Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Equipment/Item details
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Select date
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Equipment type
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Photo reference
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Serial number
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Model number
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Assigned unique I.D?
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Dimensions
Current state
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Tested in operation?
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Has it been P.A.T tested if necessary?
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Record previous P.A.T tag here
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Is the appliance in good order and safe?
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Defects
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Is the area it is situated in safe/suitable?
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Defects
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Are all other associated parts in good order allowing proper function, i.e drainage, power supply, ventilation, waste etc.
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Defects
Replacement and servicing
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If known give estimated cost here.
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Will the replacement require any additional works?
- Removal costs
- Installation costs
- Certification
- Disposal costs
- Making good
- Powerflush
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Who is covering the replacement cost?
Planned preventative maintenance schedule
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If ongoing maintenance and servicing is necessary, who is covering the cost?
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Is there someone currently providing certification?