Title Page
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Village
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Month of report
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Conducted on
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Prepared by
MANDATORY COMPLIANCE
Fire Evacuation
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Has a Fire Evacuation been carried out within the last 6 months
Gas
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Has the Gas Safety Inspection been conducted within the past 12 months for all commercial units including kitchen and laundry?
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Have all safety actions been addressed?
EICR
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Has the village had an EICR within the past 5 years?
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Are there any C1 or C2 actions open?
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Have the actions been open for more than 30 days?
LOLER
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Has a LOLER inspection been completed within the last 6 months
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Have all actions been addressed?
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Provide details
PAT Testing
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Has all electrical equipment been PAT tested within the past 12 months?
Kitchen Suppression
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Has the kitchen suppression been serviced within the past 12 months?
Lightning Protection
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Does the Village have lightning protection?
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Has the lightning protection been serviced within the past 12 months?
FRA
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Has a FRA been carried out with the last 2 years?
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Have High risk actions been addressed?
LRA
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Has an LRA been carried out within the last 2 years?
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Have High risk actions been addressed?
Compliance Checks
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Has the FM completed their monthly checklist?
RAMS
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Have risk assessments been updated within the past 12 months
Incident Reporting
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Number of accidents outside of residents properties
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Have all accidents been recorded on to IAuditor?
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Number of Camel Cushion uses
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Number of Near Miss' recorded
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Have all Near Miss' been recorded on to IAuditor?
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Where any accidents attributed to a Near Miss?
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Number of incidents within the village
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Have all incidents been recorded on to IAuditor?
By signing this document I confirm that all answers provided are correct
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Name of person completing report
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Signature