Title Page

  • Site conducted

  • McConnells Logo Blue (Small).png
  • McConnells Job Nr:

  • Prepared \for

  • Conducted on

  • Prepared By

Store Details

Store Details

  • Type of Store

  • Take a photo of the Opening Hours Signage

  • Store Telephone Number

  • Store Contact & Position

  • Ceilings
  • Specify The Floor

  • Ceiling Height

  • Access Equipment Required

  • Ceiling Tile Details

  • Stairwells (including Escalators)

  • Access Equipment

Goods Lift

  • Has the store got a Goods Lift

  • Goods Lift Capacity

  • Dimensions

  • No Goods Lift

  • Any lighting issues identified

  • Description of issued raised

  • Photos of issued raised if possible

Busbar

  • Make & Type of existing Busbar

Existing Lighting

BOH Lighting

  • Canteen pendants can be removed?

  • Is there a lighting switch on training room

  • How is the BOH lighting including Emergencies wired

  • Provide details

Emergency Lighting

  • Does fire fighting equipment have emergency lighting near? (ex: Panel, Call point, Extinguishers)

  • Identify areas of concern and what is required to rectify

  • Photos of area

PIR's

  • Any other areas identified that require PIR Controls (ex: disable changing rooms, BOH tracks, ETC)

  • Identify areas

  • Photos of areas

External Lighting

  • Is there any external Lighting to replace

  • How Many and type of fittings

  • Access equipment required

  • Type and working height

Roof

  • Lighting Control Type

  • Any external batten fittings on the wall

  • Battens fittings requested to be replaced to 2DEP/2DP on drawings?

  • Roof edge protection type

  • Edge protection height

Distribution Boards & BMS

    Distribution Board
  • Floor & Location

  • Contactor Panel

  • Are all contactors Normally Closed

  • Identify all Normally open contactors i.e Poles, rating and quantity

BMS Panel

  • BMS Panel

  • Is the lighting switches on auto

  • Is the BMS Over ride segregated for HVAC & Lighting

Health & Safety

  • Absestos Survey observed

  • Location where Absestos survey is kept

  • Request Survey from RLB

  • Any Abnormal Risks identified other than a standard primark store

  • Details

  • Photos of risk

Access

Waste Process Area

  • Provide information on process area size (pallets) and any restrictions

  • Provide 3 no photographs of the process area

Delivery

  • Height Restrictions

  • No Restrictions

  • Width Restrictions

  • Noise Restrictions

  • Loading Dock

  • Loading Dock Height

  • Can Lighting be stored inside of the store

  • Agreed maximum number of pallets the store could take delivery of and hold at one time

  • If Yes, minimum of 3 photos of storage position

  • Where will the lights be stored

  • Photos of agreed storage area

  • Is a container required for storage of Lighting?

  • Proposed Location of container

  • Container not required

Parking

  • Store Parking Provisions

Light Fittings Dimensions

  • Store Name & Number

  • Fittings Dimensions
  • Fittings Type

  • External Dimension

  • Cut Out Dimension

Additional Photos

  • Add media

Any Addtional information

  • undefined

Store Manager

Maintenance

  • Good Lift in good working order

  • Lift Issues

  • Any existing lighting maintenance issue

  • Description of issues

Confirmation Signatures

  • McConnells Representative

  • Store Representative

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.