Title Page

  • Conducted on:

  • Property ID:

  • Work Order Reference and Property Address:

  • Paid Month/Year:

  • Tenant name/Contact Details:

  • Asset Class:

  • HeadContractor/Region:

  • Prepared by:

1.0. General Assessment:

  • 1.1. Trade:

  • 1.2. Work Order Programme:

  • 1.3. Work Order Category:

  • 1.4 Assessment Type:

2.0. Access:

  • 2.1. Property Access:

  • Notes:

3.0. Safety Devices:

  • 3.1. Able to test/view all safety devices?

  • 3.2. Are the Smoke Alarms compliant?

  • 3.3. What are the result of the RCD/MCB push button test?

  • 3.4. Has the Main Earth been sighted?

  • Notes:

  • Photographs:

  • 3.5. Are there any Safety Device issues that must be reported immediately?

  • Notes:

4.0. Process:

  • 4.1. Type of documentation required?

  • 4.2. Was valid documentation provided?

  • Notes:

  • Add media

5.0. Issues:

  • 5.1. Are there any workmanship issues identified that do not meet the Standards and Specifications?

  • 5.2. Have issues (other than Workmanship) been identified?

  • 5.3. Prominent issue identified?

  • Notes:

  • Add media

6.0. OSH/HSEMP:

  • 6.1. Are there any OSH/HSEMP issues?

  • Notes:

7.0. Outcome Summary:

  • 7.1. What action is required?

  • 7.2. If a Defect DRC is to be raised what is the scenario?

  • Notes:

8.0. Regional Referal:

  • 8.1. Have other issues been identified not relating to this WO that require Regional/HD referral?

  • Notes:

  • Photographs:

9.0. Additional:

  • 9.1. Are additional comments required?

  • Notes:

  • 9.2. Are additional photographs required?

  • Photographs:

10. Signature:

  • 10.1. Signature of Compliance Officer completing assessment:

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.