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This report took 5 SECONDS to produceand a few MINUTESto collect the data on site!Download the surveying app for FREE atYour Company NameYour Addresswww.pocketsurvey.comYour TownCounty, Post CodeEmail: [email protected]: your.web.siteTel: Your Phone NumberCompliance ReportPrepared by Your Company NameA Test Site - Test Area, Test Address, TEST POSTCODEOverall Rating:Building AddressClientSurveyed DateTest AddressTest TownTEST POSTCODEYour Client Name19th September 2018 by Main SurveyorOverall Comments:Some overall comments about the statutory compliance survey.

A Test Site - Test Area, Test Address, TEST POSTCODEContents1INTRODUCTION32ACTION SUMMARY43ASBESTOS64ASSET MANGEMENT65CCTV66CATERING EQUIPMENT67DATA TERMINALS68DISPLAY SCREEN ASSESSMENT69ELECTRICAL STAGE LIGHTING710 ENERGY CERTIFICATE811 FIRE RISK812 FOLDING TABLES913 FUEL STORAGE914 GAS915 GENERAL FABRIC1016 GYM EQUIPMENT1017 INTRUDER ALARM SYSTEM1018 TREE SAFETY1119 WATER HYGIENE11APPENDIX: PHOTOGRAPHS12About this Compliance ReportThis Compliance Report will identify the status of compliance for a building.Page 2

A Test Site - Test Area, Test Address, TEST POSTCODE1 INTRODUCTIONThis report provides a record of the Compliance Report at: A Test Site - Test Area, Test Address, TEST POSTCODE for . It wassurveyed by Main Surveyor of Your Company Name on the 19th September 2018. The purpose of the inspection is to identifythe status of compliance for a building. The report represents only the best judgement of the assessor involved in its preparation,and is based, in part, on information provided by others. No liability whatsoever is accepted for the accuracy of such information.Building OwnerBuilding AddressSurveyorSurvey DateLimitationsYour Client NameA Test Site - Test Area, Test Address, TEST POSTCODEMain Surveyor of Your Company Name19th September 2018The following limitations apply to the conduct of the inspection: The inspection was purely of a visible nature, without the use of ladders or the benefit ofexploratory work. Its extent is limited to cracks to internal walls, floors and ceilings andsignificant defects to exterior walls, roof and boundaries, having regard to their age andconstruction type. No structural survey or inspection of concealed or otherwise hidden services or finishes wasundertaken. The presence of furniture, fittings, furnishings, artwork and stored items generally restricts thescope of inspection, and where such articles or items exist, none were moved. Ceiling, wall andfloors surfaces concealed by such articles or items were not inspected. No testing of any service installations was undertaken.Page 3

A Test Site - Test Area, Test Address, TEST POSTCODE2 Action SummaryItemDescriptionActionCompliancePhotoDisplay ScreenAssessmentNo DSA in placeAppoint a new serviceprovider to conduct surveysand produce aReport/RecordNon Compliant(Photo 1)DSA StatusCategory: StatutoryImportance: 49Responsibility: Business ManagerFire RiskFire ExitsAudit process NOT inplaceChase up existing providerto conduct surveys andproduce a ReportResponsibility: Business ManagerFire RiskNot recordedFire DoorsAppoint a new serviceprovider to conduct surveysand produce a ReportResponsibility: Business ManagerFire RiskNo service recordsFire Sprinkler SystemsAppoint a new serviceprovider to conduct surveysand produce a ReportResponsibility: Business ManagerFuel StorageFuel Storage Tank - OilBundedFuel StorageFuel Storage Tank - GasFuel StorageBunded capacity notsuitable/ adeqateMaintenance and servingout of dateNot AdequateFuel Storage SpacesAsbestosAsbestos ReportElectrical Stage LightingElectrical Stage LightingStatusAsbestos survey carriedoutRecords out of dateNon CompliantImportance: 28Non CompliantImportance: 26Non Compliant(Photo 4)Category: StatutoryImportance: 16Non CompliantResponsibility: Business ManagerImportance: 255Commision inspection andserviceBorderlineResponsibility: Business ManagerImportance: 248Investigate fuel storagespacesNon CompliantResponsibility: Business ManagerImportance: 244Chase up service provider forreportBorderlineResponsibility: Business ManagerImportance: 42Chase up existing providerto carry out service andproduce a ReportBorderlinePage 4(Photo 3)Category: StatutoryReplacement of tank or newbund formedResponsibility: Business Manager(Photo 2)Category: Statutory(Photo 5)Category: Statutory(Photo 1)Category: Statutory(Photo 6)Category: Statutory(Photo 10)Category: StatutoryCategory: StatutoryImportance: 180(Photo 11)

A Test Site - Test Area, Test Address, TEST POSTCODEItemDescriptionActionCompliancePhotoWater HygieneNo measures in place toprevent harmAppoint a new serviceprovider to conduct surveysand produce aReport/RecordNon Compliant(Photo 7)Water SurfacesTemperaturesCategory: StatutoryImportance: 70Responsibility: Business ManagerWater HygieneWater Hygiene TestPrecautionsNo Inspection/TestSystemAppoint a new serviceprovider to conduct surveysand produce aReport/RecordNon Compliant(Photo 1)Category: StatutoryImportance: 63Responsibility: Business ManagerWater HygieneRA's out of dateWater Hygiene RA ReportChase up existing providerto conduct surveys andproduce a ReportResponsibility: Business ManagerData TerminalsNo recordDTE StatusAppoint new service providerto carry out service andproduce a ReportResponsibility: Business ManagerIntruder Alarm SystemIntruder Alarm SystemPresentMaintenance records outof dateChase up existing providerto carry out service andproduce a Report/RecordResponsibility: Site ManagerAsset MangementPlan 5 years oldAsset Mangement PlanChase up existing providerto conduct surveys andproduce a ReportResponsibility: Business ManagerGeneral FabricAutomatic or ElectricGatesNo service recordspresentAppoint new service providerto carry out service andproduce a ReportResponsibility: Business ManagerCCTVCCTV StatusService records out ofdateChase up existing providerto carry out service andproduce a ReportResponsibility: Site ManagerPage 5Borderline(Photo 1)Category: StatutoryImportance: 60Non Compliant(Photo 8)Category: InsuranceImportance: 214Borderline(Photo 12)Category: InsuranceImportance: 195Borderline(Photo 14)Category: Best PracticeImportance: 1Non Compliant(Photo 9)Category: Best PracticeImportance: 120BorderlineCategory: Best PracticeImportance: 160(Photo 13)

A Test Site - Test Area, Test Address, TEST POSTCODE3 AsbestosItemDescriptionActionComplianceAsbestos ReportAsbestos survey carriedoutChase up service provider forreportBorderlineResponsibility: Business ManagerImportance: 42Photo(Photo 10)Category: Statutory4 Asset MangementItemDescriptionActionComplianceAsset Mangement PlanPlan 5 years oldChase up existing providerto conduct surveys andproduce a ReportBorderlineResponsibility: Business ManagerPhoto(Photo 14)Category: Best PracticeImportance: 15 CCTVItemDescriptionActionComplianceCCTV StatusService records out ofdateChase up existing providerto carry out service andproduce a ReportBorderlineResponsibility: Site ManagerPhoto(Photo 13)Category: Best PracticeImportance: 1606 Catering EquipmentItemDescriptionCatering Equipment StatusCleanActionComplianceCompliantPhoto(Photo 24)Category: StatutoryImportance: 2337 Data TerminalsItemDescriptionActionCompliancePhotoDTE StatusNo recordAppoint new service providerto carry out service andproduce a ReportNon Compliant(Photo 8)Responsibility: Business ManagerCategory: InsuranceImportance: 2148 Display Screen AssessmentItemDescriptionActionCompliancePhotoDSA StatusNo DSA in placeAppoint a new serviceprovider to conduct surveysand produce aReport/RecordNon Compliant(Photo 1)Responsibility: Business ManagerPage 6Category: StatutoryImportance: 49

A Test Site - Test Area, Test Address, TEST POSTCODE9 Electrical Stage LightingItemDescriptionActionComplianceElectrical Stage LightingStatusRecords out of dateChase up existing providerto carry out service andproduce a ReportBorderlineResponsibility: Business ManagerPage 7Category: StatutoryImportance: 180Photo(Photo 11)

A Test Site - Test Area, Test Address, TEST POSTCODE10 Energy CertificateItemDescriptionEnergy Certificate StatusDECActionComplianceCompliantPhoto(Photo 15)Category: StatutoryImportance: 23611 Fire RiskItemDescriptionActionCompliancePhotoFire ExitsAudit process NOT inplaceChase up existing providerto conduct surveys andproduce a ReportNon Compliant(Photo 2)Responsibility: Business ManagerFire DoorsNot recordedAppoint a new serviceprovider to conduct surveysand produce a ReportResponsibility: Business ManagerFire Sprinkler SystemsNo service recordsAppoint a new serviceprovider to conduct surveysand produce a ReportResponsibility: Business ManagerFire Shutters or CurtainsNo fire shuttersor curtainsCategory: StatutoryImportance: 28Non Compliant(Photo 3)Category: StatutoryImportance: 26Non Compliant(Photo 4)Category: StatutoryImportance: 16Compliant(Photo 16)Category: StatutoryImportance: 37Fire HosesUp to date service recordsCompliant(Photo 1)Category: StatutoryImportance: 33Fire Alarm SystemUp to dateCompliant(Photo 17)Category: StatutoryImportance: 10Fire Risk AssessmentReportFRA up to dateCompliantCategory: StatutoryImportance: 6Page 8(Photo 18)

A Test Site - Test Area, Test Address, TEST POSTCODE12 Folding TablesItemDescriptionFolding Tables StatusService inspection recordsup to dateActionComplianceCompliantPhoto(Photo 29)Category: Best PracticeImportance: 22813 Fuel StorageItemDescriptionActionCompliancePhotoFuel Storage Tank - OilBundedBunded capacity notsuitable/ adeqateReplacement of tank or newbund formedNon Compliant(Photo 5)Responsibility: Business ManagerImportance: 255Investigate fuel storagespacesNon CompliantResponsibility: Business ManagerImportance: 244Commision inspection andserviceBorderlineResponsibility: Business ManagerImportance: 248Fuel Storage SpacesFuel Storage Tank - GasFuel Storage - BiomassNot AdequateMaintenance and servingout of dateMaintenance and servingup to dateCategory: Statutory(Photo 6)Category: Statutory(Photo 1)Category: StatutoryCompliant(Photo 20)Category: StatutoryImportance: 257Fuel Storage Tank - OilMaintenance and servingupto dateCompliant(Photo 21)Category: StatutoryImportance: 25014 GasItemDescriptionGas Pipework &EquipmentInspection records up todateActionComplianceCompliantPhoto(Photo 19)Category: StatutoryImportance: 264Gas Appliance RegisterRecorded and auditedCompliantCategory: StatutoryImportance: 261Page 9(Photo 1)

A Test Site - Test Area, Test Address, TEST POSTCODE15 General c or ElectricGatesNo service recordspresentAppoint new service providerto carry out service andproduce a ReportNon Compliant(Photo 9)Responsibility: Business ManagerLightning CondutorTesting Records in dateCategory: Best PracticeImportance: 120Compliant(Photo 22)Category: StatutoryImportance: 123Fragile RoofsIdentified fragile roofsCompliant(Photo 23)Category: StatutoryImportance: 108Swimming PoolInspection records up todateCompliant(Photo 26)Category: Best PracticeImportance: 141Roller ShuttersNo shutters presentCompliant(Photo 27)Category: Best PracticeImportance: 132Automatic DoorMaintenance records upto dateCompliant(Photo 28)Category: Best PracticeImportance: 11416 Gym EquipmentItemDescriptionGym Equipment StatusRegime in place andrecordedActionComplianceCompliantPhoto(Photo 25)Category: InsuranceImportance: 21817 Intruder Alarm SystemItemDescriptionActionComplianceIntruder Alarm SystemPresentMaintenance records outof dateChase up existing providerto carry out service andproduce a Report/RecordBorderlineResponsibility: Site ManagerPage 10Category: InsuranceImportance: 195Photo(Photo 12)

A Test Site - Test Area, Test Address, TEST POSTCODE18 Tree SafetyItemDescriptionTrees In GroundsNo Trees on GroundsActionComplianceCompliantPhoto(Photo 1)Category: Best PracticeImportance: 5319 Water HygieneItemDescriptionActionCompliancePhotoWater SurfacesTemperaturesNo measures in place toprevent harmAppoint a new serviceprovider to conduct surveysand produce aReport/RecordNon Compliant(Photo 7)Category: StatutoryImportance: 70Responsibility: Business ManagerWater Hygiene TestPrecautionsNo Inspection/TestSystemAppoint a new serviceprovider to conduct surveysand produce aReport/RecordNon Compliant(Photo 1)Category: StatutoryImportance: 63Responsibility: Business ManagerWater Hygiene RA ReportRA's out of dateChase up existing providerto conduct surveys andproduce a ReportResponsibility: Business ManagerPage 11BorderlineCategory: StatutoryImportance: 60(Photo 1)

A Test Site - Test Area, Test Address, TEST POSTCODEAPPENDIX: PHOTOGRAPHSPhoto 1Photo 2Photo 3Photo 4Photo 5Photo 6Photo 7Photo 8Photo 9Photo 10Page 12

A Test Site - Test Area, Test Address, TEST POSTCODEAPPENDIX: PHOTOGRAPHSPhoto 11Photo 12Photo 13Photo 14Photo 15Photo 16Photo 17Photo 18Page 13

A Test Site - Test Area, Test Address, TEST POSTCODEAPPENDIX: PHOTOGRAPHSPhoto 19Photo 20Photo 21Photo 22Photo 23Photo 24Photo 25Photo 26Photo 27Photo 28Page 14

A Test Site - Test Area, Test Address, TEST POSTCODEAPPENDIX: PHOTOGRAPHSPhoto 29Page 15

A Test Site - Test Area, Test Address, TEST POSTCODE Page 3 1 INTRODUCTION This report provides a record of the Compliance Report at: A Test Site - Test Area, Test Address, TEST POSTCODE for . It was surveyed by Main Surveyor of Your Company Name on the 19th Se