Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Lighting
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Has the lighting checks been carried out?
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Are there any lights with lamps out / damage or reportable damage?
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Please can you photograph the problem lights
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Please list all lights with problems
Mechanical
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Are there any mechanical items to be reported for this visit?
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Please take photographs of the works carried out.
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Please describe works carried out and location.
Portable Appliance Testing
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Are there any appliance that need PAT on site?
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Have the correct documentation been filled in and sent to the office?
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Please ensure paperwork and signed certification are handed into the office within 2 days
Fire Extinguishers
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Are there any fire extinguishers that need Peter Ashley Ltd testing?
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Has the engineer been contacted? If no contact them immediately if works are due.
Declaration
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Please enter the date the report was completed
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Please enter the operatives name below
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Please sign below
