Title Page
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Document No.
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Conducted on
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Prepared by
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Completed on
Plant Room
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Are Plant Room free from rubbish and consumable items
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Is Lighting all operational and clean
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Is all relevant signage in place and clean
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Are all doors in order as per 5 step check
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Is fabric in good condition
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Are all Fire Break Glasses in order with Fire Action Notices
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Are all eye wash stations and first aid boxes in date and fully stocked
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Is all plant equipment free from faults
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Are all materials and objects stored without risk of falling to cause injury
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Are pedestrian areas free from potential slip and trip hazards
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Are all unavoidable obstructions padded and marked/signed as hazards
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Are all hazardous substances securely stored
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Vicinitee Reference for faults
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Take Photos of any irregularities
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Sign when completed
Receptions
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Are Receptions all free from rubbish
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Vicinitee reference for faults
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Take photos of any irregularities
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Is lighting fully operational
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Vicinitee reference for faults
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Take photos of any irregularities
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Are all signage correct and in place
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Vicinitee reference for faults
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Take photos of any irregularities
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Is the facade in good condition
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Vicinitee reference for faults
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Take photos of any irregularities
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Are all entrance doors clean and in good working order
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Vicinitee reference for faults
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Take photos of any irregularities
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Are Break Glasses and Fire Notices clearly displayed and clean
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Vicinitee reference for faults
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Take photos of any irregularities
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Sign when completed