Title Page

  • Conducted on

  • Prepared by

  • Client

  • Store number

  • Store name

  • Location

AHU's

AHU's

  • Are AHU's included in this service?

  • Unit inspected

  • Unit
  • Unit reference

  • Unit location

  • Is it possible to access the filter?

  • Filter type

  • Is the filter clean

  • Pictures of issues

  • Is the unit and local area clean and tidy?

  • Pictures of issues

  • What is the units control?

  • Is the unit running without faults?

  • Detail of faults

  • Picture of faults

  • Any other issues or observations?

  • Details of issues or observations

  • Pictures of issues or observations

A/C and FCU units

A/C and FCU's

  • Are A/C or FCU's included in this service?

  • Unit inspected

  • Unit
  • Unit reference

  • Unit location

  • Is it possible to access the filter?

  • Filter type

  • Is the filter clean

  • Pictures of issues

  • Is the unit and local area clean and tidy?

  • Pictures of issues

  • What is the units control?

  • Is the unit running without faults?

  • Detail of faults

  • Picture of faults

  • Any other issues or observations?

  • Details of issues or observations

  • Pictures of issues or observations

Door Curtains

Door Curtains

  • Are Door Curtains included in this service?

  • Unit inspected

  • Unit
  • Unit reference

  • Unit location

  • Does the unit have a filter and is it possible to access?

  • Filter type

  • Is the filter clean

  • Pictures of issues

  • Are the air inlet and outlet grills clean?

  • Pictures of issues

  • Is the unit and local area clean and tidy?

  • Pictures of issues

  • What is the units control?

  • Is the unit running without faults?

  • Detail of faults

  • Picture of faults

  • Any other issues or observations?

  • Details of issues or observations

  • Pictures of issues or observations

Fans, including smoke and toilet extracts

Fans, Including Smoke and Toilet Extracts

  • Are Fans, Including Smoke and Toilet Extracts included in this service?

  • Unit inspected

  • Unit
  • Unit reference

  • Unit location

  • Is this a Smoke extract?

  • Is there a documented test certificate either kept locally or uploaded to SC?

  • Is the unit and local area clean and tidy?

  • Pictures of issues

  • Does the units control show any faults?

  • Details of faults

  • Pictures of faults

  • Does the unit have a filter and is it possible to access?

  • Filter type

  • Is the filter clean

  • Pictures of issues

  • Is the unit and local area clean and tidy?

  • Pictures of issues

  • What is the units control?

  • Is the unit running without faults?

  • Detail of faults

  • Picture of faults

  • Any other issues or observations?

  • Details of issues or observations

  • Pictures of issues or observations

Other observations

  • Are there any other comments, notes or observations?

  • Details

  • Pictures

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.