Title Page

  • Week of Report

  • Area of Inspection

  • Prepared by

  • Any Other Personnel Present

Weekly Fire Tests

Fire Alarm Tests

  • Alarm call point tested

  • Alarm activated

  • Alarm audible

  • Automatic doors released

  • Has kitchen gas automatically switched off

  • Kitchen automatic shutter working

  • Person Carrying out test

Housekeeping Checks

    Daily Indoor
  • Date of Inspection

  • All areas clean & tidy

  • Fire escape routes are tidy/unblocked

  • Boiler & Plant rooms secure to prevent unauthorised access

  • Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils

  • Visual check of boiler lockouts

  • Person carrying out inspection

  • Daily Outdoor
  • Date of Inspection

  • Visual check of playground & equipment

  • Visual check of perimeter fencing/gates

  • Nothing in area which doesn't belong or would cause additional hazards to visitors, staff or pupils

  • Has a path been cleared and salt applied?

  • How many bags of salt used?

  • Person carrying out the inspection

Legionella

    Room
  • Room Name & Number

  • Date of Flush

  • Showerhead outlet

  • Basin tap outlet

  • Toilet outlet

  • Hose pipes

  • Person carrying out flush

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.