ADP Facility Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• PM Work Order Number for this Inspection

• Location
  Address

Technology

• Is Sodexo Responsible for technology support at this location?

  Yes

  No

  NA

• Is Sodexo Responsible for Communication (Radios, Internet, Repeaters)

  Yes

  No

  NA

• Radios, Internet, Repeaters

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for Automation (Building Management System)

  Yes

  No

  NA

• Building Management System

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

Building Exterior

• Is Sodexo Responsible for Building Exterior?

  Yes

  No

  NA

• Is Sodexo Responsible for Site Security?

  Yes

  No

  NA

• Site Security barriers such as gates and fences

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Site Security cameras

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Site Security Access control card readers or keypads

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for Parking Lot?

  Yes

  No

  NA

• Parking Lot Emergency/security call boxes

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking lot cleanliness (trash and/or debris)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking Lot surface (potholes and cracks)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking Lot striping (parking spaces and walkways)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking lot lighting (operable? Illumination level?)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking Lot signage indicating fire lanes, disabled parking, crosswalks, and evacuation gathering points

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking lot curbs and parking barriers

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking Lot security bollards

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking lot electric vehicle charging stations

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parking Lot bike racks

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Landscaping?

  Yes

  No

  NA

• Landscaping Hedges, shrubs, and lawns

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Landscaping Tree pruning (not touching building)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Landscaping flower beds (mulched and free of weeds)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Landscaping irrigation systems (operation and programming)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Landscaping retaining walls

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for walkways?

  Yes

  No

  NA

• Walkways - Sidewalks and pedestrian lanes (free of trip hazards and obstructions)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Walkways - Disabled parking and walkways

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Walkways - Facility Exits

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Building Facade?

  Yes

  No

  NA

• Building Facade Cleanliness

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Building Facade Entry/exit point markings

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Building Facade Caulking, paint, and/or stone joinery

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Building Facade windows (repair or cleaning)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Building Facade Flag pole and illumination (where applicable)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Building Facade Client signage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Building Facade Awnings and exterior furniture (benches and tables)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Building Facade Exterior doors

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Water Features?

  Yes

  No

  NA

• Water Features Fountains

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Water Features Retention ponds

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

Roof

• Is Sodexo responsible for the roof at this location?

  Yes

  No

  NA

• Is Sodexo responsible for the general roof?

  Yes

  No

  NA

• General - Decorative wall screens

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• General - Roof vents/fan covers

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• General roof cleanliness

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• General roof drains and scuppers

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• General roof fascia

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• General roof soffit

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• General roof skylights

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• General roof handrails, walkways, and/or stepping stones

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• What type of roof for the facility

  Flat/Membrane Roof

  Sloped Roof

• Coating

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Granular Loss

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Punctures

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Cracks/"Alligatoring"

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Blisters

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Ponding

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Parapet walls

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Roofing materials

  Shingles

  Metal

• Buckling

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Curling

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Missing tabs

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Deformed edges

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Roof Surface condition

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Corrosion

  5

  4

  3

  2

  1

• Fasteners

  5

  4

  3

  2

  1

• Roof Surface condition

  5

  4

  3

  2

  1

• Roof deformed edges

  5

  4

  3

  2

  1

Public Floor Areas

• Is Sodexo Responsible for the Public Floor Areas at this site?

  Yes

  No

  NA

• Is Sodexo Responsible for the Lobby Area?

  Yes

  No

  NA

• Lobby Ceiling tile and grid

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Light Fixtures

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Exit Lights

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Reception station

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Entrance Door and Glass

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Welcome Board

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Walk mats

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Signage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Access control card readers or keypads

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Temperature screening equipment

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby visitor registration equipment

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby furniture

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lobby Flooring

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for the Restrooms?

  Yes

  No

  NA

• Restroom Cleanliness

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Restroom Supplies (soap, paper)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Restroom Condition (flooring and partitions)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Restroom Fixtures

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Restroom doors/hardware

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Restroom Water Temperatures

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Restroom Dispensers

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Restroom Trash Receptacles

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for the Workstations/Offices?

  Yes

  No

  NA

• Workstations/Offices Furniture

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Workstations/Offices Walls/Paint

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Workstations/Offices Flooring

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Workstations/Offices Ceiling tile and grid

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Workstations/Offices Emergency Evacuation Maps

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Workstations/Offices Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for the Entryways?

  Yes

  No

  NA

• Entryway Cleanliness

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Entryway Paint

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Entryway Lights

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Entryway Furniture

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Entryway Plants

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Entryway Windows

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Entryway Ceiling tile and grid

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for the Fitness Centers/Lockers?

  Yes

  No

  NA

• Fitness Centers/Lockers Cleanliness

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Fitness Centers/Lockers Equipment

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Fitness Centers/Lockers Supplies

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for the Data Rooms?

  Yes

  No

  NA

• Data Rooms Housekeeping/Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Data Rooms Cooling Systems Support Equipment

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Data Rooms Early warning Fire Detection

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Data Rooms Fire Suppression

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Data Rooms Emergency Electrical Shut off

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Data Rooms Access Control Card Readers or Keypads

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Data Rooms Alarm/Alert Systems

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for the Stairwells?

  Yes

  No

  NA

• Stairwells Door Closure Condition

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Stairwells Fire Standpipe Valves

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Stairwells Handrails

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Stairwells Paint

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Stairwells Housekeeping/Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Stairwells Lighting/Emergency Lights

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Stairwells Signage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo Responsible for the Cafes/Break Areas?

  Yes

  No

  NA

• Cafes/Break Areas Ice Machines

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Cafes/Break Areas Coffee Services

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Cafes/Break Areas Supplies (napkins, condiments, etc)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Cafes/Break Areas Furniture

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Cafes/Break Areas Cabinetry

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Cafes/Break Areas Equipment (inc. Vending)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

Interior Finishes

• Is Sodexo responsible for Interior Finishes at this site?

  Yes

  No

  NA

• Is Sodexo responsible for Flooring?

  Yes

  No

  NA

• Flooring Housekeeping

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Flooring Base Mold

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Flooring Seams/Grouting

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Flooring Level Surfaces

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Flooring Transition Strips

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Lighting?

  Yes

  No

  NA

• Lighting Illumination level

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lighting Lamping (burned out/missing)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Lighting Lens condition

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Signage?

  Yes

  No

  NA

• Signage lighting

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Signage Doors/Partitions

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Signage Wayfinding Accuracy

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Signage Condition (damaged or scratched)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Doors, Walls, and Ceiling?

  Yes

  No

  NA

• Doors, Walls, and Ceiling - Closure Condition

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Doors, Walls, and Ceiling Locks/Hardware

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Doors, Walls, and Ceiling Finish/Paint (chips/gouges/scuffs)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Doors, Walls, and Ceiling Coat Hooks

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Doors, Walls, and Ceiling - Coverings (clean/condition)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Doors, Walls, and Ceiling Ceiling tile and grid

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Interior Scape & Fixtures?

  Yes

  No

  NA

• Interior Scape & Fixtures - Water Fountains (clean and working)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Interior Scape & Fixtures - Pictures/Artwork

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Interior Scape & Fixtures - Sinks/Tables/Counters

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Interior Scape & Fixtures - Planters

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Interior Scape & Fixtures - Interior Plants

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Interior Scape & Fixtures - Aquariums

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Interior Scape & Fixtures - Furniture

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

Building Systems

• Is Sodexo responsible for this location's Building Systems?

  Yes

  No

  NA

• Is Sodexo responsible for the elevators?

  Yes

  No

  NA

• Elevator Fire Extinguisher

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Elevator Lighting

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Elevator Call Phone

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Elevator Buttons Illuminated

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Elevator Cleanliness

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Elevator Interior surfaces

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Elevator Treads/Rails

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Elevator Permit

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the HVAC?

  Yes

  No

  NA

• HVAC Chiller

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• HVAC Air Handlers

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• HVAC Mechanical Exhaust

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• HVAC Pumps

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• HVAC Boiler

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• HVAC Terminal Units

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• HVAC Ducts

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• HVAC Cooling Tower

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the Life Safety System?

  Yes

  No

  NA

• Life Safety System - Fire Extinguishers

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Life Safety System - Fire Hoses

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Life Safety System Alarm System Actuators

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Life Safety System Alarm Monitoring

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Life Safety System Alarm Panel

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Life Safety System Alarm Doors/Partitions (alarm actuated fire rated)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Life Safety System Sprinkler System (piping and heads)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the Electrical?

  Yes

  No

  NA

• Electrical Panels (marked and accessible)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Electrical Outlets

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Electrical Lights (ballast/bulbs)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Electrical Circuit Loading

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Electrical Capacity Vs. Load

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for UPS?

  Yes

  No

  NA

• UPS - Connection and insulation

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• UPS - Battery Leaks

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• UPS - Cleanliness

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• UPS - Appropriate Storage Use

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for Emergency Power?

  Yes

  No

  NA

• Emergency Power - Generator

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Emergency Power - Fuel System (tank, monitoring)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

Support Space

• Is Sodexo responsible for the Support Space at this location?

  Yes

  No

  NA

• Is Sodexo responsible for the warehouse?

  Yes

  No

  NA

• Warehouse - Housekeeping

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Warehouse - Eyewash Station

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Warehouse - Spill Prevention

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Warehouse - Floor Coating

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Warehouse - Illumination Level

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Warehouse - Heating/Cooling

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Warehouse - Access control card readers or keypads

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Warehouse - Doors & Hardware

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the Loading Docks?

  Yes

  No

  NA

• Loading Docks - Housekeeping/Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Loading Docks - General Condition

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Loading Dock Safety Items

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Loading Dock Signage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the Fire Pump Room?

  Yes

  No

  NA

• Fire Pump Room - Inspection Current

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Fire Pump Room - Housekeeping/Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Fire Pump Room - Pump Operation

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Fire Pump Room - PRV/Air Leaks

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Fire Pump Room - Air Compressor Operation

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Fire Pump Room - Pressure Guages

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the Sprinkler Room?

  Yes

  No

  NA

• Sprinkler Room - Inspection Current

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Sprinkler Room - Housekeeping/Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Sprinkler Room - Pipe Corrosion

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Sprinkler Room - Jockey Pump Operation

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Sprinkler Room - Leaks (water or air)

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Sprinkler Room - PRV/Controls

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Sprinkler Room - Sanitary Pipes

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the Domestic Water Room?

  Yes

  No

  NA

• Domestic Water Room - Housekeeping/Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Domestic Water Room - Pump Operation

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Domestic Water Room - Pipe Corrosion

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Domestic Water Room - Pump Leaks

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Domestic Water Room - Control/Alarms

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Domestic Water Room - Guages

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Is Sodexo responsible for the Pneumatic Control Air?

  Yes

  No

  NA

• Pneumatic Control Air - Housekeeping/Storage

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Pneumatic Control Air - Pump Operation

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Pneumatic Control Air - Compressor Oil

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Pneumatic Control Air - Control/Alarms

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Pneumatic Control Air - Belts

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Pneumatic Control Air - Leaks

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

• Pneumatic Control Air - Dryer

  Select 5 4 3 2 1 Not in scope

  • 5
  • 4
  • 3
  • 2
  • 1
  • Not in scope

Additional Comments

• Any Comments?

• Signature

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