Title Page

  • Conducted on

  • Prepared by

  • Location

Items Required For or Before Inspection

  • Security Contact

  • Keys (External)

  • Keys (Internal)

  • Previous Report

  • Comments

Approach

  • Is the entrance view free from obstructing vegetation etc.

  • Is signage entering site adequate (Speed restrictions - moving vehicles - hazard attention)

  • Is lighting adequate

  • Comments

Entrance

  • Are entrance gates/ barriers/ door(s) maintained?

  • Are boundary fences and wall adequate and maintained?

  • Are all CCTV and other security facilities in full working order?

  • Comments

Roads and Service Areas

  • Are all vehicular & Pedestrian routes clearly marked and free from trip hazards, pot holes and obstructions?

  • Are areas free from obstruction and debris?

  • Are drains and gullies free of obstruction and are all covers intact?

  • Comments

Premises Exterior

  • Are entrance doors and fire exits free from obstruction?

  • Are all fire exits displaying the correct 'keep clear' signage?

  • Are refuse positioned away from buildings?

  • Are all combustible materials positioned away from the buildings?

  • Are guttering and down pipes free of obstructions?

  • Are all walls in good repair?

  • Are Letter boxes sealed?

  • Are glazed areas (including windows) free from damage?

  • Are windows and doors boarded up?

  • Comments

Interior

  • Are all flammable and hazardous chemicals removed?

  • Are floors free from damage, obstruction, debris and spillages?

  • Is 'Escape' signage suitable?

  • Are emergency exits clear from obstruction?

  • Are emergency exit doors operational?

  • Do all emergency escape routes have adequate lighting?

  • Is all emergency escape route lighting operational?

  • Comments

Main Services

  • Is the mains water service disconnected / turned off?

  • Is the mains gas service disconnected / turned off?

  • Is the mains electrical service disconnected / turned off?

  • Comments

Meter Readings

  • Electricity meter number 1

  • Electricity meter reading 1

  • Electricity meter number 2

  • Electricity meter reading 2

  • Gas meter number

  • Gas meter reading

  • Water meter number

  • Water meter reading

  • Additional meter readings

  • Comments

Other Matters

  • Comments

  • Add media

Sign Off

  • Action Taken

  • Security System

  • Client Advised

  • Date

  • Signed

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.