Title Page
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Document No.
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Client / Site
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Conducted on
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Personnel
Movement around the building
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Are paths, steps and any ramps to and from the building properly maintained to minimise slip and trip risks?
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Is lighting suitable and sufficient to allow safe access and exit (including lighting of emergency exits)?<br>
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Are floor areas clean, dry and free from slip/trip hazards? <br>
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If just cleaned is the correct yellow wet floor sign present?<br>
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Are walkways kept clear?<br>
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Are stairs and handrails in good condition?<br>
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Are all lighting fixtures in work areas and walkways inside and outside working? (No if any bulbs/lamps have blown or not working)<br><br><br><br>
General Housekeeping
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Is the electrical cupboard locked? (In main lounge area ground floor) Is the shower boiler cupboard locked? <br><br>
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Is the shield cleaning cupboard locked?<br>
Fire
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Any trailing leads across walkways securely covered or taped?<br><br>
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Are the offices free from build up of cardboard or paper?<br>
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Are Fire exits clear of obstructions?<br>
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Are all fire doors shut but not locked?<br>
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Are fire extinguishers & blankets easily assessable?<br>
Welfare Matters
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Are toilets clean? (no long-term stain build-up or unacceptable mess)<br><br>
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Are staff kitchen facilities & coffee lounge clean?<br>
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Is drinking water available?<br>
Opportunity for Improvement
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Corrective Actions
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Signature of auditor