Monthly health and safety check

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Health and safety

• All fire exits clear and unlocked

  Yes

  No

  N/A

• Sprinkler heads unobstructed

  Yes

  No

  N/A

• No stock within half metre of sprinkler

  Yes

  No

  N/A

• Electrical panels and plant rooms clear of stock and flammable a

  Yes

  No

  N/A

• Stock clear of heat sources

  Yes

  No

  N/A

• Unit free of signs of illicit smoking

  Yes

  No

  N/A

• Fire doors working correctly

  Yes

  No

  N/A

• Break glass points clear

  Yes

  No

  N/A

• Smoke detector heads clear

  Yes

  No

  N/A

• All electrical items pat tested if required

  Yes

  No

  N/A

• No trailing electrical leads or trip hazards

  Yes

  No

  N/A

• No build up of waste

  Yes

  No

  N/A

• Fire fighting equipment unobstructed

  Yes

  No

  N/A

• Date of last emergency light test

  Yes

  No

  N/A

• Date of last fire alarm test

  Yes

  No

  N/A

• Date of last sprinkler test

  Yes

  No

  N/A

GENERAL

• Any new key holder details

  Yes

  No

  N/A

• Any ubac forms to collect

  Yes

  No

  N/A

• Any issues to report

  Yes

  No

  N/A