Title Page

  • Scheme name

  • Scheme number

  • Conducted on

  • Prepared by

Structure

  • Type of building ?

  • Number of floors ?

  • Number of lifts?

  • Number of stairwells ?

  • Number of entrances ?

  • Floor covering ?

Internal doors

  • Number of doors with glass ?

  • Number of doors without glass ?

Communal Windows

  • Number of small windows ?

  • Number of medium Windows ?

  • Number of large windows ?

Foot fall

  • Does it need cleaning more than once a week ?

  • Does it need cleaning less than once a week ?

Additional Rooms

  • Number of laundry rooms

  • If so, what block ?

  • Customer external lockable area ?

  • Customer internal lockable area ?

  • If so, what block ?

  • Communal lounges ?

  • If so, what block ?

  • Communal kitchens ?

  • If so, what block ?

  • No of workshop and / or caretaker stores ?

  • If so, what block ?

  • Additional communal space ?

  • If so, what block ?

  • Additional communal space description:

Bins

  • Number of bin chute rooms ?

  • Number of bin stores ?

  • Are we responsible for taking out the bins ?

Additional questions

  • Number of taps requiring legionella flush ?

  • Number of showers requiring legionella flush ?

  • Fire alarm require testing ?

  • Car park ?

  • Playground ?

  • How well does the customers look after the block ?

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.