Information
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Conducted on
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Prepared by
1.0 - Previous inspection
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1.1 - Has the last inspection been reviewed?
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1.2 - Are all outstanding actions now closed off?
2.0 - Areas inspected
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2.1 - Select the areas inspected
- Level 1 Back of house
- Level 2 Back of house
- Level 3 Back of house
- Retailer unit
- Retailer Storage area
- Retailer Back of house
- Mall level 1
- Mall level 2
- Eatery level 3
- Intu storage area
- Intu workshop area
- Staff welfare area
- Loading Bay/s
- Service Roadway/s
- Carpark/s
- Lake, Boardwalk & surrounding area
- External area (other)
- Plant room, Substation, Risers, Lift Motor room
- Offices
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2.2 - Describe specific areas where appropriate (e.g. Which Carpark)
3.0 - Issues identified during this inspection
- Issue
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Location
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Description of concern
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Recommendation(s)
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Photo/s:
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Category of issue
- Fire Safety
- Emergency Escape
- Housekeeping
- lighting
- Cleanliness
- Condition of Floor
- Plant & Machinery
- Welfare
- Ventilation
- Environmental
- Working Practice
- Vehicles/Pedestrians
- Signage
- Work Equipment
- Safety Barriers
- Structural/Building Condition
- Electrical
- Mechanical
- Chemical
- Biological
- Food Safety
- Storage
- General
- Other
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Responsible Department
- Technical Services
- Environmental
- Eatery Team
- Security
- CDC Control Room
- Customer Services
- Commercialisation
- Marketing
- Health, Safety & Fire
- Retailer
- Business Support
- Unknown
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Priority
4.0 - Document Inspection
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4.1 - Please select the type of document/s inspected
- Permit to work
- Hot work permit
- Roof access permit
- Accident/Incident report
- Risk Assessment
- Fixed Electrical installation
- LOLER
- Pressure systems
- Lightning conductors & Earthing installations
- PAT records
- Water systems
- Material Safety Data sheets
- Gas systems
- Structural inspection
- Refrigeration equipment
- Asbestos
- Fire safety
- Extraction/ductwork servicing
- Other
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4.2 - Specific Document/s selected?
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4.3 - Determine the level of compliance, or otherwise and give details of deficiencies observed.
5.0 - Sign Off
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5.1 - Health & Safety Manager
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5.2 - Auditor's signature
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This inspection was not subject to audit