Out of Hours Visit Report -3

• Site Name

• Conducted on

  Date

• Prepared by

• Time On Site

  Date

• Time off Site

  Date

Staff Member

• Name

• Payroll Number

• Apperence

• Comment

• SIA Licence Expiry Date

  Date

• Add media

  Media

• Ultimate ID Card Expiry Date

  Date

Quality Inspection

• DOB entries correctly completed?- Entries to agree with patrols (no answers must have a comment)

  Yes

  No

• Comments

• Handover/takeover sheet checked and signed, ARM to sign in red (no answers must be a comment)

  Yes

  No

• Comments

• All equipment serviceable: company phone, PPE, ironing equipment, shoe cleaning and shaving kit

  Yes

  No

• Comments

• Patrol Device Working

  Yes

  No

• Comments

• Assignment Instructions Review Date

  Date

• Has the client signed the AI's

  Yes

  No

• Add media

  Media

• Has an Ultimate representative signed the AI's

  Yes

  No

• Add media

  Media

• Have all staff on duty signed the AI's

  Yes

  No

• Add media

  Media

• Comments

• Risk Assessment Review Date

  Date

• Add media

  Media

• Is the BCP document on site

  Yes

  No

• Add media

  Media

• Is there a Battle Box on Site

  Yes

  No

• Onsite training records completed, plus 2 day inductions

  Yes

  No

• Add media

  Media

• Comments

• Key control satisfactory

  Yes

  No

• Comments

• Add media

  Media

• Defect Sheet Checked

  Yes

  No

• Comments

• Add Media

  Media

Site Procedure Questions

• How many lifts are in this building, and name the levels they cover

  Yes

  No

• Comments

• What company maintains the lifts

  Yes

  No

• Comments

• What actions would you undertake if aware of a lift entrapment

  Yes

  No

• Comments

• Who would you inform if there was a lift entrapment

  Yes

  No

• Comments

• Follow Up

• Signed by member of staff

  Sign

• Signed by Assistant Regional Manager / Nights Operation Manager

  Sign