Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Review

  • Are all outstanding faults from previous weeks findings been resolved.

  • Are all findings been logged

Fire System and Equipment

  • Fire detection system.(tested, no faults)

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  • Gas suppression system compliant.

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  • Fire booster pumps (ASIB certified, tested, no faults)

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  • Smoke Extraction System (certified, tested, no faults)

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  • Sprinkler pumps and systems.(ASIB approved, tested, no faults)

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  • Pressure gauge above main valve >400kPa

  • Pressure gauge below main valve >400kPa

  • Main valve locked in correct position.

  • Flow valves locked in correct direction.

  • Do you have booster pumps.

  • Have the pumps been tested weekly and a record kept in pump room.

  • Have the pumps had their annual test by A.S.I.B and a record kept in the pump room.

  • Is there any visible damage to the sprinkler risers.

  • Water Storage tank. (Full , inspection hatch locked , not leaking)

  • Extinguishers ( missing, damaged, no pressure)

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  • Hose reels

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  • Hydrants

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  • Evacuation alarm system(Tested, no faults)

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  • Fire and evacuation Signage in place.

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  • Maintenance contract and register up to date.

  • Add media

Elevators and Escalators

  • Elevator motor room. (No unusual smells, heat, smoke)

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  • Indicator panel

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  • Landing and doors

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  • Floor finish

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  • Wall finish

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  • Ceiling

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  • Lighting

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  • Intercom / Bell

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  • Ventilation

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  • Signage (do not use lift in emergency , emergency numbers)

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  • Statutory service and registers up to date an in machine room.( 24 monthly, 6 monthly , monthly)

  • Add media

Electrical

Transformer Plant

  • Service records up to date.

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  • Housekeeping

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  • Signage (warning , prohibition , emergency)

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  • Fire equipment / detectors

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  • Lighting

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  • Ventilation

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HT Plant room

  • No unusual smell , heat , smoke.

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  • Signage

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  • Fire equipment / detectors

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  • Lighting

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  • Power factor correction

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  • Amp meter readings all phases.

  • Add media

  • Main meter reading

  • Add media

MV plant room

  • No unusual smell , heat , smoke.

  • Add media

  • Panel covers

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  • Signage

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  • Fire equipment / detectors

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  • Lighting

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  • Earthing and polarity register up to date.

  • Add media

  • Timers

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  • Surge arresters

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  • Certificate of compliance

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  • As built drawings displayed.

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  • Lock out procedures displayed with gang locks.

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  • Meters

  • Readings

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LT Distribution Panels

  • Compliant (legends up to date , certificate of compliance)

  • Add media

Standby Generators

  • Manual and load test checklists in place and up to date.

  • Add media

  • Service register in place and up to date.

  • Add media

  • Feul storage tank ( full, no leaks, clean filter, no rust)

  • Add media

U.P.S

  • Service register in place and up to date. ( no unusual heat, smell, smoke)

  • Add media

Portable Electrical Equipment

  • Kitchens

  • Photo

  • Workshop

  • Photo

Electric Fence

  • Perimeter fence (no sign of damage, not plant matter touching)

  • Add media

  • Energizer

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Lighting

  • Internal lighting

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  • External lighting

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  • Emergency lighting

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  • Motion sensors / timers

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Lightning

  • Lightning conductor connections to earth.(tested, no visible breaks or disconnected conductors)

  • Add media

Gas installations

  • Gas reticulation compliant ( no visible damage to gauges, pipes, cylinders , arresters , dryers)

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  • Gas compliance certificate up to date)

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Structural & building fabric

Internal Fabric

  • Glazing ( no cracks , loose frames)

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  • Stairways

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  • Walls

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  • Floors

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  • Doors

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  • Emergency paths.

  • Add media

  • Ceilings

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  • Ramps

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  • Storerooms

  • Add media

  • Receiption

  • Add media

  • Signage (warning , information , prohibitions , emergency)

  • Add media

External fabric

  • Stairways

  • Add media

  • Walls

  • Add media

  • Floors

  • Add media

  • Ceilings

  • Add media

  • Ramps

  • Add media

  • Canopies

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  • Roads / driveways / Parking lots

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  • Traffic control signage and road markings

  • Add media

  • Roofing & waterproofing

  • Add media

  • Boundary walls & fencing.

  • Add media

  • Signage

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Mechanical

  • Security booms

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  • Compressor

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  • Pressure vessels

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  • Canopies

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  • Catering equipment

  • Add media

  • Compactor

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  • Masserators

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  • Counting systems / Foot fall sensors

  • Add media

  • Roller shutter gates

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Plumbing / Drainage

  • Fat traps (effluent in last chamber is clear, desludged)

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  • Taps / flush masters

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  • Isolation valves

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  • Drains - covers / filters

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  • Manholes

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  • Gutters / down pipes

  • Add media

  • Storage tanks and booster pumps

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  • Sump pumps

  • Add media

Hygenie

  • Waste area housekeeping

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  • Waste sorted correctly

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Security

  • Maintenance issues in operational book checked.

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  • CCTV Operational and all cameras working

  • Add media

  • Access control system

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Air conditioning

  • Air cooled condensing units

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  • Air handling units

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  • Fan coil units - direct expansion

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  • Fan coil units - chillers water

  • Add media

  • Chillers

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  • Chilled water & hot water pumps

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  • Centrifugal fans & axial fans

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  • Filters clean

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  • Fresh air system <br>

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  • Diffusers ( no sign of dust particles , unusual smells , even distribution, moisture)

  • Add media

  • Distribution boards & control systems

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  • Maintenance contract & registers

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  • BMS Systems ( no faults, system SMS warning system working)

  • Add media

Ablutions

  • Walls

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  • Floors

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  • Ceilings

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  • Sanitary ware - toilet seats / bowls / flush mechanisms

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  • Toilet roll holders

  • Add media

  • Basins

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  • Hand dryers / soap dispensers

  • Add media

  • Sani bins

  • Add media

  • Mirrors

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  • Urinals / flush mechanisms

  • Add media

  • Signage

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  • Handicapped toilets / rails

  • Add media

Landscaping

  • Irrigation controller operational

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  • Nozzles and piping undameged

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  • Water features - leaks / clear water

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  • Flower beds / planter boxes

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  • Lawns

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  • Indoor plants

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Equipment

  • PPE in good condition

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  • Hand Tools / ladders

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  • Portable electric tools

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  • Proof of toolbox talks to Broll Staff and Soft Service Contractors

  • Add media

Other

  • Add media

Signatories

  • FM

  • Client representatives

  • Cleaning Supervisor

  • Security Supervisor

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.