Information
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Document No.
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Building Name
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Conducted on
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Inspected By
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HAS THE LAST INSPECTION BEEN REVIEWED
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Read last audit report to ensure any issues are reviewed for this audit
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Add location (come back here to add more)
Plant Location
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Select the plant room location name before you start
Access and Egress
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Door secure from unauthorised access
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Is there un-obstructed access to and from the plant room
Lighting condition?
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Emergency lighting in standby and healthy?
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Plant room lighting adequate
Plant room Housekeeping?
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Slips, trips or spills?
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Plant room general tidiness?
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Provisions in place for rubbish storage?
Equipment General Condition
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Any equipment leaking creating slip hazards?
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If 'At Risk' is it contained?
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Arrange for leak to be attended too and contained.
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Any noise not normal for this equipment?
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If 'Yes' can you identify the cause?
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Contact manufacturer or service provider for advice and possible site visit. If necessary and safe to do so, isolate equipment to make safe.
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Distribution boards locked and secure?
Signage and Health / Safety
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Signs in place, clean and visible?
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First Aid kits in place and stocked?
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Eye wash stations in place and in date?
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Safety showers if fitted operational?
Sub Contractors
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Are there any other personnel working in the area?
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Company Name
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Are they working in a safe manner?
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Contact permit issuer and inform them of hazardous working ethics.
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Do they have a valid PTW?
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Ask them to "stop working" and contact their customer for a PTW
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Who is the permit issuer?
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Is the permit valid and in date?
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Sub Contractors Housekeeping
Photo Evidence
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Add any pictures here
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Any Issues Requiring Specialist Contractors to Attend
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Add signature here.