s) - Location & any supporting media:

  • Miscellaneous

  • Please enter nature of fault (s) - Location & any supporting media:

  • Signature of inspector

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.