Woodlands Residential Home Site Inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Arrival time

  Date

• Departure time

  Date

• Electric meter reading

  Yes

  No

  N/A

• Gas meter reading

  Yes

  No

  N/A

• Fire safety and regulations

• All fire doors inspected including closing devices, intumescent strips and smoke seals.

  Yes

  No

  N/A

• Visual inspection of all fire detection media.

  Yes

  No

  N/A

• Has all emergency lighting been tested?

  Yes

  No

  N/A

• Next external inspection due on

  Date

• What was the duration of the test?

  Select 5 minutes 10 minutes 15 minutes 20 minutes 25 minutes 30 minutes

  • 5 minutes
  • 10 minutes
  • 15 minutes
  • 20 minutes
  • 25 minutes
  • 30 minutes

• What was the result of the test?

  Good working order

  Faults Found

• If faults were found please describe below

  Yes

  No

  N/A

• Were all fire extinguisers visually inspected?

  Yes

  No

  N/A

• Next external inspection due on

  Date

• What was the result of the inspection?

  Good working order

  Faults Found

• If faults were found please describe below

  Yes

  No

  N/A

• General visual fire safety inspection carried out and any issues recorded.

  Yes

  No

  N/A

• Fire records/log book updated.

  Yes

  No

  N/A

House General Inspections (see report for any faults)

• All call bells tested and functioning correctly?

  Yes

  No

  N/A

• Visual inspection for pests including exterior storage and refuse areas?

  Yes

  No

  N/A

• All toilets, ensuites, showers and bath fittings inspected and checked for blockages?

  Yes

  No

  N/A

• All radiators checked including covers or guards?

  Yes

  No

  N/A

• All decoration, furniture and carpets visually inspected?

  Yes

  No

  N/A

• Visual inspection of overall cleanliness carried out?

  Yes

  No

  N/A

Equipment Inspections

Patient Lifting Equipment

WH001 Locomotor Kellystand 160

• Battery

  Safe

  At Risk

  N/A

• Controls

  Safe

  At Risk

  N/A

• Actuators and spreader bars

  Safe

  At Risk

  N/A

• Base, legs, mast and boom

  Safe

  At Risk

  N/A

• Castors

  Safe

  At Risk

  N/A

• Next loler inspection due

  Date

WH002 Locomotor escort 160

• Battery

  Safe

  At Risk

  N/A

• Controls

  Safe

  At Risk

  N/A

• Actuators and spreader bars

  Safe

  At Risk

  N/A

• Base, legs, mast and boom

  Safe

  At Risk

  N/A

• Castors

  Safe

  At Risk

  N/A

• Next loler inspection due

  Date

WH003 Locomotor kellystand 160

• Battery

  Safe

  At Risk

  N/A

• Controls

  Safe

  At Risk

  N/A

• Actuators and spreader bars

  Safe

  At Risk

  N/A

• Base, legs, mast and boom

  Safe

  At Risk

  N/A

• Castors

  Safe

  At Risk

  N/A

• Next loler inspection due

  Date

WH004 Handicare standaid

• Battery

  Safe

  At Risk

  N/A

• Controls

  Safe

  At Risk

  N/A

• Actuators and spreader bars

  Safe

  At Risk

  N/A

• Base, legs, mast and boom

  Safe

  At Risk

  N/A

• Castors

  Safe

  At Risk

  N/A

• Next loler inspection due

  Date

Wheel Chairs

• WWC001

  Safe

  At Risk

  N/A

• WWC002

  Safe

  At Risk

  N/A

• WWC003

  Safe

  At Risk

  N/A

• WWC004

  Safe

  At Risk

  N/A

• WWC005

  Safe

  At Risk

  N/A

• WWC006

  Safe

  At Risk

  N/A

• WWC007

  Safe

  At Risk

  N/A

• WWC008

  Safe

  At Risk

  N/A

• WWC009

  Safe

  At Risk

  N/A

• WWC011

  Safe

  At Risk

  N/A

• WWC012

  Safe

  At Risk

  N/A

• WWC013

  Safe

  At Risk

  N/A

Electrical/Manual Nursing Profile Beds

• WNB001

  Safe

  At Risk

  N/A

• WNB002

  Safe

  At Risk

  N/A

• WNB003

  Safe

  At Risk

  N/A

• WNB004

  Safe

  At Risk

  N/A

• WNB005

  Safe

  At Risk

  N/A

• WNB006

  Safe

  At Risk

  N/A

• WNB007

  Safe

  At Risk

  N/A

Extra inspections/checks

• Were any additional inspections/checks carried out?

  Yes

  No

  N/A

Water Temperature Testing

• Room 1

  Safe

  At Risk

  N/A

• Shower

  Yes

  No

  N/A

• Room 101

  Safe

  At Risk

  N/A

• Room 2

  Safe

  At Risk

  N/A

• Room 3

  Safe

  At Risk

  N/A

• Room 4

  Safe

  At Risk

  N/A

• Room 5

  Safe

  At Risk

  N/A

• Room 6

  Safe

  At Risk

  N/A

• Room 7

  Safe

  At Risk

  N/A

• Room 102 (bath)

  Safe

  At Risk

  N/A

• Room 102 (sink)

  Safe

  At Risk

  N/A

• Toilet outside kitchen

  Safe

  At Risk

  N/A

• Conservatory toilet

  Safe

  At Risk

  N/A

• Trefonen End toilet

  Safe

  At Risk

  N/A

• Room 8

  Safe

  At Risk

  N/A

• Room 9

  Safe

  At Risk

  N/A

• Room 10

  Safe

  At Risk

  N/A

• Room 11

  Safe

  At Risk

  N/A

• Room 12

  Safe

  At Risk

  N/A

• Room 14

  Safe

  At Risk

  N/A

• Room 15

  Safe

  At Risk

  N/A

• Room 16

  Safe

  At Risk

  N/A

• Room 17

  Safe

  At Risk

  N/A

• Room 18

  Safe

  At Risk

  N/A

• Room 19

  Safe

  At Risk

  N/A

• Room 20

  Safe

  At Risk

  N/A

• Trefonen End bath

  Safe

  At Risk

  N/A

• Trefonen End bathroom sink

  Safe

  At Risk

  N/A

• Sweeney End main bath sink

  Safe

  At Risk

  N/A

• Sweeney end main bath

  Safe

  At Risk

  N/A

• Room 21

  Safe

  At Risk

  N/A

• Room 22

  Safe

  At Risk

  N/A

• Room 23

  Safe

  At Risk

  N/A

• Room 24

  Safe

  At Risk

  N/A

• Room 25

  Safe

  At Risk

  N/A

• Room 26

  Safe

  At Risk

  N/A

• Room 27

  Safe

  At Risk

  N/A

• Room 28

  Safe

  At Risk

  N/A

• Room 29

  Safe

  At Risk

  N/A

• Room 30

  Safe

  At Risk

  N/A

• Room 31

  Safe

  At Risk

  N/A

• Room 32

  Safe

  At Risk

  N/A

• Room 33

  Safe

  At Risk

  N/A

• Room 34

  Safe

  At Risk

  N/A

• Room 35

  Safe

  At Risk

  N/A

• Room 36

  Safe

  At Risk

  N/A

• Room 37

  Safe

  At Risk

  N/A

• Room 38

  Safe

  At Risk

  N/A

• Sweeney End small bath

  Safe

  At Risk

  N/A

• Sweeney End small bath sink

  Safe

  At Risk

  N/A

• Haven kitchen

  Safe

  At Risk

  N/A

• Haven bathroom

  Safe

  At Risk

  N/A

Garden and grounds

• Is the garden and grounds in a satisfactory state of repair?

  Yes

  No

  N/A

Results of audit and recommendations

The following tasks are due within 30 days and may require organising by the client.

• On behalf of Woodland Care

  Sign

• On behalf of English Construction Ltd

  Sign