Title Page

  • Branch Name

  • Prepared by

  • Location
  • Region

  • Region Head

  • Area Head

  • Area

  • Ownership

Area in SQM

  • Please state the area in sqm

Janitorial Agency

  • Please state the janitorial agency supporting the branch

Waterproofing

  • Wall

Roof

  • If slab, does the membrane still in good condition?

  • For corragated and long span, do we need repainting or replacement?

Pest Control

  • Termite Infestation

  • Other Insects and animals

Flood

  • Flood prone

Safety and Security

  • Fire Exit lights

  • FSIC

  • Fire Extinguishers

  • Fire Exit Hallway

  • Fire Exit Door

  • Manual pull station

  • Smoke Detectors

  • Fire Sprinkler System

  • Fire Alarm Bell

  • Emergency lights

Facade

  • Roll up shutter functional?

  • Tempered Glass Panel

  • Tempered Main Glass door

  • Security Film

Electrical System

  • Type of load

  • Rating of MCB

  • ISO Transformer Rating

  • UPS rating

Plumbing and Sanitary System

  • Water pump

  • Pressure Tank

  • Water tank

  • Septic tank

  • Water meter

  • Cistern Tank

Airconditiong System

  • Type

  • With issues

  • Condenser Grill

  • Last PMS

Back Up Power

Type

  • Type of genset installed

Capacity

  • KVA

  • Tank capacity in liters

  • Fuel level

  • Is the a fuel storage facility

Operation

  • When was the last test run

  • Last maintenance

  • Current running hours

  • Idiot proofing for operations

General Area & Housekeeping

  • Floor layout

  • Binder

  • As built

  • Other permits

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.