• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

STATUTORY - Health & Safety Poster

  • Health & Safety poster on display in staff areas?


  • LOLER Insurance certificate/ safety certificate in date?

  • Remedial works logged with helpdesk?


  • FGas register in date (where applicable)

STATUTORY - Pressure Vessels

  • Insurance Inspection Certificate/Safety Certificate in date?

  • Remedial works logged on helpdesk?

STATUTORY - Electrical

  • PAT Certificate in date?

  • 5 Year Electrical Certificate in date?

  • 5 Yearly Electrical Inspection Remedials logged on helpdesk (C1/C2/C3)

  • Annual Emergency Lighting Certificate in date?

  • Annual Distribution Board Inspection Certificate in date?

  • Annual Lightning Certificate in date?

  • Annual Generator Inspection Certificate in date (where applicable)

STATUTORY- Water Hygiene

  • Legionella Risk Assessment in date?

  • Legionella Risk Assessment Review carried out?

  • Evidence of weekly flushing LUOs?

  • Annual CWS Tank Inspection and Clean carried out?

  • Evidence of tank temperatures taken?

STATUTORY - Gas Safety

  • Gas Safety Inspection in date

  • Gas Tightness Certificate in date

  • Oil Fired Boiler Safety Certificate in date?

  • Calorifiers Carcass Test Certificate in date?

  • LPG Safety Certificate in date (where applicable)?

STATUTORY - Fire Safety

  • Annual Fire Risk Assessment in date?

  • Fire Risk Assessment Review in date?

  • Fire Door Inspection carried out?

  • Annual Fire Alarm Inspection Certificate in date?

  • Annual Fire Extinguisher/Blanket Service Certificate in date?

  • Annual Kitchen Ductwork Clean carried out (where applicable)?

  • Annual Kitchen Fire Hood Inspection Certificate in date (where applicable)?

  • Annual Fire Damper Inspection Certificate in date (where applicable)?


  • In-date Energy Certificate on display (where applicable)?

6M Site PPM and Inspection

  • Help desk jobs outstanding?

  • AC Units service in date?

  • AC Units Remedials logged?

  • AHU ventilation checks in date?

  • AHU Remedials logged?

  • Quarterly generator inspection up to date (where applicable)?

  • Generators Remedials logged on helpdesk (where applicable)?

  • BMS fully operational and maintenance up to date?

  • BMS - no uncleared alarms?

  • Permit to Work access system in place?

  • Lift Alarm - check that alarm is in place and received?

  • Correct lift number in lift cab?

  • Lift Quarterly Service in date?

  • Gas quarterly PPM completed?

  • Outstanding Gas Quarterly Remedials logged?

  • Emergency Lighting Testing up to date?

  • Quarterly Fire Alarm inspection in date?

  • Quarterly Panic Alarm inspection in date (where applicable)?

  • Quarterly intruder alarm inspection in date (where applicable)?

  • Window Restrictors in place (where applicable)?

  • Window Restrictors Inspection in date (where applicable)?

  • Quartlerly Maintenance of TMV's complete?

Site Inspection

Internal Inspection

  • Decoration - Paintwork should be bright, co-ordinated and in good condition

  • Internal Fixtures and Fittings- should be free from scuffs/scratches/gouges/tears and stains should be easily removed by cleaning?

  • Any item that has an action ( automatic doors/taps/lights/etc) should be working correctly?

  • Toilets and bathrooms should have working locks?

  • Ceiling tiles should be in place and in good condition?

  • Floors should be free from tears/splits/excessive wear/tape/raised or lifting areas?

  • Flooring in dementia areas should be matt,non reflective, non patterned and noise absorbent?

  • Lighting where artificial should simulate natural light and provide enough light to make areas bright. Lamps should be working at all times.

  • Kitchen equipment should be at Condition B?

  • Toilets and bathroom - fixed equipment and flooring should be Condition B?

External Area Inspection

  • External brickwork should look clean and well maintained?

  • Gutters, down pipes and hoppers should be free from obstructions and vegetation?

  • Drainage pipe work should be secured?

  • Windows and frames should be clean and free from damage. Frames should be in good condition.

  • Grounds, roads and walkways should be well maintained, free from potholes and no uneven/loose paving slabs. Road markings should be clear. Where appropriate, kerbs should be adapted to facilitate wheelchair access.

  • Pedestrian areas should be well lit.

  • Roofs should be free from damage?

FM Comments

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.