Information

  • Document No.

  • Audit Title

  • Conducted on

UNIT/ QUESTION

  • SMOKE VENTS OPENED

  • 30/9/14

  • Signal Received

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • Visual check

  • MARKET WALK

  • 30/9/14

  • Signal Received

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • Visual check

  • ACRE HOUSE

  • Date

  • Signal Received

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • Signal Received

  • NATIONWIDE (SPRINGFIELD HOUSE)

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • LINK CORRIDOR

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • LINK CORRIDOR AUTO DOORS CLOSED AND BELLS SOUNDED

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • Signal Received

  • WILKINSONS (1TOWN SQUARE)

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • SERVICE CORRIDOR

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • NEW LOOK (6 TOWN SQUARE)

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • BRITISH HEART FOUNDATION (12 TOWN SQUARE)

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • FARMFOODS (3 TOWN SQUARE)

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • POUNDWORLD (2 MARKET WALK)

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

  • QUALITY SAVE (4/5 MARKET WALK)

  • Date

KEY

  • Safe - Specified location / times are in good and safe condition and area is clean, clear and safe (e.g. No slip or trip hazards, no litter).

    At Risk - Specified area / items are not in good and safe condition (action required).

    N/A - Not applicable.

  • VISUAL CHECK

  • SIGNAL RECEIVED

Sign off

  • CRAIG GARRETT

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.