Asset Information

System Type





Number of Doors?

Device PMi



Asset/Door Number


Equipment General Condition


Cabling/Connection Condition



Lock System(s)

Exit Device(s)

Emergency Device(s)

Door Contact(s)

Door Monitoring


Fire Alarm Interface

Other Devices

Other Device(s)



Labels Installed?

Equipment Cleaned

Spurs Labelled

System Control

Programming type

PC/Server location

Software type

Backup Location

Is programmer/ program cards available?

Is programming manual available

Other type of programming

Further Actions

Further Actions Required?

Identified FAR's


Risk Level

Action Level


Add media

Other Recommendations

Any Further Recommendations?

Additional Recommendation


Additional Recommendations

Add media


Client Familiarity

Is Client Familiar System General Operation?

Is Client Familiar System Software?

Is Client Familiar with system programming

Is Additional Staff Training Required?

Summary PMI Outcome

PMI Outcome

Based on the above assessment we consider this system to have:

Congratulations your system has PASSED its basic visual PMI checks, and is considered at his time to be safe to operate.
Please ensure though you carry our regular visual checks and ensure any actions needed are reported immediately to us.

Your system is considered to have passed the basics visual checks, however we have identified additional further actions that are required. Additional remedial works will be provided to you in a separate report along with associated costs.

Your system is considered to have FAILED it's visual PMI checks on a number of serious items. The remedial actions will be provided to you in a separate report along with associated costs.

In the meantime you may wish to consider placing the system or devices "out of action"until these remedial works are completed!

Your system has been CONDEMNED which indicates that we have found significant failures and consider a danger for continued use.

We strongly advise the system or condemned component be placed "out of action" until such time as remedial or replacement works can be carried out.

Engineer signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.