Information
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Date & Time
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Conducted by
Reception
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Clear access through main entrance
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First Aid equipment in place
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Detail equipment
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First Aid equipment in date
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Photo of first aid kit
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All lights working
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Clear of Hazards
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Detail hazards - including delivery items left by door
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Clear access to fire alarm panel
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Clear access to manual call points
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Any additional information
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Photo 1
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Photo 2
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Photo 3
Down stairs meeting room
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Door fully closing on closer
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Emergency exit boxes are lit
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All lights working
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Clear of Hazards
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Detail hazards - including delivery items left in walkways
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Clear access to fire escape
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Clear access to manual call points
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Fire escape door opened and closed correctly
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Any additional information
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Photo 1
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Photo 2
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Photo 3
Service Corridor
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Door securely locked
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Door closing fully on its closer
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All lights working
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Walkway clear to server room and service room
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Any additional information
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Photo 1
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Photo 2
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Photo 3
Server Room/Ltd2 store
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Door securely locked
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Door closing fully on its closer
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All lights working
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Emergency exit boxes are lit
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Store room tidy
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No COSHH related concerns - if unsure take photos and inform Nigel Johnson
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Walkway clear
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Clear access to manual call point
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Clear access to fire exit
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Fire exit door opened and closed correctly
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Server room door has clear access
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Building electrical items free to access
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Any Additional comments
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Photo of key back in place
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Photo 1
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Photo 2
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Photo 3
Service Room
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Door securely locked
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Door closing fully on its closer
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Emergency exit boxes are lit
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All lights working
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Room tidy
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No COSHH related concerns - if unsure take photos and inform Nigel Johnson
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Walkway clear
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Clear access to manual call point
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Clear access to fire exit
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Fire exit door opened and closed correctly
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First Aid equipment in place
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Detail equipment
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First Aid equipment in date
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Photo of key back in place
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Photo 1
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Photo 2
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Photo 3
Front Stairs
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Door securely locked
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Door closes fully by its closers
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Stairs have clear access
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All lights working
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Top landing has clear access
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Photo 1
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Photo 2
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Photo 3
Meeting Room
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Door closing fully by its closer
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All lights working
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Clear of any hazards
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Photo 1
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Photo 2
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Photo 3
Payroll Room
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Door securely locks when closed
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Door closing fully by its closer
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All lights working
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Clear of any hazards
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Photo 1
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Photo 2
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Photo 3
Accounts Room
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Door closes fully by its closer
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All lights working
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Clear of any hazards
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Photo 1
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Photo 2
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Photo 3
Main Office
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Door is not wedged open
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Door closing fully on its closer
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Emergency exit boxes are lit
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All lights working
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COSHH cupboard is locked
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Toilet corridor is free from hazards
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Fire extinguishers in place
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Clear access to fire extinguisher
- Yes
- No
- N/A
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Fire extinguisher in date
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Photo 1
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Photo 2
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Photo 3
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Fire blanket in place
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Clear access to fire blanket
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Take photo
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Fire blanket in date
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Take photo
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Burns kit in place
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Take photo
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Clear access to burns kit
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Burns kit in date
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Clear access to kitchen fire escape
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Take photo
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Kitchen fire door opens and closes correctly
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Clear access to manual call point by kitchen
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Take photo
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First Aid equipment in place
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Detail equipment
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First Aid equipment in date
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Take photo 1
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Take photo 2
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Take Photo 3
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Main walk ways clear of any hazards
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Clear access to rear stairs fire escape
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Clear access to rear stairs manual call point
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Take photo
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Rear stairs ground floor corridor clear of hazards
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Clear access to rear exit doors
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Rear exit doors close fully on closers
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Emergency exit boxes are lit
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All lights working
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Any additional comments
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Photo 1
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Photo 2
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Photo 3
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Photo 4
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Photo 5
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Photo 6
Builders Store
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All lights working
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Emergency exit boxes are lit
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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First Aid equipment in place
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Detail equipment
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First Aid equipment in date
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Store room tidy
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No COSHH related concerns - if unsure take photos and inform Nigel Johnson
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Walkway clear
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Clear access to manual call point
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Clear access to fire exit
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Fire exit door opened and closed correctly
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COSHH Cupboard locked
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Any additional comments
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Photo 1
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Photo 2
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Photo 3
Plumbers Store
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All lights working
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Emergency exit boxes are lit
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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First Aid equipment in place
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Detail equipment
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First Aid equipment in date
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Store room tidy
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No COSHH related concerns - if unsure take photos and inform Nigel Johnson
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Walkway clear
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Clear access to manual call point
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Clear access to fire exit
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Fire exit door opened and closed correctly
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COSHH Cupboard locked
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Any additional comments
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Photo 1
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Photo 2
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Photo 3
Electrical Store
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All lights working
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Emergency exit boxes are lit
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Fire extinguisher in place
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Clear access to fire extinguisher
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Fire extinguisher in date
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Take photo
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Store room tidy
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No COSHH related concerns - if unsure take photos and inform Nigel Johnson
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Walkway clear
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Clear access to manual call point
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Clear access to fire exit
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Fire exit door opened and closed correctly
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Any additional comments
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Photo 1
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Photo 2
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Photo 3
Outside Fire Exits
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All external fire exits are clear
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Detail Why
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All external escape routes are clear
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Detail Why
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Emergency lights all working above exit doors
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Any additional comments
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Photo 1
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Photo 2
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Photo 3
Skips
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Weee skips tidy
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Detail why
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Take photo
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Cardboard skip tidy
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Detail why
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Take photo
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Metal skip clear
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Detail why
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Take photo
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General waste skip clear
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Detail why
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Take photo
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Additional comments on skips area
Additional Photos of outside areas
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Photo 1
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Photo 2
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Photo 3
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Photo 4
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Photo 5
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Photo 6
Safety Walk Completed
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Date and Time
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Signature