Title Page

  • Conducted on

Canteen area

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Disabled toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Toilet corridor

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

locker room

  • is the light in working order

  • Annual soak test

  • Any Action Required?

Male Toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Manager Office + Stores

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Female Toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Back Seating Area

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Kitchen and Wash Area

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Main Stairwell

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Middle Floor Corridor

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Room 1+2 Corridor

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Room 1

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Room 2

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Room 3

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Room 4

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Room 5

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Staff Office

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Male Staff Toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Is Any Action Required?

Female Staff Toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Female Toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Disabled Toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Male Toilet

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Top Floor Kitchen Corridor

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Kitchen

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Main Office

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

Back Stairs ( Fire Escape)

  • Is the Light in Working Order?

  • Annual soak test

  • Any Action Required?

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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.