Title Page
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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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Instructions:
1. Name the building and provide a simple description of the building that will be inspected.
2. Answer "Safe", "At Risk", "N/A" for the questions below.
3. If you answered "At Risk", make sure to add photos and notes to document the issues or defects identified by clicking on the paperclip icon.
4. To add a Corrective Measure, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
5. Complete audit by providing digital signature. -
Buildings
Building
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Name and description of the building
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External areas
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Action to be taken
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Importance
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Doors
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Action to be taken
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Importance
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Walls
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Action to be taken
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Importance
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Windows<br>
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Action to be taken
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Importance
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Roof & ceiling
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Action to be taken
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Importance
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Ergonomics
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Action to be taken
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Importance
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Electrical
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Action to be taken
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Importance
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Lighting
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Action to be taken
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Importance
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Wet Areas
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Action to be taken
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Importance
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Chemicals
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Action to be taken
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Importance
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General plumbing
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Action to be taken
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Importance
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Kitchen
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Action to be taken
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Importance
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First Aid
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Action to be taken
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Importance
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Emergency procedures
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Action to be taken
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Importance
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Emergency lighting
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Action to be taken
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Importance
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Fire extinguishers
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Action to be taken
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Importance
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Inspector's Signature
