Title Page

  • SITE NAME

  • Customer Contact Name

  • Conducted on

  • Prepared by

  • Location

H & S Audit engineer

  • Is there an engineer/s onsite at time of audit

  • Engineer/s name

  • Does the engineer have the correct PPE For task (list PPE and take photo)

  • HI VIS Vest

  • Safety Boots

  • Gloves

  • Safety glasses

  • Personal ammonia detector on the engineer and in calibration date

  • which ammonia hood does the engineer have with them

  • Does the work space have good house keeping?

  • Is the area clear of slip, trip or fall hazards?

  • Is the engineer following RAMs for task being completed

MAINTENANCE FOLDER

  • Is the Folder located in the DFM office?

  • What is the current location?

  • is the sites ammonia equipment being inspected Monthly, 3 monthly, 6 monthly and Annually?

  • All Air Conditioning is serviced and documented. Engineer must have the relevant qualifications to complete works.

  • what mainttenance was due since last visit?

  • Paperwork filled out correctly and up to date - Photo evidence required

  • Why has it not upto date?

  • Did the engineer complete a handover on each visit with arcus representive

  • what issues was identifeid last month if any?

Alarm Panel

  • Are there any current alarms ?

  • Are any alarms inhibited ?

  • Is the chilled store within temperature specification

  • is the freezer coldstore within temperature specification

  • Current alarm log - photo

Plant Room

  • Is the Plant Room Clean and Tidy?

  • All Emergency Exits clear of obstacles?

  • Is the plant room lighting working

  • Are all the Compressors online?

  • Is there any visible oil leaks?

  • is the ammonia leak detection calibration in date?

  • Does the Ammonia plant room contain a gas mask/emergency escape hood that is in good working order?

  • PRVS in date?

  • OIL log on site (photo)

  • F-GAS log on plant room wall

  • Is there any WASTE that needs to be collected

  • Are there any empty bottle's / IBC's to be collected

  • IS there proof the HP/LP switchs have been teste din the last 12 months

  • Are there any safety concerns onsite

Evaporators

Evaporators - Frozen

  • Are there frozen evaporators on site?

  • All Evaporators Online

  • Are all Gantries clear of Rubbish?

  • All Evaporators motors and coils clean and clear

  • All Evaporators Clear of Ice/Frost

  • All control panels have closed doors and working isolators

  • All fan guards in place ?

  • All Fans working ?

  • Is there clear and safe access to Evaporators

Evaporators - Chilled

  • Are there chilled evaporators onsite?

  • All Evaporators Online

  • All Evaporators motors and coils clean and clear

  • All Evaporators Clear of Ice/Frost

  • All control panels have closed doors and working isolators

  • All fan guards in place ?

  • All Fans working ?

  • Is there clear and safe access to Evaporators

  • Are all Gantries clear of Rubbish

J E Hall Customer Survey

  • Do our engineers sign in and out correctly ?

  • Do our engineers complete a permit to work on each visit?

  • Site response to fail

  • Based on your resent interaction with our engineers how satisfied was you with our service team members?

  • Reason for Answer

  • How did you find our engineers attitude while onsite?

  • How satisfied are you with our engineers appearance?

  • How satisfied are you with our engineers communication skills?

  • Reason for answer

  • How knowledgeable would you say our service team members are?

  • Reason for answer

  • Did JE Hall Admin make you aware of the PPM Visit Date

  • Did JE Hall send relevant RAMS in a timely manner for works not covered under PPM Rams

  • Did JE hall Admin provide quotes for repair works in a timely manner?

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.