Title Page
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Site conducted
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Conducted on
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Prepared by
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Scope of inspection
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Is temperature throughout the building suitable for the kind of work being carried out?
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Are lighting levels sound and sufficient throughout the building? Please outline in comments any glare, blackspots and defective lighting
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Emergency lighting routinely tested and in full working order?
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Please rate overall cleanliness, orderliness and general housekeeping throughout the building. (Make notes of good practices and improvements)
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Is there adequate and sufficient room and space for personnel to work in?
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Are workstations suitable, adjustable and adaptable to the individual?
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Please outline the condition and organisation of floors and traffic routes.
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Are transparent doors and windows clean, free of cracks / damage and in good condition?
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Are windows fitted with blinds / curtains to block out glare and sunlight if needed?
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Are sanitary conveniences adequately ventilated and lit?
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Are sanitary conveniences clean, fully functional and in orderly condition?
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Are sanitary conveniences provided separate from male to female?
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shared (male / female) sanitary conveniences lockable from the inside?
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Are there any disabled sanitary conviniences?
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Are washing facilities clean, suitable and well lit?
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Are washing facilities supplied with soap and hand drying provisions?
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Is drinking water available and provided?
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Are there any means of food storage provided?
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Are there any means of boiling water?
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Are there any means of heating food?
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Are accommodation for clothing / lockers provided?
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Are changing facilities provided?
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Are those facilities separated from male/female
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Are facilities provided for drying clothes?
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Female showers are fully functional, clean and orderly?
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Male showers are fully functional, well lit, orderly and in good condition?
Other
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Observation 1
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Observation 2
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Observation 3
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Observation 4
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Observation 5
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Observation 6
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Observation 7
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Observation 8
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Observation 9
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Observation 10