Title Page
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Week of Report
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Prepared by
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Location
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Any Other Personnel Present
Weekly Fire Tests
Fire Alarm Tests
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Alarm call point tested
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Alarm audible
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Automatic doors released
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Person Carrying out test
Legionella
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Legionella Flushing Operations
Room
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Room Name & Number
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Date/Time of Flush
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Showerhead outlet
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Basin tap outlet
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Toilet outlet
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Person carrying out flush
Monday
Housekeeping
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Date
Outdoor
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Time of Inspection
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Visual check of early years playground & equipment
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Visual check of main playground & equipment
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Visual check of quiet garden
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Visual check of field and sport pitches
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Visual check of perimeter fencing/gates
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Visual check of staff car park
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Visual check of the building exterior
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
Indoor
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Time of Inspection
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All areas clean & tidy
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Fire escape routes are tidy/unblocked
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Boiler & Plant rooms secure to prevent unauthorised access
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Check all door access readers are working and free from damage
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Visual check for boiler lockouts
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Check/replenish toilet paper, paper towels & tissues
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Check/top up soap dispensers
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Check/empty shredders
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
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Peron Carrying out inspection
Tuesday
Housekeeping
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Date
Outdoor
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Time of Inspection
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Visual check of early years playground & equipment
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Visual check of main playground & equipment
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Visual check of quiet garden
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Visual check of field and sport pitches
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Visual check of perimeter fencing/gates
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Visual check of staff car park
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Visual check of the building exterior
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
Indoor
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Time of Inspection
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All areas clean & tidy
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Fire escape routes are tidy/unblocked
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Boiler & Plant rooms secure to prevent unauthorised access
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Check all door access readers are working and free from damage
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Visual check for boiler lockouts
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Check/replenish toilet paper, paper towels & tissues
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Check/top up soap dispensers
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Check/empty shredders
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
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Peron Carrying out inspection
Wednesday
Housekeeping
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Date
Outdoor
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Time of Inspection
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Visual check of early years playground & equipment
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Visual check of main playground & equipment
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Visual check of quiet garden
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Visual check of field and sport pitches
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Visual check of perimeter fencing/gates
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Visual check of staff car park
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Visual check of the building exterior
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
Indoor
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Time of Inspection
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All areas clean & tidy
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Fire escape routes are tidy/unblocked
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Boiler & Plant rooms secure to prevent unauthorised access
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Check all door access readers are working and free from damage
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Visual check for boiler lockouts
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Check/replenish toilet paper, paper towels & tissues
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Check/top up soap dispensers
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Check/empty shredders
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
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Peron Carrying out inspection
Thursday
Housekeeping
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Date
Outdoor
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Time of Inspection
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Visual check of early years playground & equipment
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Visual check of main playground & equipment
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Visual check of quiet garden
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Visual check of field and sport pitches
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Visual check of perimeter fencing/gates
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Visual check of staff car park
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Visual check of the building exterior
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
Indoor
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Time of Inspection
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All areas clean & tidy
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Fire escape routes are tidy/unblocked
-
Boiler & Plant rooms secure to prevent unauthorised access
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Check all door access readers are working and free from damage
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Visual check for boiler lockouts
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Check/replenish toilet paper, paper towels & tissues
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Check/top up soap dispensers
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Check/empty shredders
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
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Peron Carrying out inspection
Friday
Housekeeping
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Date
Outdoor
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Time of Inspection
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Visual check of early years playground & equipment
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Visual check of main playground & equipment
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Visual check of quiet garden
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Visual check of field and sport pitches
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Visual check of perimeter fencing/gates
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Visual check of staff car park
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Visual check of the building exterior
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
Indoor
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Time of Inspection
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All areas clean & tidy
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Fire escape routes are tidy/unblocked
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Boiler & Plant rooms secure to prevent unauthorised access
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Check all door access readers are working and free from damage
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Visual check for boiler lockouts
-
Check/replenish toilet paper, paper towels & tissues
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Check/top up soap dispensers
-
Check/empty shredders
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
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Peron Carrying out inspection
Weekends
Housekeeping
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Date
Outdoor
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Time of Inspection
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Visual check of early years playground & equipment
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Visual check of main playground & equipment
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Visual check of quiet garden
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Visual check of field and sport pitches
-
Visual check of perimeter fencing/gates
-
Visual check of staff car park
-
Visual check of the building exterior
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Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
Indoor
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Time of Inspection
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All areas clean & tidy
-
Fire escape routes are tidy/unblocked
-
Boiler & Plant rooms secure to prevent unauthorised access
-
Check all door access readers are working and free from damage
-
Visual check for boiler lockouts
-
Check/replenish toilet paper, paper towels & tissues
-
Check/top up soap dispensers
-
Check/empty shredders
-
Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils
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Peron Carrying out inspection