Forms – 1st Oulton Broad Sea Scout Group

These forms are here to make the general maintenance and record keeping for the group easier. The entries of these forms are added to excel sheets within the Trustees SharePoint and stored there for future reference.

Walkaround Check Form (DO NOT USE)

1Outside

2Fire Safety

3Asbestos Safety

4Electric Safety

5Gas Safety

6Water Safety

7First Aid Reports etc

8General Safety

9Summary

Are the Fire Exits clear? *

Comments *

Are the Doors and Windows Secure? *

Comments *

Is the Gas Storage Container secure? *

Comments *

Are the Gas Storage Container Signs in place? *

Comments *

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Ensure the following locations are functioning:

Car Park *

Porch *

Fire Escape (Upstairs) *

Container End *

Fire Door (Main Hall) *

If any of the above are "No", comment on this here: *

5 x Extinguishers present, accessible and maintained? *

Any Comments *

Test the Fire Call Points *

Any Comments

Test the Fire Lights *

Any Comments

Ensure Fire Doors are operable and clear of obstructions *

Any Comments

Are there any evacuation records overdue? *

Which sections evacuation records are overdue? *

Squirrels
Beavers
Cubs
Scouts
Explorers
General

An email will be sent to this section reminding them that their evacuation drill is due.

VISUAL INSPECTION ONLY – DO NOT TOUCH!

– Kitchen Sink – Mat Beneath Drainer
– Floor Tiles in Electric Meter Cupboard
– Floor Tiles in Hall Cupboards
– Electric Switchgear

Is there any evidence of disturbance? *

Best describe the disturbance *

Pictures of Disturbance *

Click or drag files to this area to upload.You can upload up to 5 files.

If possible, take pictures of the disturbance and upload them here.

Any VISIBLE signs of damage / overheating to meter equipment? *

Best describe the damage: *

Any VISIBLE signs of damage / overheating to fuse boards? *

Best describe the damage: *

Is Permanent Installation Testing up to date? *

List any items not in date? *

Is Portable Appliance Testing up to date? *

List any items not in date? *

Are there any new portable appliances that have not been tested? *

List these items: *

Do all interior lights work? *

List any interior lights that are non functional: *

Does the emergency call point in the disabled WC? *

Any Comments *

Meter Reading | Low *

Meter Reading | High *

When is the Boiler Service Next Due? *

Any VISIBLE signs of damage to meter equipment? *

Please explain damage in as much detail as possible *

Any VISIBLE signs of damage to outside pipework? *

Please explain damage in as much detail as possible *

Meter Reading *

Perform a visual inspection of all water locations & details any issues found?

Gents WC *

Issues Found
No issues to Report

WC for Disabled *

Issues Found
Nothing to Report

Upstairs WC *

Issues Found
Nothing to Report

Kitchen Sink & Boiler *

Issues Found
Nothing to Report

If any of the above are "Issues Found", comment on them here: *

Meter Reading *

First Aid Kit present? *

Any items to be replaced? – please list shortages and any upcoming expiry dates. *

Please rectify any of below issues as you go but still record them as an issue.

Is the Hall Usage Risk Assessment displayed? *

Is the Stairway and Lobby area clear from Obstructions? *

Please describe obstructions? *

Are the Chairs stacked safely? *

Are the tables stored safely? *

Is there any damage to the safety signage? *

Please describe the damage in as much detail as possible? *

Any Slip / Trip / Fall Hazards? *

Please describe them in as much detail as possible? (copy) *

Any hazardous substances not locked in the kitchen / store? *

Please list them and their location? *

Any flammable liquids not locked in the red cabinet in the store? *

Please list them and their location? *

Any gas cylinders stored inside the building? *

Please move them back to the gas container in the top car park.

Any lead acid batteries inside the building? *

Please list them and their location? *

Any food hygeine issues in the kitchen? *

Please list them? *

Any Other Issues?

Anything not covered by the previous range of questions.

Walkaround Check Completed by

Full Name *

Your Section *

Are them Comments

Fire Drill Notification Form

Your Name *

First

Last

Your Section *

Date & Time of Fire Drill Test *

Date

Time

Any Faults / Comments with Fire Drill Equipment etc?

Please enter any faults / comments on Fire Drill Equipment here, if none leave black.

Any Next with

Date of Next Scheduled Test *

Maintenance Report Form

works Description completion

Reporter's Name *

First

Last

Date / Time Issue First Noticed *

Date

Time

Summary of Issue *

Detailed Description of Issue *

Severity of Issue *

Urgency on Repair *

Have you attempted to resolve the issue? *

Actions taken so far to remediate the issue *

Did these actions successfully / safely resolve the issue? *

Yes
No
Needs further action

Please sign to confirm completion of works *

Clear Signature

By signing, you agree that the repair carried out is of safe and suitable standard to the organisation we are running and the nature of it’s oprtations.

Date of completion of works *

Date

Time

Walkaround Check Form (DO NOT USE)

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VISUAL INSPECTION ONLY – DO NOT TOUCH!

Walkaround Check Completed by

Fire Drill Notification Form

Maintenance Report Form

Event Table Booking Form