Title Page

  • Company Name.

  • Company Contact.

  • Company Contact Phone Number.

  • Company contact Email.

  • Site Name

  • Site Address
  • Primary on Site Contact for Emergencies.

  • Primary on Contact for Emergencies Contact Number.

  • Primary on contact for Emergencies Email.

  • Are there emergency key holders for site

  • Emergency key holder 1. details

  • Emergency key holder 2. details

  • Emergency key holder 3. details

  • Shift pattern / hours required for the site.

  • Date of Survey.

  • Survey Conducted By.

Site General Info

  • Type Of Site

  • Brief description of the site

  • Approx Area Of Site In Meters

  • How many buildings are there on site.

  • What type of buildings are these if any.

  • Approx. total area of building floor space.

  • How many floor levels are there to the Site that need to be patrolled.

  • What is the contact details for intruder alarm alarm system issues

  • What is the contact details for fire alarm system issues

  • What is the contact details for electrical system issues.

  • What is the contact details for gas provider issues

  • What is the contact details for water provider issues

  • Describe the area around the site (is it residential / warehousing / green space etc.)

  • What is the main access point to site.

  • Is there Perimeter Fencing or not. (please state the type - height of fencing, any breaches or weaknesses. If no fencing please state what measures are in place).

  • Is there any over hanging trees or shrubs that could allow perimeter access to site.

  • Please State

  • Are there any requirements to work at height on site.

  • Please state what the requirements are.

  • Is there any scafolding or platforms that have to be considered in regards to security of the site.

  • Please state

  • Are there any groundworks that have to be considered for safety on site.

  • Are there any water hazards on site that have to be considered for saftey.

  • What type of External Lighting is on site.

  • What type of internal lighting is on site.

  • Has there been any prior issues with criminal activity's or trespass and vandalism on site reported.

  • Is there a CCTV system in place on site. ( Please describe)

  • Is there a access control system in place for the site (Please describe)

  • Is there any key issue to be conducted by the officer on duty.

  • Is there any Key safes on site.

  • Is there any secure facilities on site such as IT / Lan rooms / Safes / cash offices Ect.

  • Please state and discribe.

  • What is the process for the officer to log people on to and off site ( if required).

  • Is there active equipment / machinery / heavy Plant being used on site, if so please state if this has a risk to the officer.

  • is there a defined storage area for equipment / machinery / Heavy Plant on site.

  • Are there chemicals / substances or materials being stored on site that pose a risk to the officer in the performance of his duties. (please state).

  • Are there chemicals / substances or materials being stored on site that pose a fire risk or explosives to the site. (please state what and where).

  • Is there any BIO or Radiation Hazard areas on site

  • Please state where and procedures in place in regards to these areas.

  • Is there any requirement for the officer to conduct searches of personnel.

  • please state why and process in place.

  • What are the emergency procedure for fires and evacuation on site.

  • Are there any further emergency procedures for the site that the officer may need to be made aware of.

  • What is the procedure for escalation of issues on site to the client.

  • What is the patrol requirements for site

  • Is there a requirement for Patrol point system.

  • Is there any requirement for Citiguard to provide equipment for site.

  • please state what equipment is required.

  • What equipment is the client providing on site.

  • Where is the main cut off for Gas supply to site

  • Where is the main cut off for Water supply to site

  • Where is the main cut off for Electrical supply to site.

  • Are there any risks to site from protesters or actavisits.

  • Please state

  • Are there any concerns to raise in regards to general site security and or H/S

  • Please state

  • Please see map attachment for site overview.

Building details

  • Do windows and doors have an alarm system

  • Please state

  • Is there a PIR system in place in the buildings

  • Give Discription

  • Are there any security grills over windows and doors

  • Please state.

  • Are there any security lights in or on buildings

  • Please give description

  • Is there any vulnerable points to the buildings security.

  • Please state

  • Do any of the windows or doors have their visibility sheltered or hidden by items or trees / shrubbery etc.

  • Please describe

  • Where are the alarm panels stationed.

  • Where are the light switches positioned if any .

  • Are there staircases on site and are they in good condition.

  • Is there any requirement to go on to roofs

  • Please state were and why and safety systems in place for this activity.

  • How are the buildings or gates etc. accessed - i.e. passes / keys / pin numbers etc.

  • Are there any safety concerns to raise within the buildings.

  • Please state.

  • Codes for systems and site.

  • Are there any other concerns or observations not addressed above.

  • Please state

Officer Facilities and Info.

  • Is there water available for the officer

  • is there heating available for the officer

  • Is there shelter available for the officer

  • Is there lighting available for the officer

  • Is there facilities available to heat food

  • Is there toilet facilities available to the officer

  • Is there first aid facilities available to the officer

  • Is there any specific PPE requirements other than Hi-Vis and safety shoes required for site.

  • Please state

  • Is there any specific uniform requirements other than standard officer uniform.

  • please state specific requirement

  • Is there any concerns or observations to make not addressed above.

  • Please state

Document Sign Off.

  • Document completed on Date

  • Compleated by

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.