Title Page
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SITE NAME
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Customer Contact Name
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Conducted on
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Prepared by
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Location
H & S Audit engineer
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Is there an engineer/s onsite at time of audit
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Engineer/s name
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Does the engineer have the correct PPE For task (list PPE and take photo)
- Pass
- Fail
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HI VIS Vest
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Safety Boots
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Gloves
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Safety glasses
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Personal ammonia detector on the engineer and in calibration date
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which ammonia hood does the engineer have with them
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Does the work space have good house keeping?
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Is the area clear of slip, trip or fall hazards?
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Is the engineer following RAMs for task being completed
MAINTENANCE FOLDER
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Is the Folder located in the DFM office?
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What is the current location?
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is the sites ammonia equipment being inspected Monthly, 3 monthly, 6 monthly and Annually?
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All Air Conditioning is serviced and documented. Engineer must have the relevant qualifications to complete works.
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what mainttenance was due since last visit?
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Paperwork filled out correctly and up to date - Photo evidence required
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Why has it not upto date?
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Did the engineer complete a handover on each visit with arcus representive
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what issues was identifeid last month if any?
Alarm Panel
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Are there any current alarms ?
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Are any alarms inhibited ?
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Is the chilled store within temperature specification
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is the freezer coldstore within temperature specification
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Current alarm log - photo
Plant Room
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Is the Plant Room Clean and Tidy?
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All Emergency Exits clear of obstacles?
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Is the plant room lighting working
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Are all the Compressors online?
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Is there any visible oil leaks?
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is the ammonia leak detection calibration in date?
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Does the Ammonia plant room contain a gas mask/emergency escape hood that is in good working order?
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PRVS in date?
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OIL log on site (photo)
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F-GAS log on plant room wall
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Is there any WASTE that needs to be collected
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Are there any empty bottle's / IBC's to be collected
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IS there proof the HP/LP switchs have been teste din the last 12 months
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Are there any safety concerns onsite
Evaporators
Evaporators - Frozen
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Are there frozen evaporators on site?
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All Evaporators Online
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Are all Gantries clear of Rubbish?
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All Evaporators motors and coils clean and clear
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All Evaporators Clear of Ice/Frost
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All control panels have closed doors and working isolators
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All fan guards in place ?
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All Fans working ?
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Is there clear and safe access to Evaporators
Evaporators - Chilled
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Are there chilled evaporators onsite?
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All Evaporators Online
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All Evaporators motors and coils clean and clear
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All Evaporators Clear of Ice/Frost
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All control panels have closed doors and working isolators
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All fan guards in place ?
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All Fans working ?
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Is there clear and safe access to Evaporators
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Are all Gantries clear of Rubbish
J E Hall Customer Survey
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Do our engineers sign in and out correctly ?
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Do our engineers complete a permit to work on each visit?
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Site response to fail
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Based on your resent interaction with our engineers how satisfied was you with our service team members?
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Reason for Answer
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How did you find our engineers attitude while onsite?
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How satisfied are you with our engineers appearance?
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How satisfied are you with our engineers communication skills?
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Reason for answer
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How knowledgeable would you say our service team members are?
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Reason for answer
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Did JE Hall Admin make you aware of the PPM Visit Date
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Did JE Hall send relevant RAMS in a timely manner for works not covered under PPM Rams
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Did JE hall Admin provide quotes for repair works in a timely manner?
