Title Page

  • Building / Site & Location

  • Date of visit

  • HE Regional FM staff

  • FM Service Provider

  • E&F Senior Manager

  • NH H&S Representative

Second Floor

Roof Access Room 2nd Floor Right Stairs

  • Room Secured

  • Lighting

  • Walls, floor & ceiling

  • Warning signage

  • Doors (inc fire signage)

  • Door Smoke seals

  • Storage issues

  • Cleaning

  • Fire stopping

  • Ladder compliant and safe

  • Last Ladder Inspection Date

  • Comments

Corridor 2nd Floor

  • Lighting

  • Walls, floor & ceiling

  • Fire Exit signage

  • Doors (inc fire signage)

  • Smoke seals

  • Closers

  • Storage issues

  • Cleaning

  • Comments

OMS office 2nd Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT Items and date

  • Window, walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Water Cooler

  • Water Cooler last inspection date

  • Condition of furniture

  • Cleaning

  • Fire Extinguishers In place

  • Date of last Fire Extinguisher inspection

  • Comments

OMS Office 2nd Floor Electrical Riser

  • Door (inc fire signage)

  • Door Smoke Seal

  • Comments

Oms Office 2nd Floor HWS Tank

  • Door (inc fire signage)

  • Door smoke seals

  • Comments

Service Delivery office 2nd Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT Items and date of last test

  • Windows, walls, floor & ceiling

  • Storage issues

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Water cooler

  • Water Cooler date of last inspection

  • Condition of furniture

  • Cleaning

  • Fire Extinguishers In place

  • Date of last Fire Extinguisher inspection

  • Comments

Emergency Planning office 2nd Floor

  • Lighting

  • HVAC

  • Cable Management

  • Windows, walls, floor & ceiling

  • PAT date of last test

  • Doors (inc fire signage)

  • Smoke seals

  • Closers

  • Storage issues

  • Water Cooler

  • Water Cooler last inspection

  • Condition of furniture

  • Cleaning

  • Fire Extinguishers In place

  • Date of last Fire Extinguisher Inspection

  • Comments

Meeting Room Zero 2nd Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT date of last test

  • Notices and Notice Board

  • Windows, walls, floor ceiling

  • Storage issues

  • Doors (inc fire signage)

  • Smoke seals

  • Closers

  • Condition of furniture

  • Water Cooler

  • Water cooler date of last inspection

  • Cleaning

  • Fire Extinguishers In place

  • Date of last Fire Extinguisher inspection

  • Comments

Locker Room 2nd Floor (Storeroom 3)

  • Lighting

  • Heating Radiator

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door smoke seals

  • Storage issues

  • Condition of furniture

  • Comments

Storeroom 2 - 2nd Floor

  • Cleaning

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Smoke seals

  • Storage issues

  • Condition of equipment

  • Comments

Rest Room - 2nd Floor

  • Lighting

  • Heating Radiator

  • Cable Management

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Smoke seals

  • Closers

  • Storage issues

  • Condition of furniture

  • Cleaning

  • Notice Board

  • Comments

First Aid Room 2nd Floor

  • Lighting

  • Heating radiator

  • Windows, walls, floor ceiling

  • Doors (inc fire signage)

  • Smoke seals

  • Closers

  • Storage issues

  • Condition of Bed

  • Condition of Sink

  • Tap Scale

  • Cleaning

  • First Aid Kit checked

  • First Aid Kit Expiry

  • Sharps bin in place and empty

  • Defibrillator test

  • Difibrillator pads expiry date

  • Defibrillator battery expiry

  • First Aid supplies inc Bedding

  • Health and Safety Notices

  • PAT Date of last test

  • Comments

Storeroom 1 - 2nd Floor

  • Lighting

  • Heating Radiator

  • Walls, floor ceiling

  • Doors (inc fire signage)

  • Smoke seals

  • Storage issues

  • Condition of furniture

  • Cleaning

  • Comments

Shower Room - 2nd Floor

  • Lighting

  • Radiator and Extract Fan

  • Walls, floor & ceiling

  • Shower and Shower head clean

  • Doors (inc fire signage)

  • Smoke seals

  • Storage issues

  • Condition of fittings inc Seating

  • Cleaning

  • Comments

Ladies Toilet - 2nd Floor

  • Lighting

  • Heating and Extract Fan

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Smoke seals

  • Closers

  • Condition of fittings

  • Cleaning

  • Hand dryers

  • Tap condition/scale

  • Air fresheners

  • Sanitary Bins

  • Comments

Gents Toilet - 2nd Floor

  • Lighting

  • Heating and Extract Fan

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Smoke seals

  • Closers

  • Condition of fittings

  • Cleaning

  • Hand dryers

  • Tap condition/scale

  • Air fresheners

  • Sanitary Bin

  • Comments

Disabled Toilet - 2nd Floor

  • Lighting

  • Radiator and Extract Fan

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Condition of fittings

  • Cleaning

  • Toilet Tap & sink condition/scale

  • Cleaners Tap & sink condition/scale

  • Hand dryers

  • Air fresheners

  • Sanitary Bins

  • Disabled assistance alarm working and tested

  • Comment

Kitchen - 2nd Floor

  • Lighting

  • Cooker Extract Fans x 2

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of fittings

  • Cleaning

  • Bins

  • Fridge/freezer

  • Water Boiler Condition

  • Boiler Tap Scale

  • Microwave condition

  • Date of last microwave leakage test

  • PAT date of last test

  • Sink condition x 3

  • Tap Scale

  • Fire Blankets inspected x 2

  • Fire Blanket last inspection date

  • Fire Extinguishers in place

  • Date of last Fire Extinguisher inspection

  • First Aid Kit

  • First aid kit expiry

  • Comment

Lift Lobby 2nd Floor

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Signage by lift

  • Cleaning

  • Fire Extinguishers In place

  • Date of last Fire Extinguisher inspection

  • Comment

First Floor

Lift Lobby 1st Floor

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Signage by lift

  • Cleaning

  • Evac Chair last inspection

  • Comment

Silver Command office 1st Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT date of last test

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of furniture

  • Cleaning

  • Access control

  • Denco Riser in Silver Command

  • Comment

Briefing Area 1st Floor

  • Lighting

  • Walls, floor & ceiling

  • Storage issues

  • Cleaning

  • Fire Extinguishers In place

  • Date of last Fire Extiongisher inspection

  • Notices and Notice Board

  • Seating

  • Vending

  • Water Cooler last inspection

  • Comment

Meeting Room 1 - 1st Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT last test date

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Water Cooler last inspection

  • Condition of furniture

  • Cleaning

  • Storeroom (Service Delivery)

  • Comment

Meeting Room 2 - 1st Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT last test date

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of furniture

  • Cleaning

  • Comment

TM Room - 1st Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT date last test

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of furniture

  • Cleaning

  • Comment

Control Room - 1st Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT Items date of last test

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • First Aid box

  • Expiry Date of Fist Aid Box

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Water cooler

  • Water Cooler last inspection date

  • Condition of furniture

  • Cleaning

  • Fire Extinguishers In place

  • Date of Last Fire Extinguisher inspection

  • Access control x 3 doors

  • Elec Riser

  • Comments

DDS Room - 1st Floor

  • Lighting

  • HVAC

  • Cable Management

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of furniture

  • Cleaning

  • Ladder

  • Ladder date of last test

  • Fire Extinguishers In place

  • Date of last Fire Extinguisher Test

  • Comments

Hot Desk Room - 1st Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT last test date

  • Windows, walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of furniture

  • Cleaning

  • Fire Extinguishers In place

  • Date of last Fire Extinguisher inspection

  • Comments

Cleaner Store 1st Floor Right Stairs

  • Room Secured

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Storage issues

  • Cleaning

  • Vacuum date of PAT

  • Fire stopping

  • COSHH Register and chemicals stored correctly. Bunded

  • Health & Safety Notices

  • H&S signage on door.

  • Comment

Ground Floor

Lift Lobby Ground Floor

  • Lighting

  • Walls, floor & ceiling

  • Storage issues

  • H&S Signage by lift

  • Cleaning

  • Comment

Cleaner Locker Room Ground Floor

  • Lighting

  • Radiator & Extract

  • Walls, floor & ceiling

  • Storage issues

  • Doors (inc fire signage)

  • Door Smoke seals

  • Cleaning

  • Comment

Gents Toilet - Ground Floor

  • Lighting

  • Heating and Extract Fan

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of fittings

  • Cleaning

  • Hand dryers

  • Tap condition/scale

  • Air fresheners

  • Sanitary Bin

  • Comments

Ladies Toilet – Ground Floor

  • Lighting

  • Heating and Extract Fan

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of fittings

  • Cleaning

  • Hand dryers

  • Tap condition/scale

  • Air fresheners

  • Sanitary Bins

  • Comment

Disabled Toilet – Ground Floor

  • Lighting

  • Heating and Extract Fan

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Storage issues

  • Condition of fittings

  • Cleaning

  • Tap condition/scale

  • Hand dryers

  • Air fresheners

  • Sanitary Bins

  • Disabled assistance alarm tested

  • Comment

FM Storeroom Ground Floor

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of fittings

  • Ladders

  • Cleaning

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • H&S signage

  • Comment

Meeting Room 3 Ground Floor

  • Lighting

  • HVAC

  • Extract

  • Cable Management

  • PAT last test date

  • Notices and Notice Board H&S

  • Walls, floor ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of furniture

  • Water Cooler

  • Water cooler date of last inspection

  • Cleaning

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Comment

Server/Equipment Room Ground Floor

  • Room Secure

  • Lighting

  • HVAC

  • Extract

  • Cable Management

  • PAT last test date

  • Date of PAT test

  • Has PAT been undertaken?

  • Notices and Notice Board H&S

  • Walls, floor ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of Equipment

  • Cleaning

  • Fire Suppression System

  • Cylinder expiry date

  • Comment

UPS Room Ground Floor

  • Room Secure

  • Lighting

  • HVAC

  • Extract

  • Walls, floor ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of Equipment

  • Cleaning

  • Comment

IT Storeroom (Next to UPS Room) Ground Floor Right Stairs

  • Room Secured

  • Lighting

  • Cable Management

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Storage issues

  • Cleaning

  • Fire stopping

  • Comment

Storeroom Basement Right Stairs by Fire Exit

  • Room Secured

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Storage issues

  • Cleaning

  • Fire stopping

  • Comment

Engineers Office Ground Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT date of last test

  • Walls, floor ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of Equipment

  • Cleaning

  • Water Cooler

  • Water cooler last inspection date

  • First Aid Kit

  • First Aid Kit expiry

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Comment

Facilities Office Ground Floor

  • Lighting

  • HVAC

  • Cable Management

  • PAT date of last test

  • Walls, floor ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door Closers

  • Storage issues

  • Condition of Equipment

  • Cleaning

  • Access Control/CCTV

  • BMS

  • Fire Alarm Panel

  • Comments

Reception Ground Floor

  • Lighting

  • Cable Management

  • Walls, floor ceiling

  • Doors (inc fire signage)

  • Door Smoke seals

  • Door closers

  • Storage issues

  • Condition of Equipment

  • Defibrillator test

  • Defibrillator pad expiry

  • Defibrillator battery expiry

  • Cleaning

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Fire Alarm Panel

  • H&S Signage

  • Notice Board

  • Comments

Boiler Room Ground Floor

  • Room Secure

  • Maintenance and Testing

  • Lighting

  • Extract system

  • Cable Management

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Storage issues

  • Cleaning

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Safety signage

  • Comments

Basement

Cleaner Store Basement Left Stairs

  • Room Secured

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door smoke seals

  • Storage issues

  • Cleaning

  • Fire stopping

  • Health & Safety Notices

  • H&S signage on door.

  • COSHH Register and chemicals stored correctly, Bunded

  • Comment

Lift Motor Room Basement

  • Room Secured

  • Lighting

  • Cable Management

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door smoke seals

  • Storage issues

  • Cleaning

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Fire stopping

  • Health & Safety Notices

  • Comments

Car Park Basement

  • Lighting

  • Extract system

  • Cable Management

  • Walls, floor & ceiling

  • Drainage

  • Shutter

  • Line Marking

  • Fire Exit Routes

  • Doors (inc fire signage)

  • Door smoke seals

  • Storage issues

  • Cleaning

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Fire stopping

  • Water and Hose

  • Comment

Generator Basement

  • Maintenance and Testing

  • Room Secure

  • Lighting

  • Cable Management

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Storage issues

  • Cleaning

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Safety signage

  • Comment

Electric Risers Basement x 3

  • Maintenance and Testing

  • Doors Secured

  • Cable Management

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door smoke seals

  • Storage issues

  • Fire Stopping

  • Safety signage

  • Comment

Storeroom Basement (Service Delivery)

  • Lighting

  • Walls, floor & ceiling

  • Doors (inc fire signage)

  • Door smoke seals

  • Storage issues

  • Condition of fittings

  • Cleaning

  • Comment

Exterior & All Floors

Exterior

  • Grounds Maintenance

  • Cleaning

  • Carpark Management Vehicle segregation/ line marking

  • Exterior Building Fabric

  • Safety signage

  • Paths/Walkways

  • Rear Gate Secured

  • Walls/Fencing

  • Gates/Barriers

  • Lighting

  • Roofs

  • Water/Drainage

  • Bins

  • Comments

All Floors

Staircase Main Left-Hand side

  • Lighting ok

  • Carpets and stair treads

  • Cleaning

  • Widows

  • Fire Exit signage

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Comments

Staircase Right Hand side

  • Lighting ok

  • Carpets and stair treads

  • Cleaning

  • Windows

  • Fire Exit signage

  • Fire Extinguishers In place

  • Date of last fire extinguisher inspection

  • Comment

Sign-off

  • Completed by

  • Date

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