Title Page

  • Document No.

  • Site Name

  • Prepared by:

  • Conducted on

Internal

    Foyer
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Slots Area
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Main Area Decorations
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Soft Furnishings/Carpets
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Toilets
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Emergency Exit Doors
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Asbestos
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Lighting
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Smoking Shelter(s)
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • General
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Staff Accommodation/Offices
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Kitchen
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Emergency Lights
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Energy
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Plant Room(s)
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Store(s)
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Bar/Cellar/Refrigeration
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

External

    Signage
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Building Fabric/Decoration
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Service Yard
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Car Park
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Fencing
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Barriers
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • Roof
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

  • General
  • Please describe the issue:

  • Take a picture:

  • Further comments?

  • Priority?

  • Action Required By:

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.