Information

  • Client Name:

  • Key Number:

  • Address:
  • Photo of Building:

  • Date Completed:

  • Review Date (no more than 12 months from completion)

  • Client Type:

Contract Details

Client Contact Details:

  • Primary Contact:

  • Contact 2:

  • Contact 3:

  • Contact 4:

  • Website:

  • Email Address:

Opening / Closing Times

  • Monday-Friday:

  • Saturday:

  • Sunday:

Entry Procedure

  • Entry Info

  • Useful Photos

CCTV

  • CCTV Monitoring Station:

  • Engineer

Intruder Alarm

  • Alarm Code

  • Alarm Monitoring Station:

  • Alarm Engineer:

  • Alarm Panel Location

  • Alarm Contract No

  • Photo of Alarm Panel

  • Any other useful information relating to alarm

Fire Alarm

  • Fire Panel Location

  • Code

  • Contract No

  • Photo of Fire Panel

  • Any other useful information relating to fire detection system

Exit Procedure

  • Exit Info

  • Useful Photos

Additional Info

  • Additional info

  • Add media

Health and Safety - Hazard Identification

  • Slips, trips and falls

  • If yes please outline

  • Photo of hazard if applicable

  • Is there a fire risk?

  • If yes please outline

  • Photos of risks

  • Security vulnerabilities

  • If yes please outline

  • Photos of vulnerabilities

  • Any other identified risks

  • If yes please outline

  • Photos if applicable

Client Signature

  • Client Sig

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.