Title Page
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Site conducted
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Conducted on
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Prepared by
HO Monthly checks
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Date of Check:
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Corrective Actions
Items/Areas to check (General Safety/housekeeping)
Floor 3
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Are heavy items stored below shoulder height?
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Are all exits (doorways) and corridors free from obstruction and combustible materials e.g. paper, boxes?
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Are areas clean and well maintained? (free from slips, trips and falls)
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Are storage rooms and areas clean and tidy?
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Are stairwells in good working order? (check the stair nose and fittings)
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Are the stairwell handrails in good working order? (loose or wobbly)
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Are all waste materials (rubbish and recycling) placed in the bins and disposed of correctly?
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Is the flooring in good condition and free from trip hazards?
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Are all ceilings in good condition without cracks or loose wiring?
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Have all portable heaters and fans been PAT tested and in date?
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Is lighting adequate in all areas?
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Are light covers and fittings secure?
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Lift called to floor and doors open correctly with no faults
Fire
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Are emergency exits clearly marked and illuminated?
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Are any fire exits being obstructed?
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Are fire doors closed and not being propped open?
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Are fire extinguishers located on this floor?
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Are the tags and pins still intact on all fire extinguishers?
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Fire extinguishers serviced within the last 12 months
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Do all fire doors have a ‘fire door keep shut’ sign on them?
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Is the intumescent strip in the fire door well maintained?
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Are there self-closers on all the fire doors?(open the fire door and check it closes all the way into the door frame)
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Is the refuse point/Keep clear sign located on the wall in the lobby area
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Is Refuse area Clear of obstructions
Electrical
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Are all plugs and wires in a good condition (no exposed wires)?
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Are extension leads being used correctly? (no daisy chaining)
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Has all faulty electrical equipment been moved from service and disposed of correctly?
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Are there any trailing cables in the building?
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Any other comments of observations
Items/Areas to check (General Safety/housekeeping)
Floor 2
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Are all exits (doorways) and corridors free from obstruction and combustible materials e.g. paper, boxes?
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Are heavy items stored below shoulder height?
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Are areas clean and well maintained? (free from slips, trips and falls)
-
Are storage rooms and areas clean and tidy?
-
Are stairwells in good working order? (check the stair nose and fittings)
-
Are the stairwell handrails in good working order? (loose or wobbly)
-
Are all waste materials (rubbish & Recycling) placed in the bins and disposed of correctly?
-
Is the flooring in good condition and free from trip hazards?
-
Are all ceilings in good condition without cracks or loose wiring?
-
Have all portable heaters and fans been PAT tested and in date?
-
Is lighting adequate in all areas?
-
Are light covers and fittings secure?
-
Lift called to floor and doors open correctly with no faults
Fire
-
Are emergency exits clearly marked and illuminated?
-
Are any fire exits being obstructed?
-
Are fire doors closed and not being propped open?
-
Are fire extinguishers located on this floor?
-
Are the tags and pins still intact on all fire extinguishers?
-
Fire extinguishers serviced within the last 12 months
-
Do all fire doors have a ‘fire door keep shut’ sign on them?
-
Is the intumescent strip in the fire door well maintained?
-
Are there self-closers on all the fire doors?(open the fire door and check it closes all the way into the door frame)
-
Is the refuse point/Keep clear sign located on the wall in the lobby area
-
Is the refuse area clear of all obstructions
Electrical
-
Are all plugs and wires in a good condition (no exposed wires)?
-
Are extension leads being used correctly? (no daisy chaining)
-
Has all faulty electrical equipment been moved from service and disposed of correctly?
-
Are there any trailing cables in the building?
-
Any other comments of observations
Items/Areas to check (General Safety/housekeeping)
Floor 1
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Are all exits (doorways) and corridors free from obstruction and combustible materials e.g. paper, boxes?
-
Are heavy items stored below shoulder height?
-
Are areas clean and well maintained? (free from slips, trips and falls)
-
Are storage rooms and areas clean and tidy?
-
Are stairwells in good working order? (check the stair nose and fittings)
-
Are the stairwell handrails in good working order? (loose or wobbly)
-
Are all waste materials (rubbish & Recycling) placed in the bins and disposed of correctly?
-
Is the flooring in good condition and free from trip hazards?
-
Are all ceilings in good condition without cracks or loose wiring?
-
Have all portable heaters and fans been PAT tested and in date?
-
Is lighting adequate in all areas?
-
Are light covers and fittings secure?
-
Lift called to floor and doors open correctly with no faults
Fire
-
Are emergency exits clearly marked and illuminated?
-
Are any fire exits being obstructed?
-
Are fire doors closed and not being propped open?
-
Are fire extinguishers located on this floor?
-
Are the tags and pins still intact on all fire extinguishers?
-
Fire extinguishers serviced in last 12 months
-
Do all fire doors have a ‘fire door keep shut’ sign on them?
-
Is the intumescent strip in the fire door well maintained?
-
Are there self-closers on all the fire doors?(open the fire door and check it closes all the way into the door frame)
-
Is the refuse point/Keep clear sign located on the wall in the lobby area
-
Is the refuse area clear of all obstructions
Electrical
-
Are all plugs and wires in a good condition (no exposed wires)?
-
Are extension leads being used correctly? (no daisy chaining)
-
Has all faulty electrical equipment been moved from service and disposed of correctly?
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Are there any trailing cables in the building?
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Any other comments of observations
Items/Areas to check (General safety/housekeeping)
G2 (Recruitment)
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Are all exits (doorways) and corridors free from obstruction and combustible materials e.g. paper, boxes?
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Are heavy items stored below shoulder height?
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Are areas clean and well maintained? (free from slips, trips and falls)
-
Are storage rooms and areas clean and tidy?
-
Are stairwells in good working order? (check the stair nose and fittings)
-
Are the stairwell handrails in good working order? (loose or wobbly)
-
Are all waste materials (rubbish & Recycling) placed in the bins and disposed of correctly?
-
Is the flooring in good condition and free from trip hazards?
-
Are all ceilings in good condition without cracks or loose wiring?
-
Have all portable heaters and fans been PAT tested and in date?
-
Is lighting adequate in all areas?
-
Are light covers and fittings secure?
-
Lift called to floor and doors open correctly with no faults
Fire
-
Are emergency exits clearly marked and illuminated?
-
Are any fire exits being obstructed?
-
Are fire doors closed and not being propped open?
-
Are fire extinguishers located on this floor?
-
Are the tags and pins still intact on all fire extinguishers?
-
Fire extinguishers serviced in last 12 months
-
Do all fire doors have a ‘fire door keep shut’ sign on them?
-
Is the intumescent strip in the fire door well maintained?
-
Are there self-closers on all the fire doors?(open the fire door and check it closes all the way into the door frame)
-
Is the refuse point/Keep clear sign located on the wall in the lobby area
-
Is the refuse area clear of all obstructions
Electrical
-
Are all plugs and wires in a good condition (no exposed wires)?
-
Are extension leads being used correctly? (no daisy chaining)
-
Has all faulty electrical equipment been moved from service and disposed of correctly?
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Are there any trailing cables in the building?
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Any other comments of observations
Items/Areas to check (General safety/housekeeping)
G1 (Lobby)
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Are all exits (doorways) and corridors free from obstruction and combustible materials e.g. paper, boxes?
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Are heavy items stored below shoulder height?
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Are areas clean and well maintained? (free from slips, trips and falls)
-
Are stairwells in good working order? (check the stair nose and fittings)
-
Are the stairwell handrails in good working order? (loose or wobbly)
-
Are all waste materials (rubbish & Recycling) placed in the bins and disposed of correctly?
-
Is the flooring in good condition and free from trip hazards?
-
Are all ceilings in good condition without cracks or loose wiring?
-
Have all portable heaters and fans been PAT tested and in date?
-
Is lighting adequate in all areas?
-
Are light covers and fittings secure?
-
Lift called to floor and doors open correctly with no faults
Fire
-
Are emergency exits clearly marked and illuminated?
-
Is the fire exit being obstructed?
-
Are fire doors closed and not being propped open?
-
Do all fire doors have a ‘fire door keep shut’ sign on them?
-
Are fire extinguishers located on this floor
-
Are the tags and pins still intact on all fire extinguishers
-
Fire extinguishers serviced in last 12 months
-
Is the intumescent strip in the fire door well maintained?
-
Are there self-closers on all the fire doors?(open the fire door and check it closes all the way into the door frame)
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Has green door open button been checked and unlocks door
Electrical
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Are all plugs and wires in a good condition (no exposed wires)?
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Are extension leads being used correctly? (no daisy chaining)
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Has all faulty electrical equipment been moved from service and disposed of correctly?
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Are there any trailing cables in the building?
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Any other comments of observations
Items/Areas to check General safety/housekeeping
LG (Basement) Kitchen, Toilet, Stairwell and Car Park
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Are all exits (doorways) and corridors free from obstruction and combustible materials e.g. paper, boxes?
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Are heavy items stored below shoulder height?
-
Are areas clean and well maintained? (free from slips, trips and falls)
-
Are storage rooms and areas clean and tidy?
-
Are stairwells in good working order? (check the stair nose and fittings)
-
Are the stairwell handrails in good working order? (loose or wobbly)
-
Are all waste materials (rubbish & Recycling) place in the bins and disposed of correctly?
-
Is the flooring in good condition and free from trip hazards?
-
Are all ceilings in good condition without cracks or loose wiring?
-
Have all portable heaters and fans been PAT tested and in date?
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Is lighting adequate in all areas?
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Are light covers and fittings secure?
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Lift called to floor and doors open correctly with no faults
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Main toilet doors closed and locked
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Toilets operational with no faults
Fire
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Are emergency exits clearly marked and illuminated?
-
Are any fire exits being obstructed?
-
Are fire doors closed and not being propped open?
-
Are fire extinguishers located on this floor?
-
Are the tags and pins still intact on all fire extinguishers?
-
Fire extinguishers serviced in last 12 Months
-
Do all fire doors have a ‘fire door keep shut’ sign on them?
-
Is the intumescent strip in the fire door well maintained?
-
Are there self-closers on all the fire doors?(open the fire door and check it closes all the way into the door frame)
-
Is the refuse point/Keep clear sign located on the wall in the lobby area
-
Is the refuse area clear of all obstructions
Electrical
-
Are all plugs and wires in a good condition (no exposed wires)?
-
Are extension leads being used correctly? (no daisy chaining)
-
Has all faulty electrical equipment been moved from service and disposed of correctly?
-
Are there any trailing cables in the building?
-
Any other comments of observations
Items/Areas to check (General safety/housekeeping)
LG (Basement) Office Area
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Are all exits (doorways) and corridors free from obstruction and combustible materials e.g. paper, boxes?
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Are heavy items stored below shoulder height?
-
Are areas clean and well maintained? (free from slips, trips and falls)
-
Are storage rooms and areas clean and tidy?
-
Are stairwells in good working order? (check the stair nose and fittings)
-
Are the stairwell handrails in good working order? (loose or wobbly)
-
Are all waste materials (rubbish) place in the bins and disposed of correctly?
-
Is the flooring in good condition and free from trip hazards?
-
Are all ceilings in good condition without cracks or loose wiring?
-
Have all portable heaters and fans been PAT tested and in date?
-
Is lighting adequate in all areas?
-
Are light covers and fittings secure?
Fire
-
Are emergency exits clearly marked and illuminated?
-
Are any fire exits being obstructed?
-
Are fire doors closed and not being propped open?
-
Are fire extinguishers located on this floor?
-
Are the tags and pins still intact on all fire extinguishers?
-
Fire extinguishers serviced in last 12 months
-
Do all fire doors have a ‘fire door keep shut’ sign on them?
-
Is the intumescent strip in the fire door well maintained?
-
Are there self-closers on all the fire doors?(open the fire door and check it closes all the way into the door frame)
Electrical
-
Are all plugs and wires in a good condition (no exposed wires)?
-
Are extension leads being used correctly? (no daisy chaining)
-
Has all faulty electrical equipment been moved from service and disposed of correctly?
-
Are there any trailing cables in the building?
-
Any other comments of observations
Health & Safety checks
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Weekly fire alarm tests completed and up to date (Check for previous month)
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Monthly legionella water temperature checks Completed and up to date (Check for previous month)
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Monthly Emergency lighting checks completed and up to date ( Check for previous month)
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PAT testing completed with in last 12 Months
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Signature:
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Actions reported to line manger if applicable
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Actions reported to
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Date