Information
-
Building Name and Address:
-
Brief description of building:
-
Property Occupied by:
-
Building Use
-
Building Services:
-
Review Date:
-
Building Inspection Attendees:
-
Add signature
Security Inspection
1. Entering a property
-
1.1 On entering the building, were you challenged or asked who you were?
-
1.2 Did you show your ID?
-
1.3a Was there security personnel on site?
-
1.3b If yes, who provides this?
2. CCTV
-
2.1 Is there CCTV on site?
-
2.2 Does it cover internal/external or both?
-
2.3 Who controls the CCTV?
-
2.4 Is the screen away from public view?
-
2.5 How many cameras are there on site?
-
2.6 Do they all work?
-
2.7 Is the correct signage in place? <br>
-
3. General Security
-
3.1 Are the outside areas (car park) adequately lit?
-
3.2 Is the boundary fencing in good repair?
-
3.3 Is the property gated and secured at night?
-
3.4 Are garden areas well maintained and not overgrown? (This allows clear visibility)
-
3.5 Can the roof be easily accessed? (Is it flat / can bins or other structure be used to gain access?)
-
3.6 Are there any unsecured external areas? (Rear parking / Waste stores etc)
-
3.7 Are there any reported security issues by building users?
-
State issues:
-
3.8 Is Proximity Access in use?
-
3.9 Are there any other Security Devices used within the building? (E.g Trellis-Guarding at windows)
-
3.10a Is an intruder alarm fitted?
-
3.10b If so, is it operational?
-
Additional Information:
Health & Safety Inspection
4. Asbestos
-
4.1 Is there an Asbestos Survey on site?
-
Select date
-
4.2 Is there ACM in the building?
-
4.3 Has ACM been re-inspected?
-
Select date
-
4.4 Is there a local Asbestos Management Plan?
5. Legionella
-
5.1 Is there a Water Risk Assessment on site?
-
Select date
-
5.2 Is there a Water Log Book on site?
-
5.3 Is the Water Log Book up to date?
-
5.4 Is there a flushing programme?
-
By who?
-
5.5 Is there a temperature monitoring programme?
6. Gas
-
6.1 Is there Gas on site?
-
6.2 Is there a Gas Safe Inspection?
-
Select date
-
6.3 Has all gas catering equipment been inspected within the last 12 months?
-
Select date
7. Electrical Safety
-
7.1 Is there a Periodical Fixed Test on site?
-
Select date
-
7.2 Is there a PAT Testing regime in place?
-
7.3 Are electrical sockets being used correctly? (I.e not overloaded)
-
7.4 Is NHS PS electrical equipment in good working order? (No damage)
-
7.5 Is access to live high/low voltage equipment restricted to authorised people only?
8. Lifts
-
8.1 Are there any lifts?
-
8.2 Is there evidence if inspection/maintenance?
-
Select date
9. Pressure Vessels
-
9.1 Are there pressure vessels within the building?
10. Medical Gas
-
10.1 Is there piped medical gas on site?
-
10.2 Is there a MGPS Operating Procedure on site?
-
10.3 Has the system been inspected in the last 6 months under the Pressure Systems Safety Regulations?
-
10.4 Is there bottled gas on site?
-
10.5 Is the bottled gases store as per HTM?
-
10.6 Has a designated nursing officer been named?
11. Generators
-
11.1 Are generators used at this building?
-
11.2 Is there evidence of maintenance on site?
-
Select date
12. Windows
-
12.1 Has the building had a window restrictor survey undertaken?
-
Select date
-
12.2 Has Clinical Provider undertaken a Risk Assessment for falls from windows?
-
Select date
-
12.3 Are windows and frames in good condition?
-
12.4 Are windows functioning and fully operational?
-
12.5 Are blinds in a safe condition?
-
12.6 Fully open window gap less than 100mm?
-
12.7 Tamper proof fixings?
-
12.8 Fittings could withstand excessive force?
-
12.9 Additional control measures required (if any):
13. Automatic Doors
-
13.1 Has the property got automatic doors?
-
13.2 Is there evidence of maintenance on site?
14. Chemicals
-
14.1 Are Hazardous Substances used on site?
-
14.2 Are they securely stored?
-
14.3 Are COSHH Risk Assessments available for substances used by NHS PS?
15. Housekeeping
-
15.1 Is the standard of cleaning good?
-
15.2 Is the building clear of rubbish?
16. Waste
-
16.1 Is there any issues with Clinical Waste?
-
16.2 Are there any issues with Domestic Waste?
17. Lighting
-
17.1 Are there any obvious issues with internal lighting levels?
-
17.2 Are internal light fittings operable?
-
17.3 Are there any obvious issues with external lighting?
-
17.4 Are external light fittings operable?
18. Environment (Internal)
-
18.1 Is there adequate space for staff to work safely?
-
18.2 Are there any slip, trip, fall hazards?
-
18.3 Are handrails secured?
-
18.4 Is floor covering in good condition? (Not worn or damaged)
19. Environment (External)
-
19.1 Are grit bins provided?
-
19.2 Are there any smoking related issues?
-
19.3 Are there any slip, trip or fall hazards?
-
19.4 Any significant deterioration of the building fabric?
-
19.5 Are external waste bin storage solutions suitable?
-
19.6 Is there adequate separation of vehicles and pedestrians?
-
19.7 Is there any vehicle traffic related issues?
20. Welfare
-
20.1 Is a staff room provided?
-
20.2 Are the appropriate toilets in good repair?
-
20.3 Is hot water available?
-
20.4 Are staff changing rooms available?
-
20.5 Is drinking water provided?
21. Radiators
-
21.1 Are radiators covered in public areas?
-
21.2 Is there covering to exposed pipe work?
22. Contractor Management
-
22.1 Is the Health and Safety file available?
-
22.2 Have the contractors been inducted to site?
-
22.3 Is there a contractors signing sheet to say they will abide to NHS PS procedures?
23. First Aid
-
23.1 Do NHS PS staff have access to a first aid box?
-
23.2 Do NHS PS staff have access to a first aider?
-
23.3 Are first aid notices present and up to date?
24. DDA
-
24.1 Access / Egress suitable?
-
24.2 Adequate disabled spaces available?
-
24.3 Any other DDA specific issues present?
25. Signage
-
25.1 Appropriate signage in place for specific hazards?
-
25.2 Any issues with way-marking signage?
26. Pest Control
-
26.1a Any obvious Pest issues?
-
26.1b Controls in place?
-
26.2 Any situations identified that could cause Pest issues?
