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
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Date and Time of Inspection
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Building Asset Number:
- 01 - Main Building
- 09 - Gym
- 02 - Perkins Dorm
- 18 - Rosenburg Dorm
- 17 - Vocational Building
Hallways:
Floors
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Dry and no water standing in the floor?
Tile
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Are the Tiles in good condition?
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Tile Condition
- Cracked
- Loose
- Broken
- Missing
- No Problems Found
Carpet
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Is the Carpet in good condition?
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Carpet Condition
- Loose, Sagging, Bulging
- Stained
- Cut or Torn
- Raveled
- No Problems Found
Cement
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Is the Cement in good condition?
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Cement Condition
- Chipped
- Cracked
- Pitted
- No Problems Found
Baseboard
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Are the Baseboards in good condition?
Walls:
General Apperance
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Is the general appearance of the walls appealing and in good condition?
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Choose problem:
- Graffiti
- Holes
- Dirty
- Scarred
Light Switches
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Do the light switches work and properly attached?
Receptacles
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Do the receptacles work and properly attached?
Wiring
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Is the wiring properly attached with no exposed wires?
Pictures/Wall Hangings
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Are pictures and wall hangings straight and properly attached?
Ceilings
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Is the general appearance of the ceiling appealing and in good condition?
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Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
Light Fixtures
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Is the general appearance of the fixtures appealing and in good condition?
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Choose problem: Housing
- Improperly Attached
- Needs Cleaning
- Bulb out
- Ballast not making a noise
- Needs painting
- N/A
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Choose problem: Lens or Cover
Safety:
Smoke Alarms
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Are the smoke alarms in good condition?
Fire Exit Signs
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Are the Fire Exit Signs in good condition?
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Choose problem:
- Broken
- Missing
- In Alarm
Doors:
Doors
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Is the general appearance of the doors in good condition?
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Choose problem
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Are the door stops in good condition?
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Choose problem:
- Broken
- Missing
- Needed
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Are the door closures in good condition?
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Choose problem:
- Out of adjustment
- Disconnected
- Missing
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Is the panic hardware in good condition?
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Choose problem:
- Missing
- Loose
- Broken
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Are the door locks in good condition?
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Choose problem:
- Broken
- Missing
- Required
Windows:
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Is the glass in good condition?
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Choose problem:
- Broken
- Cracked
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Are the window locks in good condition?
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Choose problem:
- Not Operational
- Securely fastens the window
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Does the window move freely?
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Are the curtains or blinds in good condition?
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Choose problem:
- Dirty
- Torn
- Broken
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Is the paint or finish in good condition?
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Choose problem:
- Peeling/Chipped
- Needs Cleaned
Laundry room:
Floors
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Dry and no water standing in the floor?
Tile
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Are the Tiles in good condition?
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Tile Condition
- Cracked
- Loose
- Broken
- Missing
- No Problems Found
Carpet
-
Is the Carpet in good condition?
-
Carpet Condition
- Loose, Sagging, Bulging
- Stained
- Cut or Torn
- Raveled
- No Problems Found
Cement
-
Is the Cement in good condition?
-
Cement Condition
- Chipped
- Cracked
- Pitted
- No Problems Found
Baseboard
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Are the Baseboards in good condition?
Walls:
General Apperance
-
Is the general appearance of the walls appealing and in good condition?
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Choose problem:
- Graffiti
- Holes
- Dirty
- Scarred
Light Switches
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Do the light switches work and properly attached?
Receptacles
-
Do the receptacles work and properly attached?
Wiring
-
Is the wiring properly attached with no exposed wires?
Pictures/Wall Hangings
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Are pictures and wall hangings straight and properly attached?
Ceilings
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Is the general appearance of the ceiling appealing and in good condition?
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Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
Light Fixtures
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Is the general appearance of the fixtures appealing and in good condition?
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Choose problem: Housing
- Improperly Attached
- Needs Cleaning
- Bulb out
- Ballast not making a noise
- Needs painting
- N/A
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Choose problem: Lens or Cover
Safety:
Smoke Alarms
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Are the smoke alarms in good condition?
Fire Exit Signs
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Are the Fire Exit Signs in good condition?
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Choose problem:
- Broken
- Missing
- In Alarm
Doors:
Doors
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Is the general appearance of the doors in good condition?
-
Choose problem
-
Are the door stops in good condition?
-
Choose problem:
- Broken
- Missing
- Needed
-
Are the door closures in good condition?
-
Choose problem:
- Out of adjustment
- Disconnected
- Missing
-
Is the panic hardware in good condition?
-
Choose problem:
- Missing
- Loose
- Broken
-
Are the door locks in good condition?
-
Choose problem:
- Broken
- Missing
- Required
Windows:
-
Is the glass in good condition?
-
Choose problem:
- Broken
- Cracked
-
Are the window locks in good condition?
-
Choose problem:
- Not Operational
- Securely fastens the window
-
Does the window move freely?
-
Are the curtains or blinds in good condition?
-
Choose problem:
- Dirty
- Torn
- Broken
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Is the paint or finish in good condition?
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Choose problem:
- Peeling/Chipped
- Needs Cleaned
Lounge Area:
Floors
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Dry and no water standing in the floor?
Tile
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Are the Tiles in good condition?
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Tile Condition
- Cracked
- Loose
- Broken
- Missing
- No Problems Found
Carpet
-
Is the Carpet in good condition?
-
Carpet Condition
- Loose, Sagging, Bulging
- Stained
- Cut or Torn
- Raveled
- No Problems Found
Cement
-
Is the Cement in good condition?
-
Cement Condition
- Chipped
- Cracked
- Pitted
- No Problems Found
Baseboard
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Are the Baseboards in good condition?
Walls:
General Apperance
-
Is the general appearance of the walls appealing and in good condition?
-
Choose problem:
- Graffiti
- Holes
- Dirty
- Scarred
Light Switches
-
Do the light switches work and properly attached?
Receptacles
-
Do the receptacles work and properly attached?
Wiring
-
Is the wiring properly attached with no exposed wires?
Pictures/Wall Hangings
-
Are pictures and wall hangings straight and properly attached?
Ceilings
-
Is the general appearance of the ceiling appealing and in good condition?
-
Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
Light Fixtures
-
Is the general appearance of the fixtures appealing and in good condition?
-
Choose problem: Housing
- Improperly Attached
- Needs Cleaning
- Bulb out
- Ballast not making a noise
- Needs painting
- N/A
-
Choose problem: Lens or Cover
Safety:
Smoke Alarms
-
Are the smoke alarms in good condition?
Fire Exit Signs
-
Are the Fire Exit Signs in good condition?
-
Choose problem:
- Broken
- Missing
- In Alarm
Doors:
Doors
-
Is the general appearance of the doors in good condition?
-
Choose problem
-
Are the door stops in good condition?
-
Choose problem:
- Broken
- Missing
- Needed
-
Are the door closures in good condition?
-
Choose problem:
- Out of adjustment
- Disconnected
- Missing
-
Is the panic hardware in good condition?
-
Choose problem:
- Missing
- Loose
- Broken
-
Are the door locks in good condition?
-
Choose problem:
- Broken
- Missing
- Required
Windows:
-
Is the glass in good condition?
-
Choose problem:
- Broken
- Cracked
-
Are the window locks in good condition?
-
Choose problem:
- Not Operational
- Securely fastens the window
-
Does the window move freely?
-
Are the curtains or blinds in good condition?
-
Choose problem:
- Dirty
- Torn
- Broken
-
Is the paint or finish in good condition?
-
Choose problem:
- Peeling/Chipped
- Needs Cleaned
Furniture:
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Is the television operational and properly mounted?
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Are the floor/table lamps operational?
Utility/Mechanical Room:
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Is the floor clean, dry, and no standing water?
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Are there any flammable products in the room?
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Is there 3' of clearance in front of all EDP's?<br>Do the EDP doors have all screws and close and lock securely?
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Is there any loose or dangling wires?
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Are all switches and receptacles properly mounted and functional?
Doors
-
Is the general appearance of the doors in good condition?
-
Choose problem
-
Are the door stops in good condition?
-
Choose problem:
- Broken
- Missing
- Needed
-
Are the door closures in good condition?
-
Choose problem:
- Out of adjustment
- Disconnected
- Missing
-
Is the panic hardware in good condition?
-
Choose problem:
- Missing
- Loose
- Broken
-
Are the door locks in good condition?
-
Choose problem:
- Broken
- Missing
- Required
Bathrooms:
Floors
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Dry and no water standing in the floor?
Tile
-
Are the Tiles in good condition?
-
Tile Condition
- Cracked
- Loose
- Broken
- Missing
- No Problems Found
Carpet
-
Is the Carpet in good condition?
-
Carpet Condition
- Loose, Sagging, Bulging
- Stained
- Cut or Torn
- Raveled
- No Problems Found
Cement
-
Is the Cement in good condition?
-
Cement Condition
- Chipped
- Cracked
- Pitted
- No Problems Found
Baseboard
-
Are the Baseboards in good condition?
Walls:
General Apperance
-
Is the general appearance of the walls appealing and in good condition?
-
Choose problem:
- Graffiti
- Holes
- Dirty
- Scarred
Light Switches
-
Do the light switches work and properly attached?
Receptacles
-
Do the receptacles work and properly attached?
Wiring
-
Is the wiring properly attached with no exposed wires?
Pictures/Wall Hangings
-
Are pictures and wall hangings straight and properly attached?
Ceilings
-
Is the general appearance of the ceiling appealing and in good condition?
-
Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
Light Fixtures
-
Is the general appearance of the fixtures appealing and in good condition?
-
Choose problem: Housing
- Improperly Attached
- Needs Cleaning
- Bulb out
- Ballast not making a noise
- Needs painting
- N/A
-
Choose problem: Lens or Cover
Safety:
Smoke Alarms
-
Are the smoke alarms in good condition?
Fire Exit Signs
-
Are the Fire Exit Signs in good condition?
-
Choose problem:
- Broken
- Missing
- In Alarm
Doors:
Doors
-
Is the general appearance of the doors in good condition?
-
Choose problem
-
Are the door stops in good condition?
-
Choose problem:
- Broken
- Missing
- Needed
-
Are the door closures in good condition?
-
Choose problem:
- Out of adjustment
- Disconnected
- Missing
-
Is the panic hardware in good condition?
-
Choose problem:
- Missing
- Loose
- Broken
-
Are the door locks in good condition?
-
Choose problem:
- Broken
- Missing
- Required
Shower:
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Are the shower fixtures present, operational, and with no leaks?
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Are the shower stall curtain/door properly installed, secure, and capable if locking if it is a door?
Sinks:
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Are the sink fixtures present, operational, and with no leaks?
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Are the countertops secure and is the laminate in good condition?
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Are all soap containers secured to walls and operational?
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Are all electric hand dryers secured to walls and operational?
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Are all mirrors secured to walls and has no cracks or breaks?
Commodes:
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Are the commodes secured to the floor and operational with no cracks or leaks?
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Is the commode seats secured to the commode with no cracks, breaks, or splinters?
Student rooms:
Floors
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Dry and no water standing in the floor?
Tile
-
Are the Tiles in good condition?
-
Tile Condition
- Cracked
- Loose
- Broken
- Missing
- No Problems Found
Carpet
-
Is the Carpet in good condition?
-
Carpet Condition
- Loose, Sagging, Bulging
- Stained
- Cut or Torn
- Raveled
- No Problems Found
Cement
-
Is the Cement in good condition?
-
Cement Condition
- Chipped
- Cracked
- Pitted
- No Problems Found
Baseboard
-
Are the Baseboards in good condition?
Walls:
General Apperance
-
Is the general appearance of the walls appealing and in good condition?
-
Choose problem:
- Graffiti
- Holes
- Dirty
- Scarred
Light Switches
-
Do the light switches work and properly attached?
Receptacles
-
Do the receptacles work and properly attached?
Wiring
-
Is the wiring properly attached with no exposed wires?
Pictures/Wall Hangings
-
Are pictures and wall hangings straight and properly attached?
Ceilings
-
Is the general appearance of the ceiling appealing and in good condition?
-
Choose problem:
- Holes
- Stained
- Wet
- Mold/Mildew
- Broken Tiles
- Rusty Grid
- Bent Grid
- Missing Tile
Light Fixtures
-
Is the general appearance of the fixtures appealing and in good condition?
-
Choose problem: Housing
- Improperly Attached
- Needs Cleaning
- Bulb out
- Ballast not making a noise
- Needs painting
- N/A
-
Choose problem: Lens or Cover
Safety:
Smoke Alarms
-
Are the smoke alarms in good condition?
Fire Exit Signs
-
Are the Fire Exit Signs in good condition?
-
Choose problem:
- Broken
- Missing
- In Alarm
Doors:
Doors
-
Is the general appearance of the doors in good condition?
-
Choose problem
-
Are the door stops in good condition?
-
Choose problem:
- Broken
- Missing
- Needed
-
Are the door closures in good condition?
-
Choose problem:
- Out of adjustment
- Disconnected
- Missing
-
Is the panic hardware in good condition?
-
Choose problem:
- Missing
- Loose
- Broken
-
Are the door locks in good condition?
-
Choose problem:
- Broken
- Missing
- Required
Windows:
-
Is the glass in good condition?
-
Choose problem:
- Broken
- Cracked
-
Are the window locks in good condition?
-
Choose problem:
- Not Operational
- Securely fastens the window
-
Does the window move freely?
-
Are the curtains or blinds in good condition?
-
Choose problem:
- Dirty
- Torn
- Broken
-
Is the paint or finish in good condition?
-
Choose problem:
- Peeling/Chipped
- Needs Cleaned
Furniture:
-
Is all furniture in good condition with no breaks, tears, sagging, or Raveling?
-
Are all floor/table lamps working and I. Good condition?
-
Choose problem:
- Peeling/Chipped
- Needs Cleaned
-
Name and signature of Auditor