Title Page
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Period of Inspection
Fire Safety Systems
Fire Resisting Doors & Means Of Escape
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Fire door vision panels are in good condition and clear of obstructions
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Fire door has 3 or more Hinges which are secure with no screws missing
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Fire doors have intumescent seals which are in good condition (not painted, missing or damaged)
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Fire door handles are secure, functioning correctly and can be opened without the use of a key
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No signs of wedging/chocking open doors
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Self closing devices are fixed to door and frame securely
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Fire doors close fully & shut tight by use of its own Self Closing (SC) Device
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Name and Signature of Inspector
Fire Extinguisher
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The operating instructions of each extinguisher are clean, legible and face outwards
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The seals and tamper indicators of each extinguisher are not broken and missing
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The reading of any pressure gauge or indicator fitted to an extinguisher is within operational and safety limits
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Each extinguisher has not been operated and is not obviously damaged or has any missing parts
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Each extinguisher is correctly located, suitably serviced and in the designated place
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Each extinguisher is unobstructed, visible and has relevant ID signage above them
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Name and Signature of Inspector
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Date of Inspection
Emergency Lighting
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Emergency Lighting Test
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Date of Test
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Name and Signature of Tester
Ladders
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Ladders Inspections
Ladders
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Ladder ID number & Location
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Plant / ID Number clearly legible and marking intact
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No loose, cracked or broken rungs, rails, braces or ropes
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No loose nails, screw bolts or other parts
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No splintered or sharp edges
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No damaged or worn non-slip steps or base
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No foreign matter on the ladder such as grease, oil, paints
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No loose, defective, broken or missing extension locks
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Hinge spreaders not loose or bent (stepladders / trestles)
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Stop guard on hinge spreaders not broken or damaged (stepladders / trestles)
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Retaining cords are of equal length and in good condition
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No damage or worn stiles (warping, sagging or distortion)
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Stable when open and standing on a level base (Stepladders)
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Name/Signature of inspector
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Date of Inspection
Outdoor Play Equipment
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Outdoor Play Equipment
Play Equipment
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Take photo of structure or identify equipment
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Structure is free of bending, warping, cracking, loosening and breaking
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Surface finish adequate (protective coating missing, rust or other corrosion, cracks, splinters, broken or open joints.)
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All items such as nuts, bolts washers, shackles etc are adequate (not missing, bent, broken, loosened, worn, open hooks, etc.)
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Edges are free of protrusions, sharp points or sharp edges
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No pinch or crush points present(Exposed mechanisms, junctures or moving components, etc.)
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Guard or hand rails/swing barriers aren't missing, bent, broken, loosened.
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Mechanical devices and moving parts checked for worn bearings, lack of lubrication, seizure or excessive motion, missing covers.
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Review swing and other seats (missing, damaged, loosened, sharp corners, insecure fittings, etc.)
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Look for missing or broken rungs, steps or treads loosening, etc.
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Foundations aren't cracked, loose in ground or exposed.
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Impact absorbing surfaces aren't compacted, displaced or not extensive enough to cover possible impact area
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Drain holes are clear
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Signature person carrying out inspection(s) of outdoor equipment
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Date/time of Inspection
Dining Furniture
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Is dining furniture in good working order with no signs of fault or defect
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Date of check
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Signature of Inspector
Any Other Issues
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Defects Log
Issue
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