Information
Location Details
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Site (optional)
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Block (if required)
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Room / Area Name
Additional Rooms
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Enter any additional rooms, such as attached storage areas.
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Additional Rooms
Room Type
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Internal Teaching
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Internal Circulation
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Internal Storage
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Internal plant
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External Circulation
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External Hard Play and Courts
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External Soft Play and Pitches
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External Soft Learning
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Other
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Include room type
Authorisation
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Completed by
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Prepared by
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Conducted on
Equipment & Appliances
General Equipment
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There are sufficient First Aid boxes?
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First Aid boxes have been checked within the past month?
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Are all covers and guards on equipment in place?
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Is all equipment mechanically sound?
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Is furniture in good condition and free from defects?
Mechanical and Electrical Systems
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There are gas systems within the area being checked?
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The gas supply is interlinked to the fire alarm system?
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There are electrical appliances within the area being checked?
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All plugs are in good condition?
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Leads to appliances are free from damage or kinks?
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Portable appliances are mechanically sound?
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There are no mobile heaters with exposed elements (or bar type fires)?
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No multi-block adapters are in use?
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Extension leads are not daisy chained?
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There is evidence that appliances have been PAT checked?
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There is electrical switch gear within the area being checked (i.e. fuseboards)?
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Electrical switch gear is unobstructed?
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Fixed electrical distribution has been checked within the past five years by a competent person, and has been marked up accordingly?
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Stage lighting systems are in use within the area?
External Checks
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Where re-wireable dimmer packs are used, they are checked by a competent person annually?
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Stage lights are PAT checked at least every twelve months?
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Stage lighting is located away from curtains, and does not pose a fire risk?
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Ground is free from trip or slip hazards?
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Fences and posts are free from defects?
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There are no hidden hazard?
Room Condition
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Is the condition of this room checked?
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Floor free from any slip or trip hazards and appears safe?
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Fire action notices are in place?
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Smoke detectors are dust free and not covered?
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Materials are correctly stored?
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Hazardous substances are correctly stored?
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Stored materials do not obscure safety equipment?
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Light fittings are in good working order?
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Ceiling are in tact and in good condition?
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Window catches are in place and sound?
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All other fixtures and fittings are mechanically sound?
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Glazing is in good condition (including any laminate)?
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All electrical fittings in good condition?
Room Access
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Doors open and close freely. Fittings are all sound?
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Corridors and exits are unobstructed?
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Emergency exits are signed and unlocked?