Information

  • Document No.

  • Conducted on

  • Name of Security Officer

Electrical/Lighting Failures

  • Are there any electrical/lighting failures to report?

  • If yes, provide details, including the exact location of the fault.

  • Photo of location of electrical/lighting failure

Power Failure

  • Are there any power failures to report?

  • If yes, provide details, including the exact location of the failure.

  • Photo of location of power failure

Flood/Water Leaks

  • Are there any flood/water leaks to report?

  • If yes, provide details, including the exact location of the leak/flood,

  • Photo of location of flood/water leak

Damages/Health and Safety Hazards

  • Is there any damage to report which could pose a health and safety hazard?

  • If yes, provide details, including the exact location of the damage/hazard.

  • Photo of location of damage/hazard

Fire Extinguisher Damages

  • Are there any fire extinguisher damages to report?

  • If yes, provide details, including the exact location of the fire extinguisher damage.

  • Photo of location of damaged fire extinguisher

Door Faults

  • Are there any door faults to report?

  • If yes, provide details, including the exact location of the door fault.

  • Photo of location of door fault

  • Officer Signature

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