1x Santander Plant Room. 17th July 2012 - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Plant Room

• Plant room Clean

  Yes

  No

  N/A

• Floor status clean and mark

  Yes

  No

  N/A

Electrical motors

• Motors all clean

  Yes

  No

  N/A

• Are all Electrical Motors in working order?

  Yes

  No

  N/A

Pumps

• Are All the PUMPs in working order?

  Yes

  No

  N/A

• Sump pumps in working order

  Yes

  No

  N/A

Valve conditions

• Light status normal

  Yes

  No

  N/A

The Control Panels

• Control Panel clean

  Yes

  No

  N/A

• All pipe work legging on - in place

  Yes

  No

  N/A

Heath & Safety Matters

• Emergency light

  Yes

  No

  N/A

General legging

• The pressurisation system?

  Yes

  No

  N/A

• Hand basin (water hot & cold ) in order and clean

  Yes

  No

  N/A

• Air ventilation

  Yes

  No

  N/A

• Schematic Drawing in place

  Yes

  No

  N/A

• Valves in working order?

  Yes

  No

  N/A

• H & S safety box (First Aid Box)

  Yes

  No

  N/A

• Fire extinguisher in date and in place

  Yes

  No

  N/A

• Manager

  Sign

• The Client

  Sign