PLANT ROOM

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Doors are free from damage and closes fully. Please attach photos

  Yes

  No

  N/A

• Door locks operating correctly and free of damage. Please attach photos

  Yes

  No

  N/A

• Plant room is well illuminated and all lights are working. Please attach photos

  Yes

  No

  N/A

• Fire exit sign is illuminated. Please attach photos

  Yes

  No

  N/A

• Plant room is free from any obstructions and hazards. Please attach photos

  Yes

  No

  N/A

• Plant room free of rubbish. Please attach photos

  Yes

  No

  N/A

• Plant room free from spills. Please attach photos

  Yes

  No

  N/A

COMPLETE

• DATE

  Date

• SIGN

  Sign