Title Page

  • Conducted on

  • Prepared by

Reception

  • Fire Panel - (Any faults, alarms etc.)

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Power & lights working

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Other Notes

Break Room

  • Plumbing Working - (Sink, Taps & Toilet Flushing)

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Visual Check - Floor, walls, ceiling, toilet seats & furniture in good condition

  • Bins Emptied

  • Power & lights working

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Other Notes

Board Room

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Bins Emptied

  • Power & lights working

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Other Notes

Office

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Bins Emptied

  • Power & lights working

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Other Notes

Stage 1

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Power & lights working

  • Emergency Lights Working

  • Extractor Fans Working

  • Heating Working

  • Plumbing (Tap Running)

  • Shutter Doors Working

  • Drapes Clean and In Place

  • Behind Scaffolding Clean and Tidy

  • Doors Working As Expected

  • Other Notes

Stage 2

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Power & lights working

  • Emergency Lights Working

  • Extractor Fans Working

  • Heating Working

  • Plumbing (Tap Running)

  • Shutter Door Working

  • Drapes Clean and In Place

  • Behind Scaffolding Clean and Tidy

  • Doors Working As Expected

  • Other Notes

Stage 3

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Power & lights working

  • Emergency Lights Working

  • Extractor Fans Working

  • Heating Working

  • Shutter Door Working

  • Drapes Clean and In Place

  • Behind Scaffolding Clean and Tidy

  • Doors Working As Expected

  • Other Notes

East Block

Ground Floor Corridor & Stairwell

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Power & lights working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Network Access Points On

  • Other Notes

Room 1

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Sink, Shower & Taps Running)

  • Other Notes

Room 2

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Taps Running)

  • Other Notes

Room 3

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Taps running & washing machines working)

  • Other Notes

Room 4 (Toilets & Disabled Toilet)

  • Power & lights working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Fan Heaters Working

  • Plumbing Working (Sink, Taps, Toilet seats & Flushing)

  • Other Notes

First Floor Corridor & Stairwell

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Power & lights working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Network Access Points On

  • Other Notes

Room 5

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Sink, Taps, Toilet seats & Flushing)

  • Other Notes

Room 6

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Sink, Taps, Toilet seats & Flushing)

  • Other Notes

Room 7

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Sink, Taps, Toilet seats & Flushing)

  • Other Notes

Room 8

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Sink, Taps, Toilet seats & Flushing)

  • Other Notes

Room 9 (Toilets)

  • Power & lights working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Fan Heaters Working

  • Plumbing Working (Sink, Taps, Toilet seats & Flushing)

  • Other Notes

Second Floor Corridor

  • Fire Safety - Extinguishers in place & fire escapes clear

  • Power & lights working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Network Access Points On

  • Other Notes

Room 10 (Showers)

  • Power & lights working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Plumbing Working (Showers Running)

  • Other Notes

Room 11

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Taps Running)

  • Other Notes

Room 12

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Taps Running)

  • Other Notes

Room 13

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Taps Running)

  • Other Notes

Room 14

  • Power & lights working

  • Visual Check - Floor, walls, ceiling & furniture in good condition

  • Emergency Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Plumbing Working (Taps Running)

  • Other Notes

West Block

Ground Floor Corridor & Stairwell

  • Fire Extinguishers in Place

  • Fire Escapes & Stairwells Clear

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Network Access Points On

Room 1

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

  • Plumbing Working (Shower Running)

Room 2

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

  • Plumbing Working (Taps Running)

Room 3

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

Room 4 (Toilets & Disabled Toilet)

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Fan Heaters Working

  • Plumbing Working (Sink, Taps, Disabled Toilet & Toilets Flushing)

First Floor Corridor & Stairwell

  • Fire Extinguishers in Place

  • Fire Escapes & Stairwells Clear

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Network Access Points On

Room 5

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

  • Plumbing Working (Sink, Shower, Taps & Toilet Flushing)

Room 6

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

  • Plumbing Working (Sink, Shower, Taps & Toilet Flushing)

Room 7 (Showers)

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Plumbing Working (Showers Running)

Room 8

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

Second Floor Corridor

  • Fire Extinguishers in Place

  • Fire Escapes Clear

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Network Access Points On

Room 9

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

  • Plumbing Working (Taps Running)

Room 10

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

  • Plumbing Working (Taps Running)

Room 11

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Furniture & Condition

  • Radiators Working

  • Plumbing Working (Taps Running)

Hub 1

Board Room

  • Fire Extinguishers in Place

  • Fire Escapes Clear

  • Furniture & Condition

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Old Cafe

  • Plumbing Working (Taps Running)

  • Fire Extinguishers in Place

  • Fire Escapes Clear

  • Furniture & Condition

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Toilets, Disabled Toilet & Corridor

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Plumbing Working (Sink, Taps, Disabled Toilet & Toilets Flushing)

Stairwells

  • Fire Panel - (Any faults, alarms etc.)

  • Fire Extinguishers in Place

  • Fire Escapes & Stairwells Clear

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Network Access Points On

Top Office

  • Fire Extinguishers in Place

  • Furniture & Condition

  • Fire Escapes Clear

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Hub 2

Stairwells

  • Fire Extinguishers in Place

  • Fire Escapes & Stairwells Clear

  • Power Working

  • Floor, Stairs & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Network Access Points On

Toilets, Disabled Toilet & Corridor

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Plumbing Working (Sink, Taps, Disabled Toilet & Toilets Flushing)

Ground Floor Open Plan Office

  • Fire Escapes Clear

  • Furniture & Condition

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Network Access Points On

Office 1

  • Furniture & Condition

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Network Access Points On

Office 2

  • Furniture & Condition

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Network Access Points On

Office 3

  • Furniture & Condition

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Network Access Points On

Office 4

  • Furniture & Condition

  • Power Working

  • Floor & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Network Access Points On

First Floor Open Plan Office

  • Fire Extinguishers in Place

  • Fire Escapes Clear

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

  • Network Access Points On

  • Plumbing Working (Taps Running)

Office 1

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 2

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 3

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 4

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 5

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 6

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 7

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 8

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 9

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Office 10

  • Furniture & Condition

  • Power Working

  • Carpet & Wall Condition

  • Emergency Lights Working

  • Lights Working

  • Doors Working As Expected

  • Radiators Working

Canteen & Kitchen

  • Fire Extinguishers In Place

  • Fire Escapes Clear

  • Floor & Wall Condition

  • Grease Trap Empty

  • Plumbing Working (Taps Running, Sinks Clear)

  • Extract and Supply Fans Working

  • Bins Emptied

  • Power Working

  • Furniture & Condition

Site Exterior

  • Is all waste clear from fire exits/fire routes

  • No smoking signs in place

  • Designated smoking area is clear and signed

  • Outdoor emergency lights working

  • Assembly point clearly marked on Workshop A

  • Flood lights working

  • Generator working

  • Bin store tidy

  • Fencing in place

  • All drains checked and cleared

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.