Title Page

  • Site conducted

  • Conducted on

  • Conducted by

  • Month

Week 1

  • CCTV cameras are working ok

  • Compliance certification up to date

  • Compressed Gas Log is up to date

  • COSHH: Cupboard is clean and tidy

  • Electrical cables are in good condition and not a trip hazard

  • Electrical equipment is in good condition and PAT tested

  • Electrical sockets are in good condition and not overloaded

  • Environment is clean and tidy

  • External access ramps and flooring is in good condition

  • External fencing is in good condition

  • External garden furniture is in good condition

  • External grounds look good and being maintained

  • External grounds Environmental Services Contract Snap Survey completed

  • External paths in good condition and free from trip hazards

  • Fire Safety - Fire Safety Check and Reported online

  • Fire Safety - Marshal names displayed

  • First Aider names displayed

  • Floors are in good condition and free from trip hazards

  • Handrails are in good condition and secure

  • Hot water signage in place where applicable

  • HSE Health and Safety Poster displayed

  • Internal lights are working

  • Kitchens - Chef’s/assistants uniforms are clean

  • Kitchens - clean and tidy, free from trip hazards/obstructions

  • Kitchens - Cooked food temperature checks been recorded

  • Kitchens - Delivery checks recorded

  • Kitchens - Dietary requirements of customers up to date

  • Kitchens - Foods are stored correctly, covered and dated

  • Kitchens - Fridges/freezers temperature checks recorded

  • Kitchens - Handwashing facilities and toilets in good working order

  • Kitchens ‘ Cross contamination measures in place

  • Lifts/stair lifts are in good working order

  • MH employees insurance liability displayed

  • MH Health and Safety Policy displayed

  • Night Staff Health and safety checks have been completed

  • Night Staff Housekeeping spot check completed

  • Restricted areas are clean, tidy and secure

  • Rubbish areas and bins are clean and tidy

  • SALTO locks audit

  • Sharps box checked and disposed of (if applicable)

  • Stairways are in good condition and free from trip hazards

  • Visitors book/s in place and being signed

  • Windows are clean

  • Windows - Environmental Services Contract Snap Survey completed

  • Kitchen -Ensure that the storage of cooking oil is checked when completing housekeeping checks and there is a safe system for disposing of, or storing large quantities of oil

  • All smoking bins/shelters are tidy and free from discarded cigarette butts

  • Gym check- all equipment is free from damage and in working order. Room is free of hazards and in good repair.

Week 2

  • CCTV cameras are working ok

  • Compliance certification up to date

  • Compressed Gas Log is up to date

  • COSHH: Cupboard is clean and tidy

  • Electrical cables are in good condition and not a trip hazard

  • Electrical equipment is in good condition and PAT tested

  • Electrical sockets are in good condition and not overloaded

  • Environment is clean and tidy

  • External access ramps and flooring is in good condition

  • External fencing is in good condition

  • External garden furniture is in good condition

  • External grounds look good and being maintained

  • External grounds Environmental Services Contract Snap Survey completed

  • External paths in good condition and free from trip hazards

  • Fire Safety - Fire Safety Check and Reported online

  • Fire Safety - Marshal names displayed

  • First Aider names displayed

  • Floors are in good condition and free from trip hazards

  • Handrails are in good condition and secure

  • Hot water signage in place where applicable

  • HSE Health and Safety Poster displayed

  • Internal lights are working

  • Kitchens - Chef’s/assistants uniforms are clean

  • Kitchens - clean and tidy, free from trip hazards/obstructions

  • Kitchens - Cooked food temperature checks been recorded

  • Kitchens - Delivery checks recorded

  • Kitchens - Dietary requirements of customers up to date

  • Kitchens - Foods are stored correctly, covered and dated

  • Kitchens - Fridges/freezers temperature checks recorded

  • Kitchens - Handwashing facilities and toilets in good working order

  • Kitchens ‘ Cross contamination measures in place

  • Lifts/stair lifts are in good working order

  • MH employees insurance liability displayed

  • MH Health and Safety Policy displayed

  • Night Staff Health and safety checks have been completed

  • Night Staff Housekeeping spot check completed

  • Restricted areas are clean, tidy and secure

  • Rubbish areas and bins are clean and tidy

  • SALTO locks audit

  • Sharps box checked and disposed of (if applicable)

  • Stairways are in good condition and free from trip hazards

  • Visitors book/s in place and being signed

  • Windows are clean

  • Windows - Environmental Services Contract Snap Survey completed

  • Kitchen -Ensure that the storage of cooking oil is checked when completing housekeeping checks and there is a safe system for disposing of, or storing large quantities of oil

  • All smoking bins/shelters are tidy and free from discarded cigarette butts

  • Gym check- all equipment is free from damage and in working order. Room is free of hazards and in good repair.

Week 3

  • CCTV cameras are working ok

  • Compliance certification up to date

  • Compressed Gas Log is up to date

  • COSHH: Cupboard is clean and tidy

  • Electrical cables are in good condition and not a trip hazard

  • Electrical equipment is in good condition and PAT tested

  • Electrical sockets are in good condition and not overloaded

  • Environment is clean and tidy

  • External access ramps and flooring is in good condition

  • External fencing is in good condition

  • External garden furniture is in good condition

  • External grounds look good and being maintained

  • External grounds Environmental Services Contract Snap Survey completed

  • External paths in good condition and free from trip hazards

  • Fire Safety - Fire Safety Check and Reported online

  • Fire Safety - Marshal names displayed

  • First Aider names displayed

  • Floors are in good condition and free from trip hazards

  • Handrails are in good condition and secure

  • Hot water signage in place where applicable

  • HSE Health and Safety Poster displayed

  • Internal lights are working

  • Kitchens - Chef’s/assistants uniforms are clean

  • Kitchens - clean and tidy, free from trip hazards/obstructions

  • Kitchens - Cooked food temperature checks been recorded

  • Kitchens - Delivery checks recorded

  • Kitchens - Dietary requirements of customers up to date

  • Kitchens - Foods are stored correctly, covered and dated

  • Kitchens - Fridges/freezers temperature checks recorded

  • Kitchens - Handwashing facilities and toilets in good working order

  • Kitchens ‘ Cross contamination measures in place

  • Lifts/stair lifts are in good working order

  • MH employees insurance liability displayed

  • MH Health and Safety Policy displayed

  • Night Staff Health and safety checks have been completed

  • Night Staff Housekeeping spot check completed

  • Restricted areas are clean, tidy and secure

  • Rubbish areas and bins are clean and tidy

  • SALTO locks audit

  • Sharps box checked and disposed of (if applicable)

  • Stairways are in good condition and free from trip hazards

  • Visitors book/s in place and being signed

  • Windows are clean

  • Windows - Environmental Services Contract Snap Survey completed

  • Kitchen -Ensure that the storage of cooking oil is checked when completing housekeeping checks and there is a safe system for disposing of, or storing large quantities of oil

  • All smoking bins/shelters are tidy and free from discarded cigarette butts

  • Gym check- all equipment is free from damage and in working order. Room is free of hazards and in good repair.

Week 4

  • CCTV cameras are working ok

  • Compliance certification up to date

  • Compressed Gas Log is up to date

  • COSHH: Cupboard is clean and tidy

  • Electrical cables are in good condition and not a trip hazard

  • Electrical equipment is in good condition and PAT tested

  • Electrical sockets are in good condition and not overloaded

  • Environment is clean and tidy

  • External access ramps and flooring is in good condition

  • External fencing is in good condition

  • External garden furniture is in good condition

  • External grounds look good and being maintained

  • External grounds Environmental Services Contract Snap Survey completed

  • External paths in good condition and free from trip hazards

  • Fire Safety - Fire Safety Check and Reported online

  • Fire Safety - Marshal names displayed

  • First Aider names displayed

  • Floors are in good condition and free from trip hazards

  • Handrails are in good condition and secure

  • Hot water signage in place where applicable

  • HSE Health and Safety Poster displayed

  • Internal lights are working

  • Kitchens - Chef’s/assistants uniforms are clean

  • Kitchens - clean and tidy, free from trip hazards/obstructions

  • Kitchens - Cooked food temperature checks been recorded

  • Kitchens - Delivery checks recorded

  • Kitchens - Dietary requirements of customers up to date

  • Kitchens - Foods are stored correctly, covered and dated

  • Kitchens - Fridges/freezers temperature checks recorded

  • Kitchens - Handwashing facilities and toilets in good working order

  • Kitchens ‘ Cross contamination measures in place

  • Lifts/stair lifts are in good working order

  • MH employees insurance liability displayed

  • MH Health and Safety Policy displayed

  • Night Staff Health and safety checks have been completed

  • Night Staff Housekeeping spot check completed

  • Restricted areas are clean, tidy and secure

  • Rubbish areas and bins are clean and tidy

  • SALTO locks audit

  • Sharps box checked and disposed of (if applicable)

  • Stairways are in good condition and free from trip hazards

  • Visitors book/s in place and being signed

  • Windows are clean

  • Windows - Environmental Services Contract Snap Survey completed

  • Kitchen -Ensure that the storage of cooking oil is checked when completing housekeeping checks and there is a safe system for disposing of, or storing large quantities of oil

  • All smoking bins/shelters are tidy and free from discarded cigarette butts

  • Gym check- all equipment is free from damage and in working order. Room is free of hazards and in good repair.

Monthly sign off

  • RLM Signature

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.