Information
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Site
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Conducted on
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Prepared by
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Position
Key
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Safe - Specified items is in good and safe condition. Specified location is in good condition and area is clean, clear and safe (e.g. no slip or trip hazards etc).
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At Risk - Specified item / area is not in a good and safe condition (action required)
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N/A - Not Applicable
1.0 Internal areas
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1.1 General floor tiles / slabs / coverings / surface
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1.2 Mats
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1.3 Doors
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1.4 Toilets
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1.5 Stairwells
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1.6 General lighting
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1.7 Emergency lighting
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1.8 Handrails
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1.9 Bins
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1.10 Store rooms
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1.11 Electrical cupboards / switch rooms
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1.12 Fire escape routes
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1.13 Lifts
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1.14 Escalators
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1.15 Fire alarm panel
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1.16 Fire extinguishers
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1.17 Health and Safety Signage
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1.18 Building Fabric
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1.19 General housekeeping
2.0 Exterior areas
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2.1 Road and pedestrian tiles / slabs / covering / surface
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2.2 Traffic signs
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2.3 Flag poles
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2.4 Lights
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2.5 Kerbs
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2.6 Bollards
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2.7 Landscaping
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2.8 Barrier
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2.9 Canopies
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2.10 Advertising signage
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2.11 Gates
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2.12 Oil Tanks
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2.13 Baler
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2.14 Compactor
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2.15 Bins and skips
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2.16 Recycling facilities
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2.17 Salt / Grit Bins
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2.18 Drains, Gullies and manhole covers
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2.19 Guttering and downpipes
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2.20 Fixed ladders
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2.21 Exterior stairs
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2.22 Roller shutter doors
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2.23 Windows / Glazing
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2.24 Health and Safety Signage
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2.25 Road / Car park line markings
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2.26 Building Fabric
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2.27 General housekeeping
3.0 Christmas
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3.1 Christmas trees
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3.2 Christmas decorations
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3.3 Christmas lights
General comments
Sign Off
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Auditors signature