Use this form to enter all the issues you find during your weekly, monthly, quarterly, semi-annual, or ad-hoc checks. Click the “Add” button and enumerate and describe all the issues you find. You can take photos to be included in your reports. Assign tasks for urgent issues you find and delegate to the appropriate personnel, set the severity, and due date.
Scan this QR code to use this paper checklist on your smartphone or tablet or
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Title Page
Building / Client site
Conducted on
Prepared by
Location
Scheduled Maintenance
Building Maintenance
Site
Site Issue
Please describe the issue
Photo (optional)
Building Exterior
Exterior Issue
Please describe the issue
Photo (optional)
Building Interior
Interior Issue
Please describe the issue
Photo (optional)
Electrical Equipment
Equipment Issue
Please describe the issue
Photo (optional)
Roof
Roof Issue
Please describe the issue
Photo (optional)
Plumbing
Plumbing Issue
Please describe the issue
Photo (optional)
Completion
Name and signature:
SafetyCulture Staff
Building Repair and Maintenance Form
Use this form to enter all the issues you find during your weekly, monthly, quarterly, semi-annual, or ad-hoc checks. Click the “Add” button and enumerate and describe all the issues you find. You can take photos to be included in your reports. Assign tasks for urgent issues you find and delegate to the appropriate personnel, set the severity, and due date.
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.