YMCA Downslink Quarterly Inspection Form

• Project:

• Address:

• Inspector

• Inspection Date:

  Date

• Last Inspection Date:

  Date

• Rating Scores:

• KEY

• 1. Gold: In good condition - review in 3 months

• 2. Silver: In fair condition - review in 3 months

• 3. Bronze In poor condition - action required

• EMERGENCY - To be commenced immediately, completed, or made safe within 24hours

• URGENT - To be commenced and completed within 5 working days

• ROUTINE - To be commenced and completed within 20 working days

• PLANNED - Action required within 12 months (or by the end of the financial year)

Exterior

• Grass areas & landscaping

  Good

  Fair

  Poor

  N/A

• Pavements & walkways

  Good

  Fair

  Poor

  N/A

• Boundaries, gates & fencing

  Good

  Fair

  Poor

  N/A

• Parking areas & bollards

  Good

  Fair

  Poor

  N/A

• Manhole covers/ stop cocks/ access points

  Good

  Fair

  Poor

  N/A

• Bin stores & chutes

  Good

  Fair

  Poor

  N/A

• Sheds & garages/storage areas

  Good

  Fair

  Poor

  N/A

• External walls

  Good

  Fair

  Poor

  N/A

• Windows and balconies

  Good

  Fair

  Poor

  N/A

• Roof (Including guttering)

  Good

  Fair

  Poor

  N/A

• External lighting/CCTV/security

  Good

  Fair

  Poor

  N/A

• Refuse management

  Good

  Fair

  Poor

  N/A

• Other

  Good

  Fair

  Poor

  N/A

Interior

• Entrance & lobby

  Good

  Fair

  Poor

  N/A

• Door entry system

  Good

  Fair

  Poor

  N/A

• Signage & notice boards

  Good

  Fair

  Poor

  N/A

• Stairs & handrails

  Good

  Fair

  Poor

  N/A

• Floors, landings and corridors

  Good

  Fair

  Poor

  N/A

• Communal doors

  Good

  Fair

  Poor

  N/A

• Internal walls, ceiling and loft hatch

  Good

  Fair

  Poor

  N/A

• Windows & windowsills

  Good

  Fair

  Poor

  N/A

• Internal lighting

  Good

  Fair

  Poor

  N/A

• Lifts

  Good

  Fair

  Poor

  N/A

• Office/office documentation

  Good

  Fair

  Poor

  N/A

• Other

  Good

  Fair

  Poor

  N/A

Shared Facilities

• Communal kitchen

  Yes

  No

  N/A

• Lounge

  Yes

  No

  N/A

• Laundry room

  Yes

  No

  N/A

• Bathrooms

  Yes

  No

  N/A

• Public W/Cs

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Compliance, Health & Safety

• Yes

  No

  N/A

• Are the communal area(s) clear of fire hazards (E.g. bulk rubbish) in stairwells?

  Yes

  No

  N/A

• Are all external fire hazards a safe distance from the building?

  Yes

  No

  N/A

• Are the means of escape (internal and external) clear of obstructions?

  Yes

  No

  N/A

• If installed, is the communal door entry system working correctly and locked?

  Yes

  No

  N/A

• Do all exit doors from the building open easily?

  Yes

  No

  N/A

• If provided, are the stairwell / corridor doors undamaged and closing fully from 90 degrees?

  Yes

  No

  N/A

• If provided, are the stairwell / corridor doors kept shut and not wedged open?

  Yes

  No

  N/A

• Do flat entrance doors appear to be undamaged?

  Yes

  No

  N/A

• If provided, does the alarm appear to be healthy? (no fault lights showing on alarm panel)

  Yes

  No

  N/A

• If provided, do any automatic smoke control facilities appear undamaged and functional?

  Yes

  No

  N/A

• If provided, do fire extinguishers appear to be undamaged and in their correct locations?

  Yes

  No

  N/A

• Are the LED function lights visible on each of the emergency lights?

  Yes

  No

  N/A

• Are all external footpaths and internal walkways level, even and free from any trip hazards?

  Yes

  No

  N/A

• Does any electrical equipment within communal areas (supported/key worker accommodation) bear a current portable appliance test (PAT) label?

  Yes

  No

  N/A

• Gas Certificate (CP12) Visible.

  Yes

  No

  N/A

• Are gas boiler and electric rooms/cupboards secure?

  Yes

  No

  N/A

• Fire log book up to date?

  Yes

  No

  N/A

• Are hazardous materials (CoSHH) stored safely?

  Yes

  No

  N/A

Meter Readings

• Gas Meter Reading:

• Electricity Meter Reading: (day/total)

• Electricity Meter Reading: (night)

Summary

• Additional Comments:

• Overall Score:

  Good

  Fair

  Poor

  N/A