Title Page

  • Village

  • Month of report

  • Conducted on

  • Prepared by

MANDATORY COMPLIANCE

Fire Evacuation

  • Has a Fire Evacuation been carried out within the last 6 months

Gas

  • Has the Gas Safety Inspection been conducted within the past 12 months for all commercial units including kitchen and laundry?

  • Have all safety actions been addressed?

EICR

  • Has the village had an EICR within the past 5 years?

  • Are there any C1 or C2 actions open?

  • Have the actions been open for more than 30 days?

LOLER

  • Has a LOLER inspection been completed within the last 6 months

  • Have all actions been addressed?

  • Provide details

PAT Testing

  • Has all electrical equipment been PAT tested within the past 12 months?

Kitchen Suppression

  • Has the kitchen suppression been serviced within the past 12 months?

Lightning Protection

  • Does the Village have lightning protection?

  • Has the lightning protection been serviced within the past 12 months?

FRA

  • Has a FRA been carried out with the last 2 years?

  • Have High risk actions been addressed?

LRA

  • Has an LRA been carried out within the last 2 years?

  • Have High risk actions been addressed?

Compliance Checks

  • Has the FM completed their monthly checklist?

RAMS

  • Have risk assessments been updated within the past 12 months

Incident Reporting

  • Number of accidents outside of residents properties

  • Have all accidents been recorded on to IAuditor?

  • Number of Camel Cushion uses

  • Number of Near Miss' recorded

  • Have all Near Miss' been recorded on to IAuditor?

  • Where any accidents attributed to a Near Miss?

  • Number of incidents within the village

  • Have all incidents been recorded on to IAuditor?

By signing this document I confirm that all answers provided are correct

  • Name of person completing report

  • Signature

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