Swindon leisure

• Audit Title

• Document No.

• Prepared by

• Notes

• Add media

  Media

• Date of audit

  Date

Broome manor golf complex

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Croft sports centre

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Delta tennis centre

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Dorcan recreation complex

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Haydon centre

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Health hydro

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Highworth rec

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Link centre

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Have checks and actions been completed and signed off in the board-water hygiene folder?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place (yearly)

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign

Highworth golf course

• Select date

  Date

• Are legionella monthly temperature checks being completed, up to date, documented and variations in temperature reported/escalated?

  Yes

  No

  N/A

• Is weekly flushing of little or unused outlets taking place and documented?

  Yes

  No

  N/A

• Is there an asbestos management plan in place and has it been reviewed in the last 12 months?

  Yes

  No

  N/A

• Are documented visual inspections of Asbestos containing materials taking place?

  Yes

  No

  N/A

• Are weekly documented fire alarm tests taking place and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented emergency lights tests being carried out and are contractor servicing/inspections up to date?

  Yes

  No

  N/A

• Are monthly documented checks of internal fire doors/fire routes/exit doors/final exit taking place?

  Yes

  No

  N/A

• Other deficiencies found whilst on-site

  Media

• Staff signature

  Sign