SATO UK LTD - Site Maintenance and Compliance Checklist

• Conducted on

  Date

• Carried out by

• Perimeter walk conducted?

  Yes

  No

  N/A

• Weeds

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Litter/Debris

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Redundant equipment

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Drains

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Ground conditions

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Signage

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Compactor area

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Smoking Area

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Lighting

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Gates / Fencing / Hedge boundary - good condition/secure?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Is a general internal inspection being conducted?

  Yes

  No

  N/A

• AHU Room checked for faults?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Compressor room checked for faults?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Ladders - All ladders on site included on ladder register and inspected - 3 month frequency? Ladder register up to date, as well as physical tags on ladders?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Racking - Internal racking inspections conducted - 3 month frequency, identified by completed tags on racking?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Maintenance requests actioned and up to date?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Maintenance records completed and up to date - including line clearance sign off?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• General internal inspection of facility and utilities - including checks made with Departmental Managers?

  Pass

  Fail

  N/A

• Q-Pulse Number:

LOLER - Thorough Examination inspections and certificates for lifting equipment. 6 months for lifting equipment and associated accessories used to lift people. 6 months for all lifting accessories. 12 months for all other lifting equipment. Confirm certificates in date and recommended actions completed. **NOTE: next LOLER inspection MUST be conducted before existing certificate expires.

• Are LOLER checks being conducted?

  Yes

  No

  N/A

• Jungheinrich Diesel Forklift : Model DF425. Serial N: FN37621. (12 monthly)

  Pass

  Fail

  N/A

• What date is next inspection due by?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Toyota Battery Forklift: Model 02-8FDF25. Serial N: 8FDF25-67480 (12 monthly)

  Pass

  Fail

  N/A

• What date is next inspection due by?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Toyota Reach Truck: Model RRE140H. Serial N: 6558317 (12 monthly)

  Pass

  Fail

  N/A

• What date is next inspection due by?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Toyota Order Picker: Model OME100H. Serial N:6545297. (6 monthly)

  Pass

  Fail

  N/A

• What date is next inspection due by?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Toyota Electric Stacker: Model PPS1200MX/1. Serial N: 295630AA (12 monthly)

  Pass

  Fail

  N/A

• What date is next inspection due by?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Toyota Electric Pallet Truck: Model LWE130. Serial N: 6368104 (12 monthly)

  Pass

  Fail

  N/A

• What date is next inspection due by?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Hand Pallet Trucks (12 monthly) Model: HHM 100 Serial: 0483602 Model: HL10/3 Serial: 474427 Model: HL10/3 Serial: 474255 Model: HHM 100 Serial: 4706651 Model: HL10/3 Serial: 471062 Model: HL10/3 Serial: 473963 Model: HL10/3 Serial: 471064 Model: HL10/3 Serial: 473965 Model: HHM 100 Serial: 4706783 Model: HHM 100 Serial: 4706784

  Pass

  Fail

  N/A

• What date is inspections next due?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• KONE Hydraulic Lift K222398 (6 monthly)

  Pass

  Fail

  N/A

• What date is inspection next due?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Swing Jib Arms and Electric Hoists (12 monthly) <br>Serial: AIS001 Top Trolley - ACE <br>Serial: AIS002 Top Trolley - CM Shopstar <br>Serial: AIS003 Top Trolley - CM Shopstar Serial: AIS003A Top Trolley - CM Shopstar <br>Serial: AIS005 Top Trolley - CM Shopstar <br>Serial: SS8317vn Top Trolley - CM Shopstar Serial: PH400 Top Trolley - PH400 <br>Serial: JA001 Top Trolley - ACE

  Pass

  Fail

  N/A

• What date is inspection next due?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• PACKLINE - Reel Lifter (12 monthly)?

  Pass

  Fail

  N/A

• What date is next inspection due?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Are fire/emergency/electric checks being conducted?

  Yes

  No

  N/A

• Internal inspections:- Fire alarm being tested weekly and log book up to date?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Internal inspections: Escape routes maintained in good condition and exit doors open easily?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Internal inspections: Fire extinguishers in position?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Internal inspections: Fire doors checked and self-close okay?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Internal inspections: Refuge call point tested (monthly) and log book up to date?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Internal inspections: Emergency Lights tested (monthly) and log book up to date?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor inspections: Fire risk assessment conducted by competent persons annually. Record of assessment maintained?

  Pass

  Fail

  N/A

• What date is next risk assessment due?

  Date

• Have any previous recommendations from assessment been actioned and documented?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• Contractor Inspections: Fire detection / aspirating systems / EVC testing (6 monthly)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor Inspections: Fire extinguisher servicing (annual)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor Inspections: Emergency Lighting battery testing (annual)

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor Inspections: PAT testing conducted annually?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Electrical mains wiring tested (5 year frequency)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Lightning test and inspection (annual)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Plant/Equipment checks being conducted?

  Yes

  No

  N/A

• LEV - Local Exhaust Ventilation: Statutory thorough examination and test by a competent person, at least every 14 months. *NOTE: next inspection must be conducted before current certificate expires.

  Pass

  Fail

  N/A

• What date is next inspection due?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• SEMA Racking inspection (annual)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Robopac - Pallet Wrappers serviced (annually) Serial: 30255310 and Serial: 30162085?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor - Air-conditioning inspections (6 monthly)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor - Air handling units / Chiller inspections (6 monthly)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor - Compressor servicing (6 monthly)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor - Intruder alarm inspection (annual)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor - Roller shutter door inspection (6 monthly)?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• Contractor - Anglia Water Consent to Discharge / Testing?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• What was date of last test?

  Date

• Contractor - Legionella testing?

  Pass

  Fail

  N/A

• Q-Pulse Number:

• COMMAND PEST CONTROL monthly visit?

  Pass

  Fail

  N/A

• Have any recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number:

• COMMAND PEST CONTROL - Audit ( twice per year)

  Pass

  Fail

  N/A

• What was date of last COMMAND pest control audit?

  Date

• Have any previous recommendations been actioned?

  Yes

  No

  N/A

• Q-Pulse Number:

• Q-Pulse Number: