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