Title Page

  • Client

  • Site name

  • Conducted on

  • Officer Conducting Patrol

  • Location

External Patrol

  • Has site remained secure?

  • Are windows and doors secure?

  • Has external environment changed?

  • Is the site free from suspicious persons or vehicles?

  • Is there any external lighting?

  • Is the permiter site clean and tidy?

  • Provide photos

Internal Patrol

  • Internal required?

  • Why?

  • Provide photo if applicable

  • Have the utilities been disconnected?

  • Is the letterbox sealed?

  • Are there any combustibles on site?

  • Is the building intact from wind and rain?

  • Have there been any changes since your last visit?

  • Additional Photos

Meter Readings

  • Is there a readable electric meter?

  • Take reading(s)

  • Show reading(s) with serial number

  • Why not?

  • Is there a readable gas meter?

  • Take reading(s)

  • Show reading(s) with serial number

  • Why?

  • Is there a readable water meter?

  • Take reading(s)

  • Show reading(s) with serial number

  • Why?

Sign off

  • Additional notes

  • Officer sign off

  • Time off site

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.