Klc1 quarterly Area and PAT testing Checks

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Plant Room

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 1-Fax

  Safe

  At Risk

  N/A

• 2-Computer

  Safe

  At Risk

  N/A

• 3-Monitor

  Safe

  At Risk

  N/A

• 4-Air Con Unit

  Safe

  At Risk

  N/A

• 5-Printer

  Safe

  At Risk

  N/A

• 6-Monitor

  Safe

  At Risk

  N/A

• 7-Computer

  Safe

  At Risk

  N/A

• 8-Fan

  Safe

  At Risk

  N/A

• 9-Hoover

  Safe

  At Risk

  N/A

• 10-Wet and Dry Hoover

  Safe

  At Risk

  N/A

• 147-Walkie Talkie

  Safe

  At Risk

  N/A

• 193-IPad Charger

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Training Room

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 13-Microwave

  Safe

  At Risk

  N/A

• 14-Toaster

  Safe

  At Risk

  N/A

• 15-Extension Lead

  Safe

  At Risk

  N/A

• 70-Hoover

  Safe

  At Risk

  N/A

• 71-Getoblaster

  Safe

  At Risk

  N/A

• 72-Microwave

  Safe

  At Risk

  N/A

• 73-Fridge

  Safe

  At Risk

  N/A

• 74-Toaster

  Safe

  At Risk

  N/A

• 75-Kettel

  Safe

  At Risk

  N/A

• 197-Extension Lead

  Safe

  At Risk

  N/A

• 198-Desk Fan

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

First Aid Room

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 12-Fridge

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Office

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings safe and working?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 11-Kettel

  Safe

  At Risk

  N/A

• 19-Entel Radio

  Safe

  At Risk

  N/A

• 20-Entel Radio

  Yes

  No

  N/A

• 21-Computer

  Safe

  At Risk

  N/A

• 22-Monitor

  Safe

  At Risk

  N/A

• 23-Computer

  Safe

  At Risk

  N/A

• 24-Monitor

  Safe

  At Risk

  N/A

• 25-Photo Copyer

  Safe

  At Risk

  N/A

• 26-Heater

  Safe

  At Risk

  N/A

• 27-Heater

  Safe

  At Risk

  N/A

• 28-Franking Machine

  Safe

  At Risk

  N/A

• 29-Computer

  Safe

  At Risk

  N/A

• 30-Monitor

  Safe

  At Risk

  N/A

• 31-Monitor

  Safe

  At Risk

  N/A

• 32-Computer

  Safe

  At Risk

  N/A

• 33-Money Counter

  Safe

  At Risk

  N/A

• 36-Computer

  Safe

  At Risk

  N/A

• 37-Monitor

  Safe

  At Risk

  N/A

• 38-Laminator

  Safe

  At Risk

  N/A

• 39-Shredder

  Safe

  At Risk

  N/A

• 40-Monitor

  Safe

  At Risk

  N/A

• 42-Extension Lead

  Yes

  No

  N/A

• 43-Monitor

  Safe

  At Risk

  N/A

• 44-Computer

  Safe

  At Risk

  N/A

• 131-Extension

  Safe

  At Risk

  N/A

• 132-Stereo

  Safe

  At Risk

  N/A

• 134-Air Con Unit

  Safe

  At Risk

  N/A

• 145-Extension Lead

  Safe

  At Risk

  N/A

• 146-Hoover

  Safe

  At Risk

  N/A

• 159-Desk Fan

  Safe

  At Risk

  N/A

• 160-Printer

  Safe

  At Risk

  N/A

• 186-Printer

  Safe

  At Risk

  N/A

• 199-Laminator

  Safe

  At Risk

  N/A

• 200-Phone Charger

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

ERS Office

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings safe and working?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 45-Desk Fan

  Safe

  At Risk

  N/A

• 46-Extension Lead

  Safe

  At Risk

  N/A

• 47-Monitor

  Safe

  At Risk

  N/A

• 48-Computer

  Safe

  At Risk

  N/A

• 49-Printer

  Safe

  At Risk

  N/A

• 50-Monitor

  Safe

  At Risk

  N/A

• 51-Computer

  Safe

  At Risk

  N/A

• 52-Small Fridge

  Safe

  At Risk

  N/A

• 53-Desk Fan

  Safe

  At Risk

  N/A

• 127-Floor Fan

  Safe

  At Risk

  N/A

• 128-Extension Lead

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Gym

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 54-Treadmill

  Safe

  At Risk

  N/A

• 55-Treadmill

  Safe

  At Risk

  N/A

• 56-Treadmill

  Safe

  At Risk

  N/A

• 57-Treadmill

  Safe

  At Risk

  N/A

• 58-Treadmill

  Safe

  At Risk

  N/A

• 59-Treadmill

  Safe

  At Risk

  N/A

• 62-Extension Lead

  Safe

  At Risk

  N/A

• 63-Hoover

  Safe

  At Risk

  N/A

• 67-Fan

  Safe

  At Risk

  N/A

• 69-Water Cooler

  Safe

  At Risk

  N/A

• 120-Computer

  Safe

  At Risk

  N/A

• 121-Monitor

  Safe

  At Risk

  N/A

• 130-Extension Lead

  Safe

  At Risk

  N/A

• 161-Power Plate

  Safe

  At Risk

  N/A

• 162-Power Plate

  Safe

  At Risk

  N/A

• 163-Power Plate

  Safe

  At Risk

  N/A

• 164-Extension Lead

  Safe

  At Risk

  N/A

• 165-Abductor

  Safe

  At Risk

  N/A

• 166-Abductor

  Safe

  At Risk

  N/A

• 167-Tantia

  Safe

  At Risk

  N/A

• 168-Duel Multy Pull

  Safe

  At Risk

  N/A

• 169-Leg Press

  Safe

  At Risk

  N/A

• 170-Smart Centre

  Safe

  At Risk

  N/A

• 171-Floor Fan

  Safe

  At Risk

  N/A

• 172-Pull Press

  Safe

  At Risk

  N/A

• 173-Leg Extention

  Safe

  At Risk

  N/A

• 174-Row

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Power Plate Room

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 64-PA System

  Safe

  At Risk

  N/A

• 65-Gemini Reciver

  Safe

  At Risk

  N/A

• 66-Fan

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Dance Studio

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 68-PA System

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Prep Room

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 76-Chest Freezer

  Safe

  At Risk

  N/A

• 78-Water Softner

  Safe

  At Risk

  N/A

• 148-Dish Washer

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Kitchen

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 80-Toaster

  Safe

  At Risk

  N/A

• 81-Extension Lead

  Safe

  At Risk

  N/A

• 82-Water Softner

  Safe

  At Risk

  N/A

• 84-Cup Warmer

  Safe

  At Risk

  N/A

• 85-Fridge

  Safe

  At Risk

  N/A

• 86-Freezer

  Safe

  At Risk

  N/A

• 88-Blender

  Safe

  At Risk

  N/A

• 90-Till

  Safe

  At Risk

  N/A

• 91-Display Fridge

  Safe

  At Risk

  N/A

• 92-Coke Fridge

  Safe

  At Risk

  N/A

• 93-Slush Puppy Machine

  Safe

  At Risk

  N/A

• 94-Hot Chocolate Machine

  Safe

  At Risk

  N/A

• 95-Lucozade Machine

  Safe

  At Risk

  N/A

• 125-Coffee Machine

  Safe

  At Risk

  N/A

• 126-Galaxy Machines

  Safe

  At Risk

  N/A

• 150-Mixer

  Safe

  At Risk

  N/A

• 151-Fly Zaper

  Safe

  At Risk

  N/A

• 152-Microwave

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Vending Area

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Safe

  At Risk

  N/A

• 97-Kitkat Machine 1

  Safe

  At Risk

  N/A

• 98-Kitkat Machine 2

  Safe

  At Risk

  N/A

• 99-Coke Machine

  Safe

  At Risk

  N/A

• 100-BMI Machine

  Safe

  At Risk

  N/A

• 101-Extension Lead

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Poolside

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 102-Drinks Machines

  Safe

  At Risk

  N/A

• 103-Fan Blower

  Safe

  At Risk

  N/A

• 118-Fan Blower

  Safe

  At Risk

  N/A

• 149-Extension Lead

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Reception

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 105-Extension Lead

  Safe

  At Risk

  N/A

• 106-Monitor

  Safe

  At Risk

  N/A

• 107-Ampetronic

  Safe

  At Risk

  N/A

• 108-Ampetronic

  Safe

  At Risk

  N/A

• 109-Till Comp 1

  Safe

  At Risk

  N/A

• 110-Receipt Printer

  Safe

  At Risk

  N/A

• 111-Receipt Printer

  Safe

  At Risk

  N/A

• 112-Monitor

  Safe

  At Risk

  N/A

• 113-Card Reader

  Safe

  At Risk

  N/A

• 114-PA System

  Safe

  At Risk

  N/A

• 153-Protrac

  Safe

  At Risk

  N/A

• 154-Till

  Safe

  At Risk

  N/A

• 155-Monitor

  Safe

  At Risk

  N/A

• 156-Printer

  Safe

  At Risk

  N/A

• 157-Extension Lead

  Safe

  At Risk

  N/A

• 158-Card Reader

  Safe

  At Risk

  N/A

• 188-Coke Fridge

  Safe

  At Risk

  N/A

• 189-Heater

  Safe

  At Risk

  N/A

• 190-Heater

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Osteopath

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 116-Desk Fan

  Safe

  At Risk

  N/A

• 132-Heat Lamp

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Cleaners Cupboard

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 135-Vacume

  Safe

  At Risk

  N/A

• 136-Wet and Dry Hoover

  Safe

  At Risk

  N/A

• 137-Rotowash

  Safe

  At Risk

  N/A

• 187-Hoover

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Storms

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Yes

  No

  N/A

• 138-Printer

  Safe

  At Risk

  N/A

• 139-CD Player

  Safe

  At Risk

  N/A

• 140-CD Player

  Safe

  At Risk

  N/A

• 141-Ice Lead

  Safe

  At Risk

  N/A

• 142-Ice Lead

  Safe

  At Risk

  N/A

• 143-Extension Lead

  Safe

  At Risk

  N/A

• 144-Extension Lead

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign

Little Kingfisher

• Are light switches safe?

  Safe

  At Risk

  N/A

• Are all plug sockets safe?

  Safe

  At Risk

  N/A

• Are all light fittings working and safe?

  Safe

  At Risk

  N/A

• Check all PA wiring

  Safe

  At Risk

  N/A

• 176-Card Reader

  Safe

  At Risk

  N/A

• 177-Till

  Safe

  At Risk

  N/A

• 178-Display Fridge

  Safe

  At Risk

  N/A

• 179-Computer

  Safe

  At Risk

  N/A

• 180-Monitor

  Safe

  At Risk

  N/A

• 181-Polar Fridge

  Safe

  At Risk

  N/A

• 182-Cup Warmer

  Safe

  At Risk

  N/A

• 183-Hot Chocolate Machine

  Safe

  At Risk

  N/A

• 184-Slush Puppie Machine

  Safe

  At Risk

  N/A

• 185-Coke Machine

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign