Title Page
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Conducted on
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Prepared by
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Location
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Completion Guidelines: - Rating: Yes = checked & condition acceptable, No = checked & condition unacceptable, NA = Not Applicable
Building/s
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Building structure in good condition?
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Building fixtures & fittings in good condition?
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Emergency exit signs
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Are designated exit doors accessible?
Floor coverings – Common areas
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Wet floor signs?
1.5. Stairways
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Condition of covering / surface
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Banisters & handrails stable?
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Stairways free of obstructions?
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Perform visual check for obvious damage to roof, walls & windows
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Perform visual check for damage, faults & to ensure illuminated
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Perform visual check for damage, faults & operating
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Perform visual check to ensure no obstructions
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Check to ensure doors closing correctly
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Check to ensure mats are properly fitted, presenting no trip hazard
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Perform visual check to ensure in good condition
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Check to ensure signs are used by cleaners
Common External Walk Areas
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Surface free of slip & trip hazards?
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External lighting
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Balustrades, railings, chains
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Perform visual check for loose pavers, missing materials left lying around, trip hazards
Common Facilities
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Public seating in good condition?
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Plants & pots
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Rubbish bins / ash trays
3.1. Amenities (Toilets)
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Floors clean, dry & undamaged?
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Toilet bowls, seats & cistern undamaged?
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Hand basin clean & undamaged?
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Lights
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Doors
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Syringe use evident?
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Check to ensure door locks operating & door closing correctly
Car Park
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Guideline
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Car park drainage
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Surface condition
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Lighting
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Wheel blocks / stops / trolley bays
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Line marking: parking bays, speed humps & signs
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Car park grates
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Landscaping
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Perform visual check for pot holes or uneven surfaces
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Perform visual check for damage, faults & if operating
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Perform visual check for damage & if securely fixed with no bolts protruding
Fire Services
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Are escapes clear?
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Fire alarm panel / sprinklers / smoke thermal detectors
Essential services
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Occupancy permit
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Evacuation plan
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Perform visual check to ensure no obstructions
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Perform visual check to ensure all is in order
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Check and confirm log books & servicing dates accord with occupancy permit
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Perform visual check to confirm it is in view of public within building
Building Services
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CCTV
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Air conditioning plant / cooling tower
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Time clocks / photosensitive cells
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Electrical switchboards / substations
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Telecommunications
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Thermographic scan
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Asbestos register
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Check & confirm cameras & recording system are operating efficiently
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Check that log books & servicing dates accurately recorded
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Check rooms are secure & clear of any obstruction, and all circuits appear to be operating correctly
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Check rooms are secure and clear of any obstruction
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Confirm annual scan is available for inspection
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Confirm register is available for inspection
Cleaning / Security
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Log books / attendance
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Cleaning inspection report
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General Comments/Other Hazards
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Check & confirm correctly completed, & note any comments for action