Information

  • Depot / Terminal Name

  • Depot / Terminal Code

  • Address
  • Technician/Supervisor

  • PPM / Job No

  • Conducted on

All external areas

ALL EXTERNAL AREAS

  • 1.1 INSPECT MAIN ENTRANCE GATE TO ENSURE IT WORKS AND IS SECURE

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.2 INSPECT ANY OTHER GATES (IF APPLICABLE) TO ENSURE IT WORKS & IS SECURE

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.3 INSPECT PERIMETER FENCE TO ENSURE SECURE

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.4 MAIN BRAND SIGNAGES - ENSURE CLEAN, H&S SIGNS IN TACT AND NOT WORN.
    NOTE ANY SIGNS MISSING (REFER TO SIGNAGE PACK)

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.5 CHECK SITE/CAR PARK DRAINAGE CHANNELS & GULLYS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.6 CHECK SITE/CAR PARK SURFACE

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.7 CHECK SITE/CAR PARK WHITE LINNING

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.8 CHECK ALL EXTERNAL DOORS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.9 INSPECT ALL BUILDING GUTTERING & DOWN PIPES

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.10 INSPECT ALL BUILDINGS EXTERNAL PAINTWORK, CLADDING, BRICKWORK

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.11 CHECK ALL EXTERNAL LIGHTING INC. TIMERS, PHOTOCELLS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.12 CHECK CONDITION OF AUTO DOORS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.13 CHECK CONDITION OF ALL ROLLER SHUTTER DOORS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.14 ARE THERE ANY HOUSEKEEPING OR BUND IMPROVEMENTS REQUIRED

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.15 VISUAL INSPECTION OF CLADDING, WINDOWS, EAVES, GUTTERING - ANY EXPOSURE

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.16 ANY NOTICEABLE SPILLAGES THAT MAY CAUSE A HAZARD

  • Complete

  • Condition

  • Additional information

  • Picture

  • 1.17 REPORT ON LANDSCAPING CONDITION

  • Complete

  • Condition

  • Additional information

  • Picture

Main office buildings

MAIN OFFICE BUILDING

  • 2.1 CHECK CONDITION OF FLOORING

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.2 IDENTIFY ANY AREAS THAT REQUIRE DECORATION

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.3 CHECK CONDITION OF ALL INNER DOORS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.4 HOUSEKEEPING IN ORDER, ANY IMPROVEMENTS OR ASSISTANCE NEEDED

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.5 CHECK ALL LIGHTING

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.6 CHECK ALL CEILING AREAS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.7 REPORT ANY LEAKS FROM WINDOWS, FRAMES, CEILINGS ETC.

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.8 ADEQUATE AND OPERATIONAL HEATING

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.9 ANY NON- OPERATIONAL LAMPS, HEATERS, THERMOSTATS ETC

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.10 ANY NON-OPERATIONAL EQUIPMENT KETTLES, MICROWAVES,WASHING MACHINE ETC

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.11 ENSURE ALL SIGNAGE IS IN PLACE & VISABLE

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.12 CHECK OPERATION OF FIRE DOORS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.13 CHECK ALL SANITARY WARE (TOILETS, SINKS, SHOWERS)
    INC OPERATION, FIXTURES & FITTINGS, PIPE WORK

  • Complete

  • Condition

  • Additional information

  • Picture

  • 2.14 REPORT UPON ANY TRAILING LEADS, EXTENSIONS, ETC

  • Complete

  • Condition

  • Additional information

  • Picture

Internal outhouses

INTERNAL OUTHOUSES, STORES, LUBRICANT BUILDINGS ETC

  • 3.1 CHECK CONDITION OF FLOORING

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.2 CHECK GENERAL DECORATION

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.3 CHECK CONDITION OF INNER DOORS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.4 VISUAL INSPECTION OF ALL EQUIPMENT

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.5 HOUSEKEEPING IN GOOD WORKING ORDER

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.6 CHECK LIGHTING IS OPERATIONAL

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.7 CHECK ALL NEAT AND TIDY, REPORT MAJOR ISSUES

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.8 REPORT UPON TRIP HAZARDS (TRAILING LEADS, ETC)

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.9 REPORT ANT NOTICEABLE SPILLS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 3.10 CHECK CONDITION OF ALL TYPES OF LOCKS

  • Complete

  • Condition

  • Additional information

  • Picture

General

GENERAL & LEGAL INFORMATION

  • 4.1 CHECK CONDITION OF ALL ROOFS

  • Complete

  • Condition

  • Additional information

  • Picture

  • 4.2 UNUSED BUILDINGS ON SITE WIND & WATER TIGHT

  • Complete

  • Condition

  • Additional information

  • Picture

  • 4.3 ANY RISK TO / FROM NEIGHBOURING PROPERTIES

  • Complete

  • Condition

  • Additional information

  • Picture

  • 4.4 FIXED WIRE TESTING

  • Complete

  • Condition

  • TESTED

  • RE-TEST DUE

  • 4.5 PORTABLE APPLIANCE TEST

  • Complete

  • Condition

  • TESTED

  • RE-TEST DUE

  • 4.6 FIRE EXTINGUISHER SERVICE

  • Complete

  • Condition

  • TESTED

  • RE-TEST DUE

  • Comments

  • 4.7 FIRE ALARM

  • Complete

  • Condition

  • TESTED

  • RE-TEST DUE

  • Comments

  • 4.8 EMERGENCY LIGHTS

  • Complete

  • Condition

  • TESTED

  • RE-TEST DUE

  • Comments

  • 4.9 SIGN IN, INDUCTION GIVEN, PERMIT TO WORK, ASBESTOS REGISTER, DRAWINGS ETC
    REPORT ANY ABNORMALITIES

  • Complete

  • Condition

  • Comments

  • 4.10 DO ALL STAFF KNOW AND UNDERSTAND CITY FM MAINTENANCE AND REPAIRS PROCEDURES

  • Complete

  • Condition

  • Comments

  • 4.11 DISCUSS ALL YOUR MAINTENANCE ISSUES / PPM WITH SITE MANAGER

  • Complete

  • Condition

  • Comments

  • 4.12 ADDITIONAL INFORMATION, ISSUES, ETC

  • Complete

  • Condition

  • Comments

  • Picture

Completion

COMPLETION

  • Technician

  • Date / Time

  • Depot Manager

  • Date / Time

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.