Planned Site Inspection

• PSI

• Conducted on

  Date

• Station Managers Name

• Select Station

  Select Brookmans Park Potters Bar Hadley Wood New Barnet Oakleigh Park New Southgate Alexandra Palace Hornsey Harringay

  • Brookmans Park
  • Potters Bar
  • Hadley Wood
  • New Barnet
  • Oakleigh Park
  • New Southgate
  • Alexandra Palace
  • Hornsey
  • Harringay

• Conducted by

• Document No.

1.0 - Previous inspection

• 1.1 - Has the last inspection been reviewed?

  Yes

  No

  N/A

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A

2.0 Platforms

• 2.1 - Are platforms clean and free from litter ?

  Yes

  No

  N/A

• 2.2 - Are all platforms, stairs and walking routes in good condition and clear from obstructions and slipping hazards?

  Yes

  No

  N/A

• 2.3 - Are all platform edging coping stones stable and free from defects?

  Yes

  No

  N/A

• 2.4 - Are fire exits clearly signed?

  Yes

  No

  N/A

• 2.5 - Are all fencing and gates in good order?

  Yes

  No

  N/A

• 2.6 - Are all cable ducts, manhole covers intact?

  Yes

  No

  N/A

• 2.7 - Are platforms free from standing water or ice?

  Yes

  No

  N/A

• 2.8 - Is all platform lighting working?

  Yes

  No

  N/A

• 2.9 - Are waiting rooms and shelters in good condition, all glazing intact, graffiti and etching free?

  Yes

  No

  N/A

• 2.10 - Are all access doors secure to prevent unauthorised access?

  Yes

  No

  N/A

• 2.11 - Are all stairs and handrails free from defects?

  Yes

  No

  N/A

• 2.11 - Are all help points and CIS equipment free from defects?

  Yes

  No

  N/A

• 2.12 Is the suicide mid fencing defect free and all gates working?

  Yes

  No

  N/A

• 2.13 If there are public toilets, are they clean and defect free?

  Yes

  No

  N/A

• 2.14 Are the drainage grills secure on the day of inspection?

  Yes

  No

  N/A

3.0 Station Entrance

• 3.1 Is floor free from trip hazards?

  Yes

  No

  N/A

• 3.2 Is there suitable lighting?

  Yes

  No

  N/A

• 3.3 Is the area free from litter?

  Yes

  No

  N/A

• 3.4 Are the fire exits free from obstruction and clearly signed?

  Yes

  No

  N/A

• 3.5 Are fencing / panels free from hazards?

  Yes

  No

  N/A

4.0 Tenants

• 4.1 Is area clean and free from rubbish?

  Yes

  No

  N/A

• 4.2 Are fire exits clearly signed and not wedged open?

  Yes

  No

  N/A

• 4.3 Is all food disposed off in the correct manner?

  Yes

  No

  N/A

• 4.4 Are the fire extinguishers suitable and in date?

  Yes

  No

  N/A

• 4.5 Are the fire extinguishers clearly displayed with signage?

  Yes

  No

  N/A

• 4.6 Is all electrical equipment in working order and have a PAT test sticker?

  Yes

  No

  N/A

• 4.7 If electrical item is less than 12 months old it it clearly labelled with purchase date?

  Yes

  No

  N/A

• 4.8 Is a copy of the latest LIRP plan on display and is there evidence tenants have been briefed?

  Yes

  No

  N/A

• 4.9 Are tenants aware of contractor working arrangements?

  Yes

  No

  N/A

• 4.10 Are extractor fans regularly cleaned and maintained?

  Yes

  No

  N/A

• 4.11 Do all tenants have their ID on them?

  Yes

  No

  N/A

• 4.12 Do all tenants understand HOT and can it be evidenced?

  Yes

  No

  N/A

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5.0 Electrical Switch Rooms and Gas Rooms

• 5.1 Are all rooms clearly identified?

  Yes

  No

  N/A

• 5.2 Are all rooms clear from rubbish?

  Yes

  No

  N/A

• 5.3 Are all rooms free from signs of damage / defect, eg burn marks?

  Yes

  No

  N/A

• 5.4 Are electrical test stickers in place where applicable?

  Yes

  No

  N/A

6.0 Offices, Accommodation and Mess Rooms

• 6.1 Is the room clean and free from litter?

  Yes

  No

  N/A

• 6.2 Are all walking routes and fire exits, clear and free from obstructions?

  Yes

  No

  N/A

• 6.3 Is lighting in working order?

  Yes

  No

  N/A

• 6.4 Is heating and ventilation suitable and a thermometer visible?

  Yes

  No

  N/A

• 6.5 Is fire extinguisher in date, suitable and clearly identified?

  Yes

  No

  N/A

• 6.6 Is all electrical equipment identified with a PAT sticker?

  Yes

  No

  N/A

• 6.7 Is all furniture defect free and suitable for use?

  Yes

  No

  N/A

• 6.8 Are all items stored in a safe manner?

  Yes

  No

  N/A

• 6.9 Is the LIRP plan on display?

  Yes

  No

  N/A

• 6.10 Is the Health & Safety notice board up-to date?

  Yes

  No

  N/A

• 6.11 Is the first aid box stocked with min levels?

  Yes

  No

  N/A

• 6.12 Are the staff toilets clean and defect free?

  Yes

  No

  N/A

• 6.13 Is there hot and cold running water?

  Yes

  No

  N/A

7.0 Security

• 7.1 Are all external doors secured to prevent unauthorised access!

  Yes

  No

  N/A

• 7.2 Are all actions from DFT Security Inspectors completed?

  Yes

  No

  N/A

• 7.3 Is CCTV system recording?

  Yes

  No

  N/A

8.0 Absestos

• 8.1 Are labels indicating asbestos still visible?

  Yes

  No

  N/A

• 8.2 Have all known areas of asbestos been checked to ensure there is no deterioration or damage?

  Yes

  No

  N/A

Sign Off

• On site representative

  Sign

• Auditor's signature

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