Homerton Healthcare - Inspection and Findings

• Audit Title

• Client / SiteClient / Site Name

  Homerton Healthcare Trust

• Conducted on

  Date

• Prepared by

  Select

• Personnel Involved in Audit / Inspection

Nature of Issues Identified

• Location Department

• Description of findings

• Is this a Health and Safety Issue?

  Yes

  No

  N/A

• Is this a Infection Control Issue?

  Yes

  No

  N/A

• Is this a Fire Safety Issue

  Yes

  No

  N/A

• Remedial Action Required

• Who is Responsible for Remedial Action?

  Select Carpenter Electrician Fitter Maintenance Assistant Contractor Department Manager / Staff Member

  • Carpenter
  • Electrician
  • Fitter
  • Maintenance Assistant
  • Contractor
  • Department Manager / Staff Member

• Priority

  Select Critical High Medium Low None Capex / Planned

  • Critical
  • High
  • Medium
  • Low
  • None
  • Capex / Planned

• Has a new job been created on MICAD and if so what is the job number?

  Yes

  No

  N/A

• Date Due for Completion

  Date

• Date Completed

  Date