Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

BMU's, Access & Safety Equipment

  • Schedule of Equipment in place

  • Photographic evidence -

  • Powered Travelling Ladder maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Latchways, Mansafe Systems maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Eyebolts maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Fixed Ladders maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • BMU's & Cradles maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Powered Access Equipment {Scissor Lift, Boom Lift etc)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Scaffolding Certification in place

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Dock Leveller maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Safety harness inspection records in place.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Auto Door maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Traffic Barrier maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Rising Bollards and Traffic Management maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Roller Shutter Door maintenance and certification completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

CoSHH Management

  • Identifiable COSHH logbook in place

  • Photographic Evidence

  • COSHH register in place

  • Photographic Evidence -

  • COSHH Safety Data Sheets in place

  • Photographic Evidence -

  • Substance Risk Assessments in place

  • Photographic Evidence -

  • First Aid Facilities in place

  • Photographic Evidence -

  • Chemicals properly and safely stored

  • Photographic Evidence -

  • Correct signage in place

  • Photographic Evidence -

  • Personnel Protective Equipment in place

  • Photographic Evidence -

Control of Legionella

  • Identifiable Logbook or Section in Manual in accordance with ACOP (L8)

  • Photographic Evidence -

  • Copy of Water Risk Assessment is available (next review date)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Have all Water Risk Assessment priority actions been addressed

  • Photographic Evidence -

  • Up to date schematic of the building water services is present.

  • Photographic Evidence -

  • Legionella Awareness Training in place and evidenced.

  • Photographic Evidence -

  • Legionella sample (Freq as per WRA)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • TVC sample (Freq as per WRA)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Cold Water outlets (Sentinel) temperatures (M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Cold Water outlets (Representative) temperature on a rotational basis (A)

  • Photographic Evidence

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • CWS Tank temperature (incoming water) (6M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • CWS Tank temperature and inspection completed (A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Hot Water outlets (Sentinel) temperature (M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Hot Water outlets (Representative) temperature on a rotational basis (A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Remedial actions recorded against each out of tolerance result / sample.

  • Photographic Evidence -

  • Calorifier temp (Flow / Return) completed (M).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Calorifier internal inspection completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Calorifier sample condition (A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • TMV (Sentinel) Supply temperature (M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • TMV Maintained, Failsafe checked.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Little use outlets - flushing completed (W)

  • Photographic Evidence -

  • Showers dismantle, clean and descale (Q)

  • Photographic Evidence -

  • Circulation and booster pumps are alternated.

  • Photographic Evidence -

  • Water softener equipment maintained (Freq as per WRA)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Copy of Cooling Tower Risk Assessment is available (next review date)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Have all Cooling Tower Risk Assessment priority actions been addressed

  • Photographic Evidence -

  • Evaporative Cooling Systems (Cooling Tower) - Weekly Control Measures in place (Contractor)

  • Photographic Evidence -

  • Evaporative Cooling Systems (Cooling Tower) - Monthly / Quarterly 6m Control Measures in place (WT Specialist)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Cooling Tower - Legionella sample (Freq as per WRA)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Cooling Tower - Clean and Disinfection (Freq as per WRA)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Water Features maintained (Freq as per WRA)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • RPZ Valves - Certification (A)

  • Photographic Evidence -

  • Closed Systems - Chemical / Microbiological Analysis completed (Q)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Closed Systems - Sheets dated and signed by sub contract engineer / Recommendations provided when necessary

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

Emergency Lighting

  • Check that the Emergency Lighting System has a separate logbook or section in manual setup in accordance with BS5266 Part 1.

  • Photographic Evidence -

  • All Emergency Luminaires listed (Individual or grouped).

  • Photographic Evidence -

  • Schedule Identifies Emergency Luminaires mode of operation (Non Maintained, Non-maintained luminaires, Maintained signs, Maintained)

  • Photographic Evidence -

  • Schedule Identifies individual Emergency Luminaires and locations.

  • Photographic Evidence -

  • Monthly Test completed, Records in place & acceptable

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Annual Test completed, Certificate in place & acceptable to BS 5266 Part 1: 2011

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Records show test duration (M, A)

  • Photographic Evidence -

  • Test Records clearly Identify Pass or Fail.

  • Photographic Evidence -

  • Remedial actions recorded against each Fail.

  • Photographic Evidence -

  • Automatic Test System - Records in place & acceptable.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Emergency Lighting remedial works completed or action in progress.

  • Photographic Evidence -

  • Central battery tests have been completed, Records in place & acceptable. es 5266 Part 1: 2011

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

Electrical Safety / Generator / UPS

  • Switchgear maintenance completed (A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Distribution board maintenance completed (A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Ring main and sub circuits maintenance carried out (A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • RCD (Residual Current Devices)Testing completed

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Electrical Installation Condition Report (EICR) BS 7671 — Requirements for Electrical Installations (IEE Wiring Regulations).

  • Photographic Evidence

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Electrical Installation Condition Report (EICR) BS 7671 —Evidence of Category C1 & C2 Observations remedial action undertaken.

  • Photographic Evidence -

  • Minor Work Certificates completed (when applicable)

  • Photographic Evidence -

  • HV testing - Records in place and acceptable (where applicable)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Lightning Protection Test & Certification (A) BS 6651:1999

  • Photographic Evidence

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Internal Lighting maintenance completed (A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • External Lighting maintenance completed (6M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • PAT Testing of equipment in place

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Power Factor Correction maintenance completed (A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Earthing Systems and Electrodes inspected (A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Generator Service Records (6M,A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Generator Testing Records (W,2w,M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • On load or Load Bank Test undertaken

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • UPS Maintenance Completed (6M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

Energy & Environmental

  • Evidence of Energy Management / Monitoring / Reporting

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Management of Plant and Equipment so as to achieve maximum energy efficiency

  • Photographic Evidence -

  • Environmental & waste disposal policy in place

  • Photographic Evidence -

  • Storage of waste in correct location and acceptable

  • Photographic Evidence -

  • Waste collection records in place & acceptable

  • Photographic Evidence -

  • Fuel Interceptors - Inspected and ernptied

  • Photographic Evidence -

  • Spill Kits in place

  • Photographic Evidence -

  • Above Ground Fuel Tanks inspected (1 & 5 year)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

Engineering Insurance Inspections

  • Copies of Engineering Inspections available

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Schedule of visits in place

  • Photographic Evidence -

  • Schedule of equipment in place

  • Photographic Evidence -

  • Record of Remedial Action in place

  • Photographic Evidence -

Engineers Records

  • Suitable section in logbook

  • Photographic Evidence -

  • PPM Records in place and acceptable

  • Photographic Evidence -

  • Records Dated and signed by engineer

  • Photographic Evidence -

  • Suitable descriptions of works undertaken shown

  • Photographic Evidence -

  • Contain details of any spare parts used or required

  • Photographic Evidence -

  • Cross referenced to additional works quotations

  • Photographic Evidence -

Front of House Condition

  • All lamps working/defective lamps reported

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Ceiling, Walls, Floors in good condition

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Riser ducts / plant access doors locked

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Grilles and diffusers clean and intact

  • Photographic Evidence -

  • Luminaires diffusers clean and intact

  • Photographic Evidence -

Fire Safety Systems

  • Identifiable Logbook or Section in Manual in accordance with BS 5839: Part 1:2013

  • Photographic Evidence -

  • Fire Risk Assessment completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Weekly Fire Alarm tests are being carried out and logged (call point identified).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Regular testing of associated life safety systems (Smoke control systems for means of escape, Evacuation lifts and fire-fighting lift installations, Plant Shutdown) BS 9999:2008

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Weekly Sprinkler tests completed (Sprinkler Pressures and Times recorded).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Quarterly / 6m Fire Alarm System maintenance records completed (includes detail % of devices tested on each visit).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Fire Alarm - Annual Certificate of Test and inspection completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Evidence of Cause & Effect validation.

  • Photographic Evidence -

  • Fire Alarm & FAVA system remedial works completed or in progress.

  • Photographic Evidence -

  • Aspiration (VESDA) maintained (Q,6M,A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Public Address / Voice Alarm (PAVA) maintained (Q,6M,A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Smoke Ventilators maintained (A) BS 7346: Part 1:1990

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Smoke Extract Systems maintained (A)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Smoke Curtains maintained (A).

  • Photographic Evidence -

  • Fire Door Inspection (6m).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Fire Dampers inspected (6M).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Sprinkler System maintained - Sprinkler Valve Set (6M, A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Sprinkler System maintained - Pumps (6M, A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Sprinkler Flow Switch Testing (Q).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Spare Sprinkler heads on site (6-LH, 24-OH, 36-HHP and HHS).

  • Photographic Evidence -

  • System Tank inspection in place (10 Year}.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Sprinkler Head inspection (25 year)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • System Pipework inspection in place (3 Year)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Dry/Wet Riser maintained (6m,A) BS:9990-2006

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Fire Hydrants maintained (A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Hose Reels maintained (A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Fire Extinguishers maintained (A).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Gas Suppression Systems maintained (6M).

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • Room Integrity test completed.

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

Gas, F-Gas Safety

  • 8.01 Line Diagram /Schedule of equipment in place.

  • Photographic Evidence -

  • 8.02 Boiler / Burner maintenance completed (6M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • 8.03 Combustion test readings completed (6M)

  • Photographic Evidence -

  • 8.04 Gas Tightness test completed (A)

  • Photographic Evidence -

  • 8.05 Flue and Ventilation check records

  • Photographic Evidence -

  • 8.06 Annual Safe operation certificate issued

  • Photographic Evidence -

  • 8.07 Gas isolation valve & operation check

  • Photographic Evidence -

  • 8.08 Gas Monitoring Panels / Detectors

  • Photographic Evidence -

  • 7.01 Identifiable F-Gas logbook or section in manual

  • Photographic Evidence -

  • 7.02 Quantity and type of F gas refrigerants installed in each system recorded.

  • Photographic Evidence -

  • 7.03 Quantity of refrigerant recovered during servicing, maintenance and final disposal recorded.

  • Photographic Evidence -

  • 7.04 F-Gas - Refrigerant leak test completed (Frequency based upon the GWP CO2 equivalent Tonnes)

  • Photographic Evidence -

  • 7.05 AC Split, VRF, VRV maintenance completed. (3M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • 7.06 Packaged Chiller Unit maintenance completed (3M)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

  • 7.07 A/C Inspection report carried out (CIBSE TM44)

  • Photographic Evidence -

  • Confirm - Report does not identify remedial actions

  • Status of remedials?

  • photographic evidence -

  • Details of reason why this is not rectified -

H&S Documents

  • PPE Issue register in place

  • Photographic Evidence -

  • Test Equip Register/Calibration Certificates

  • Photographic Evidence -

  • Site Induction Procedure in place and adhered to

  • Photographic Evidence -

  • PTW in place for High Risk Activities

  • Photographic Evidence -

  • Contractor's Site Specific Risk Assessments

  • Photographic Evidence -

  • Contractor's Method Statements in place

  • Photographic Evidence -

  • Subcontractors' Site Specific Risk Assessments

  • Photographic Evidence -

  • Subcontractor's Method Statements in place

  • Photographic Evidence -

  • Ladder Register / inspection

  • Photographic Evidence -

Plant Operation & Condition

  • Plant operational (where awaiting reps rs isolated and labelled)

  • Photographic Evidence -

  • Evidence of regular maintenance to the required standards

  • Photographic Evidence -

  • All plant is operating in automatic mode

  • Photographic Evidence -

  • All plant in good condition visually

  • Photographic Evidence -

  • All guards and covers in place

  • Photographic Evidence -

  • Plant surfaces clean and free from oil and dirt

  • Photographic Evidence -

  • Plant panel doors closed and electrical interlocks in place

  • Photographic Evidence -

  • Drive Belts in good condition

  • Photographic Evidence -

  • All filters in good condition

  • Photographic Evidence -

  • Panel Lamps and indicators working

  • Photographic Evidence -

Sub-Contractor Records

  • Subcontractor accreditation checks undertaken & approved

  • Photographic Evidence -

  • Subcontractors assessed in last 12m

  • Photographic Evidence -

  • Maintenance Records included logbook

  • Photographic Evidence -

  • Suitable descriptions of works undertaken

  • Photographic Evidence -

  • PPM tasks shown separate to reactive tasks

  • Photographic Evidence -

  • Sheets dated and signed by sub contract engineer

  • Photographic Evidence -

  • Sheets countersigned by contractor

  • Photographic Evidence -

  • Subcontractor visit planner

  • Photographic Evidence -

  • Permit to work system in place

  • Photographic Evidence -

  • Conduct of staff (appearance, attitudes & behavior)

  • Photographic Evidence -

  • Follow up subcontractor recommendations

  • Photographic Evidence -

  • Method statements attached

  • Photographic Evidence -

Additional Works Quotations

  • 9.01 Quotations provided promptly

  • 9.02 Quotations detailed adequately (labour / material / Uplifts)

  • Photographic Evidence -

  • 9.03 Quotations uniquely numbered

  • Photographic Evidence -

  • 9.04 Works completed promptly

Management of Contract

  • 4.01 Evidence of support to site engineers

  • Photographic Evidence

  • 4.02 Action on outstanding issues

  • Photographic Evidence -

  • 4.03 Effective communication with client

  • Photographic Evidence -

  • 4.04 Effective sub-contractor management

  • Photographic Evidence -

  • 4.05 Senior Management Site Attendance

  • Photographic Evidence -

  • 4.06 Internal Quality Control Procedures (Evidenced of internal audit process)

  • Photographic Evidence -

  • 4.07 Logbooks on site (Where applicable)

  • Photographic Evidence -

  • 4.08 Logbooks in good condition & stored well (Where applicable)

  • Photographic Evidence -

  • 4.09 Callout records up to date

  • Photographic Evidence -

  • 4.10 Reactive works records up to date

  • Photographic Evidence -

  • 4.11 PPM records up to date

  • Photographic Evidence -

  • 4.12 Critical Spares list (Where applicable)

  • Photographic Evidence -

  • 4.13 Attendance record (Specialist Subcontractor & Mobile Engineers)

  • Photographic Evidence -

Monthly Reports

  • 5.01 Monthly Reports Issued (Where applicable)

  • 5.02 PPM Issued / Outstanding recorded

  • 5.03 Reactive Issued / Outstanding recorded

  • 5.04 Quotes Status Report

  • 5.05 Highlight issues from PPM (Including Specialist Subcontractors)

  • 5.06 Reason for non completion of PPM / Reactive

PPM Planning & CAFM

  • 5.01 Monthly Reports Issued (Where applicable)

  • 5.02 PPM Issued / Outstanding recorded

  • 5.03 Reactive Issued / Outstanding recorded

  • 5.04 Quotes Status Report

  • 5.05 Highlight issues from PPM (Including Specialist Subcontractors)

  • 5.06 Reason for non completion of PPM / Reactive

  • 6.01 PPM Planner in place and up to date

  • 6.02 Asset fist in place and up to date

  • 6.03 Sub contractor planner in place and up to date

  • 6.04 Major tasks phased (e.g. not all in same week)

  • 6.05 Task suitably planned (e.g. boilers in summer)

  • 6.06 Scheduled Tasks shown on Planner e.g. water treatment, meter reading

  • 6.07 Annual Planner Review undertaken (Planner Dated)

Completion

  • Completed by:

  • Signature

  • Hosted by:

  • Signature

  • Reviewed by:

  • Signature

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.