Title Page

  • Conducted on

  • Officers Name

Fire

  • Fire escape doors and routes clear of obstructions

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Fire doors kept closed and operational

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Fire extinguishers in place, accessible and not discharged

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Combustibles stored in containers away form the building

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Fire alarms tested

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Area free from electrical hazards, e.g. Exposed live terminals

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Are the areas clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Comments

Escalators

  • Escalators operating, no obvious faults

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Emergency buttons working

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Escalators free from unusual noises

  • Week
  • Monday

  • Tuesday

  • Wednesday

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  • Friday

  • Saturday

  • Sunday

  • Safety guards in place and not broken

  • Week
  • Monday

  • Tuesday

  • Wednesday

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  • Friday

  • Saturday

  • Sunday

  • Handrail speed the same as the steps

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Are the handrails free from defects (I.e. Splits)

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Comb plates and stair treads free from damage

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Warning signs in place

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Landing mats in good condition with no trip hazards

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

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  • Saturday

  • Sunday

  • Brushes free from damage

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Are the escalators clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

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  • Saturday

  • Sunday

  • Comments

Lifts

  • Lifts levelling correctly, no slip, trip hazards

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Lift alarms / telephones operating

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Lift doors operating safely

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Lift buttons working

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Are the lifts clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

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  • Saturday

  • Sunday

  • Comments

Slips, trips and falls

  • Public areas free from damage, trip hazards, spillages and obstructions

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Public area entrance mats clean and in place

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Are the public areas clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Basement ramp free of obstructions

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Basement pedestrian markings clear and undamaged

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Basement areas free from damage, trip hazards, spillages and obstructions

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Basement loading bay dock edges, signage and hazard markings in place

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Basement drain covers intact and in good condition

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Is the basement clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • How many bales of cardboard are there
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • How many bales of plastic are there
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Main access / escape routes gritted when ice/snow

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Comments

Toilets

  • Soap, hand drying and hot water available in all toilets

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Area free from water, soap leaks or other slip/trip hazards

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Are the toilets clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

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  • Saturday

  • Sunday

  • Comments

First Aid Room

  • Area clean and in good condition

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Equipment in place and free from damage

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

Building fabric

  • Building fabric, windows, gates, and fencing free from damage

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Building fabric clean and presentable (windows, shutters, Red tiled area etc).

  • Week
  • Monday

  • Tuesday

  • Wednesday

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  • Saturday

  • Sunday

  • Comments

General house keeping

  • Area free from storage / stacking that could collapse or materials that could fall

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Refuse areas clean and tidy - storage away from the building

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Void areas are secure, I.e. locked and properly boarded up

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Comments

Car parks and service area

  • Car park areas free from potholes, obstructions, spillages and debris

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Fire doors and exit routes free from obstructions

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Drainage covers intact

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Compactor/bailers isolated when not in use

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Comments

Plant rooms and workshops

  • Workshops, plant rooms, risers etc locked when not in use

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Plant rooms clear of combustible materials and contain extinguishers within or nearby

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Ventilation functioning normally

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Are the plant rooms clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

Maintenance Work

  • Maintenance Work authorised / permits issued

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Contractors / maintenance working in a segregated area

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Contractors / maintenance wearing correct PPE for works being undertaken

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Areas where contractors/maintenance have been working left clean and presentable.

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

Roof and Falls from Height

  • Roof / tower access and fixed ladders kept locked / secured

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Roof areas free from damage

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

Asbestos Risk Monitoring

  • Asbestos materials labelled and free from damage

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

CCTV

  • Has the time and date been checked for accuracy on the CCTV system

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Is the CCTV system fully operational

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Has the play back check been carried out? (Once a week from footage more than 24 hours old)

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

  • Is there clear line of site from all cameras? (I.e. no obstructions)

  • Week
  • Monday

  • Tuesday

  • Wednesday

  • Thursday

  • Friday

  • Saturday

  • Sunday

Time Checks Completed

  • Time Checks Completed

  • Week
  • Monday - Time Check Completed

  • Tuesday - Time Check Completed

  • Wednesday - Time Check Completed

  • Thursday - Time Check Completed

  • Friday - Time Check Completed

  • Saturday - Time Check Completed

  • Sunday - Time Check Completed

  • Initials of Person completing the Checks

  • week
  • Monday - Initials of Officer

  • Tuesday - Initials of Officer

  • Wednesday - Initials of Officer

  • Thursday - Initials of Officer

  • Friday - Initials of Officer

  • Saturday - Initials of Officer

  • Sunday - Initials of Officer

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.