Forms

School Work Equipment Defect and Return-to-Service Record

Record the identification, isolation, assessment, corrective work, verification and authorisation of dangerous or defective work equipment or powered gates before any return to service.

Form
CalmComplianceForm template

School Work Equipment Defect and Return-to-Service Record

Version
v1
Updated
1 October 2026
Audience
Primary and secondary schools in England, including maintained schools and academies, excluding independent schools.
Jurisdiction
england

Blank fields · read-only preview

Use this record when work equipment or a powered gate is found to be dangerous or has a defect that could affect safe use. Complete the isolation and restriction information immediately where the equipment is dangerous. Complete the assessment, corrective work, verification and authorisation sections before considering return to service.

1. Record and equipment identification

Record reference

Required

Enter the school's unique reference for this defect record.

For example, EQ-2025-001

School name

Required

Enter the name of the school responsible for the equipment or gate.

Written response

Equipment location

Required

State the building, room, area, access point or other precise location.

Written response

Equipment or powered gate name

Required

Give the common name and, where available, the asset or equipment identifier.

Written response

Equipment type

Required

Select all categories that apply.

Choose all that apply

  • Powered gate
  • Workshop or practical-work machine
  • Maintenance equipment
  • Cleaning equipment
  • Lifting or access equipment
  • Other work equipment
  • Other

If other, please specify

Person reporting or discovering the defect

Required

Enter the person's name and role.

Written response

Date defect identified

Required

Enter the date on which the dangerous condition or defect was identified.

Day
Month
Year

Description of defect or dangerous condition

Required

Describe what was observed, including any deterioration, damage, abnormal operation or safety concern.

Written response

2. Immediate isolation and warning controls

Was the equipment or powered gate found to be dangerous or unsafe to use?

Required

Select yes where the defect or condition could create a safety risk. If yes, complete the immediate isolation and restriction fields and keep the equipment out of use until safety concerns have been adequately addressed.

Choose one

  • Yes
  • No
  • Uncertain; assessment required

Has the equipment or powered gate been taken out of use?

Required

Where it was found to be dangerous, record the immediate action taken to prevent use.

  • Tick when complete

Isolation or restriction method

Describe how use was prevented or restricted, such as shutdown, isolation of power, securing, locking, removal of an access control device or physical restriction. Complete where the equipment was taken out of use or access was restricted.

Written response

Warning and access controls applied

Required

Record signs, barriers, communication to users, supervised restrictions or other controls applied to prevent unsafe use.

Written response

People or roles notified

Required

Record relevant staff, contractors, premises personnel, senior leaders or other users who were notified.

Written response

3. Competent-person assessment

Assessment outcome

Required

Record the outcome of the assessment by a person competent to assess the equipment and its safe operation.

Choose all that apply

  • Safe to remain in use with specified controls
  • Repair or corrective work required before use
  • Further inspection, testing or adjustment required
  • Remain out of service pending replacement or further decision
  • Other

If other, please specify

Competent assessor name and role

Required

Enter the name, role and organisation of the person who assessed the equipment.

Written response

Assessment date

Required

Enter the date on which the competent-person assessment was completed.

Day
Month
Year

Assessment findings and required controls

Required

Record the relevant safety findings, limitations, required precautions and any inspection, testing or adjustment needed.

Written response

4. Corrective work and verification

Corrective work completed or planned

Required

Describe repairs, replacement, adjustment, cleaning, guarding, isolation, inspection, testing or other action taken. If no corrective work was required, explain why.

Written response

Corrective work completed by

Required

Enter the name, role and organisation of the person or contractor who completed the work.

Written response

Corrective work completion date

Required

Enter the date on which the recorded corrective work was completed.

Day
Month
Year

Has post-work verification been completed?

Required

Confirm whether the required inspection, testing, adjustment or other verification has been completed. Do not use this field to authorise return to service unless the verification supports that decision.

Choose one

  • Yes
  • No
  • Not applicable; reason recorded below

Verification details and result

Required

Record the checks performed, test or inspection result, date, person completing the verification and any remaining restrictions.

Written response

5. Return-to-service decision

Return-to-service decision

Required

Select the current decision. Return to service should only be selected where the safety concerns have been adequately addressed and the recorded verification supports safe use.

Choose one

  • Authorised for return to service
  • Remain isolated or out of use
  • Restricted use with specified controls
  • Further action or assessment required

Person authorising the decision

Required

Enter the name and role of the person responsible for the recorded return-to-service or continued restriction decision.

Written response

Decision date

Required

Enter the date on which the return-to-service or restriction decision was made.

Day
Month
Year

Basis for the decision and any continuing controls

Required

Explain why the selected decision is appropriate, including evidence of completed corrective work or verification and any controls, monitoring or restrictions that remain.

Written response

Follow-up review date

Enter a date for review where monitoring, further inspection, testing, adjustment or restricted use remains necessary. Leave blank only where no follow-up is required.

Day
Month
Year

Additional notes

Record any other relevant information, including related records or outstanding actions.

Written response

CalmCompliance · v1Template for adaptation

Template details

Type
Form
Version
v1
Updated
1 October 2026

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School Work Equipment Defect and Return-to-Service Record template - CalmCompliance