Has the lighting checks been carried out?

Are there any lights with lamps out / damage or reportable damage?

Please can you photograph the problem lights

Please list all lights with problems


Are there any mechanical items to be reported for this visit?

Please take photographs of the works carried out.

Please describe works carried out and location.

Portable Appliance Testing

Are there any appliance that need PAT on site?

Have the correct documentation been filled in and sent to the office?

Please ensure paperwork and signed certification are handed into the office within 2 days

Fire Extinguishers

Are there any fire extinguishers that need Peter Ashley Ltd testing?

Has the engineer been contacted? If no contact them immediately if works are due.


Please enter the date the report was completed

Please enter the operatives name below

Please sign below
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.