Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Boiler House

  • Is the Gas on and fault free

  • Zero faults on the control BMS panel (Red/Green) , if issues please list faults on comments section

  • Boiler No.1 is fault free

  • Boiler No.2 is fault free

  • Boiler No.3 is fault free

  • Boiler No.4 is fault free

  • Boiler No.5 is fault free

  • Is Boiler house door locked at all times

  • Comments ( please complete this section if issues)

North service yard gate

  • The north gate is Damage free

  • North gate is rust free

  • Is the gate moving freely in automation

  • Is the track clear for the gate to move freely

  • Is the sensors , yellow warning lights and traffic lights working correctly

  • Is the intercom working properly

  • Is the gate operating properly

  • Is the gate returning to the closed position

  • Is that area behind the gate clear

  • Please Comment if further issues

Generator room

  • Running time

  • Diesel levels

  • RPM

  • Bar pressure

  • Battery

  • Confirm control room received alert that generator is ON

  • Any other comments

Sprinkler - Inspection

  • Checked A.C. supply ok sprinkler pump 1 (green light on)

  • Check A.C. supply ok sprinkler pump 2 (green light on)

  • Is sprinkler house temp ok and heater working?

  • The system is visually leak free

  • Check air pressure on pressure gauge (right hand side). Ensure pressure is at or above 9.5 bar.<br>

  • Check air pressure on "Reliable" pressure gauge (left hand side).Ensure pressure is at or above 40psi<br>

  • Check trip switch in DB01, T27 Row 9 in Landlord switch room. Ensure trip switch is in the up position.<br>

  • Check isolator switch on compressor. Remove black cover using spanner. Ensure Red switch is in the "On" position. Replace black cover. •Press "Reset" button on motor. <br>

  • is house keeping in order

  • Any further Comments ( please complete this section if issues)

Basement room and water tank

  • Water Meter readings

  • Visually is the floor of the Basement rooms clear and clean of any debris or leaks etc

  • Area is free of any hazards

  • Is the basement gate locked?

  • Please comment if there are any issues or hazards.

T-500 Machine

  • T-500 Machine - Is the overall cleanliness of the machine good

  • T-500 Machine- Is it visually rust free

  • T-500 Machine - Is the steering ok on the machine

  • T-500 Machine - visually the rubber on machine are fine

  • T-500 Machine - Are the wheels ok and in full working order

  • T-500 Machine - Overall visual inspection good

  • T-500 Machine - Comments (please complete this if any issues)

T-12 Machine

  • T-12 Machine - Is the overall cleanliness of the machine good

  • T-12 Machine- Is it visually rust free

  • T-12 Machine - Is the steering ok on the machine

  • T-12 Machine - visually the rubber on machine are fine

  • T-12 Machine - Are the wheels ok and in full working order

  • T-12 Machine - Overall visual inspection good

  • T-12 Machine - Comments (please complete this if any issues)

Hoist

  • Is the overall cleanliness of the hoist good

  • Is The Hoist is rust free

  • The wheels are in visibly good condition

  • I've check anchor points on hoist and it is within service dates

  • Do all the movement functions work, up down left right

  • The battery works fine without any issues

  • Are the hydraulic levels good

  • Is it drivable and in full working order

  • The equipment used with hoist i.e. Helmet and harness, are they in excellent condition

  • Is gate functioning properly

  • Is guardrails free of defects

  • Is Extension cage in proper order and all locking mechanisms functioning properly

  • When is the next service visit due

  • Please Comment if further issues

Ladders Inspection (GA3)

  • Cleanliness good

  • Ladders are rust free

  • Ladders with straps, are the straps in good condition, no rips etc

  • visually the ladders are damage free

  • Stability of the ladder good

  • Have new tags and numbers been fitted for 2023

  • Are the ladders tagged & numbered

  • Is ladder No.1 stored in its proper location

  • Is ladder No.2 stored in its proper location

  • Is ladder No.3 stored in its proper location

  • Is ladder No.4 stored in its proper location

  • Comments ( please complete this section if issues)

Toilet area - General Maintenance Check

  • Toilet area - Are the floor tiles ok

  • Toilet area - Is all the lighting working

  • Toilet area - Are the walls ok

  • Toilet area - Are all doors functioning properly

  • Toilet area - Are all corridors plus emergency stairs clear and ok

  • Toilet area - Are ceilings free from leaks and damage

  • Please comment if there are any issues or hazards.

Mall Area - General maintenance Check

  • Mall Area - Are the floor tiles ok

  • Mall Area - Is all the mall lighting working

  • Mall Area - Are the mall walls ok

  • Mall Area - Are all doors and locks ok and fully working

  • Mall Area - Are ceilings free from leaks and damage

  • Mall Area - Are all corridors clear and ok

  • Please comment if there are any issues or hazards.

Library area - General maintenance Check

  • Library area - Are the floors ok

  • Library area - Is all the lighting working

  • Library area - Are the corridor walls ok

  • Library area - Are all doors functioning properly

  • Library area - Are all corridors clear and ok

  • Library area - Are ceilings free from leaks and damage

  • Library area - Are the customer stairs safe and No issue

  • Please comment if there are any issues or hazards.

South service yard gate

  • The South gate is Damage free

  • South gate is rust free

  • Is the gate moving freely in automation

  • Is the sensors and yellow warning lights working correctly

  • Is the intercom working properly

  • Is the gate operating properly

  • Is the gate returning to the closed position

  • Does the emergency pedestrian gate open when pushed out.

  • Does the pedestrian gate return to closed position after being opened

  • Is the pedestrian walkway clear

  • is signage in place on gates

  • Please Comment if further issues

TK MAXX service yard gate

  • Does the emergency pedestrian gate open when pushed out.

  • Does the pedestrian gate return to closed position after being opened

  • Is the pedestrian walkway clear

  • Check the sump beacon is off

  • Please Comment if further issues

TK-MAXX pumping station

  • Is the pumping station fault free

  • Is the manholes to sump Clear

  • Please comment if further issues

Roof check (H)

  • Is the roof clear of hazards

  • Are the water outlets/Gullies clear and unblocked

  • Visually is everything ok and nothing is loose like ladders and pipes etc

  • Visually are the sky way ladders certified for use

  • Is the glazing visually of good condition

  • Is the membrane o the roof in good overall condition

  • Are the roof doors closed and secure

  • Is the roof over pet stop clear and ok

  • is both roof areas on 2nd level ok ( south side facing over Morris walkway)

  • Comments if any further issues

T-20 Machine

  • T-20 Machine - Is the overall cleanliness of the machine good

  • T-20 Machine - Is it visually rust free

  • T-20 Machine - Is the steering ok on the machine

  • T-20 Machine - visually the rubber on machine is fine

  • T-20 Machine - the battery is working fine

  • T-20 Machine - Are the wheels ok and in full working order

  • T-20 Machine - Overall visual inspection is good

  • T-20 Machine - Comments (please complete this if any issues)

Level 1 carpark - General maintenance Check

  • Level 1 carpark - Are the floor tiles in lobbies ok

  • Level 1 carpark - Is all the lighting working

  • Level 1 carpark - Are the lobby & car park walls ok

  • Level 1 carpark - Are all doors functioning properly

  • Level 1 carpark - Are all access areas & corridors ok

  • Level 1 carpark - Are ceilings in lobbies & car park free from leaks and damage

  • Level 1 carpark - Is all signage ok

  • Level 1 carpark - Please Comment if further issues

Level 2 carpark - General maintenance Check

  • Level 2 carpark - Are the floor tiles in lobbies ok

  • Level 2 carpark - Is all the lighting working

  • Level 2 carpark - Are the lobby & car park walls ok

  • Level 2 carpark - Are all doors functioning properly

  • Level 2 carpark - Are all access areas & corridors ok

  • Level 2 carpark - Are ceilings in lobbies & car park free from leaks and damage

  • Level 2 carpark - Is all signage ok

  • Level 2 carpark - Please Comment if further issues

Level 3 carpark - General maintenance Check

  • Level 2 carpark - Are the floor tiles in lobbies ok

  • Level 2 carpark - Is all the lighting working

  • Level 2 carpark - Are the lobby & car park walls ok

  • Level 2 carpark - Are all doors functioning properly

  • Level 2 carpark - Are all access areas & corridors ok

  • Level 2 carpark - Are ceilings in lobbies free from leaks and damage

  • Level 2 carpark - Is all signage ok

  • Level 2 carpark - Please Comment if further issues

Disabled Intercom Service

  • Are all intercoms tested on a monthly basis and working?

  • Any faults or issues found? Please name specific location of intercom

Fire Hose reels

  • Are all fire hose reels in working order?

  • Are all access keys present

  • Record date of last inspection?

  • Please Comment if further issues

Office area - General maintenance Check

  • Office area - Are the floor tiles ok

  • Office area - Is all the lighting working

  • Office area - Are the office mezz walls ok

  • Office area - Are all doors functioning properly

  • Office area - Are all corridors ok

  • Office area - Are ceilings free from leaks and damage

  • Is all office mezz storage tidy and in good condition

  • Please Comment if further issues

Emergency Lighting

  • Are all emergency lights working?

  • Any issues or problems found? Please name specific location of faulty lights.

Stairwell B Check

  • Are doors from car park functioning properly

  • Is the stairwell B clear of obstructions

  • Is the fire exit door on the ground floor fully working

  • This area is leaks & hazards free

  • Please comment if there are any issues or hazards.

Stairwell C Check

  • Are doors from car park functioning properly

  • Is the stairwell C clear of obstructions

  • Is the fire exit door on the ground floor fully working

  • This area is leaks & hazards free

  • Please comment if there are any issues or hazards.

Stairwell D Check

  • Are doors from car park functioning properly

  • Is the stairwell D clear of obstruction

  • Is the fire exit door on the ground floor fully working

  • This area is leaks & hazards free

  • Please comment if there are any issues or hazards.

Stairwell G Check

  • Are doors from car park functioning properly

  • Is the stairwell G clear of obstruction

  • Is the fire exit door on the ground floor fully working

  • This area is leaks & hazards free

  • Please comment if there are any issues or hazards.

Stairwell H Check

  • Are doors from car park functioning properly

  • Is the stairwell H clear of obstruction

  • Is the fire exit door on the ground floor fully working

  • This area is leaks & hazards free

  • Please comment if there are any issues or hazards.

Escape routes.

  • Confirm al Emergency fastening devices to fire exits work correctly ( push bars and pads)

  • Confirm all release mechanisms on all access control doors work correctly and “fail safe “ in the open position.

  • Confirm all fire door seals and self-closing devices in good condition.

  • Confirm all internal self-closing doors work correctly.

  • Confirm no fire doors are being held open (with exception of ones with release mechanism )

  • Please comment if there are any issues or hazards.

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.