Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Asbestos Management

  • Asbestos Register available for inspection?

Catering Equipment

  • Evidence of Canopy Supply/Extract deep clean?

  • Evidence of Annual Certification of Gas Catering Appliance?

Electrical Equipment

  • Evidence of 5 year fixed wire testing dry side?

  • Are remedial works actioned?

  • Evidence of annual fixed wire testing wet side?

  • Are remedial works actioned?

  • Evidence of annual PAT testing?

  • Evidence of lightening protection tests

Fire Safety

  • Evidence of current annual fire risk assessment?

  • Remedial action from fire risk assessment complete?

  • Evidence of emergency lighting test monthly?

  • Evidence of emergency lighting test 6 monthly?

  • Evidence of current annual emergency lighting certificate?

  • Evidence of current annual fire alarm certificate?

  • Evidence of weekly fire alarm testing?

  • Evidence of annual fire appliance service (extinguishers)?

  • Evidence of current annual intruder alarm certificate?

Gas

  • Evidence of annual boiler service and certificate?

  • Evidence of annual calorifier service and certificate?

  • Evidence of other gas appliance service and certificates?

  • Evidence of gas storage tank inspection?

Lifts and lifting equipment

  • Evidence of lift maintenance inspection?

  • Evidence of lift insurance inspection?

  • Evidence of other lifting equipment inspection i.e. hydraulic lifts and jacks?

  • Evidence of mansafe system certificates?

Water treatment

  • Evidence of bi-annual water risk assessment?

  • Remedial works from water risk assessment undertaken?

  • Evidence of quarterly de-scaling of shower heads?

  • Evidence of quarterly monitoring?

  • Evidence of monthly tests?

  • Evidence of weekly tests?

Other

  • Evidence of current f-gas register?

  • Evidence of pressurisation vessel inspection?

  • Evidence of pressurised tank inspections i.e. compressors?

  • Evidence of annual inspection of automated shutters?

  • Display of energy certificate?

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.