• Document No.

  • Audit Title

  • Client / Vendor name

  • Site Name

  • Site ID

  • Conducted on

  • Prepared by


  • What is the cabinet size & type?

  • Cabinet Serial nr

  • Cabinet Web nr

  • Is the environmental unit fitted in the cabinet?

  • Is front door actuator fitted?

  • Is the back door actuator fitted?

  • Is the front door limit switch fitted & working?

  • Is the back door limit switch fitted and working?

  • Is the Aircon fitted onto the cabinet?

  • Is the Ups fitted in the cabinet?

  • What size & type of power feed has been provided for the cabinet?

  • Is the power to the cabinet on a dedicated circuit?

Air conditioner

  • What size cooling unit has been installed?

  • What brand Aircon is installed?

  • Aircon serial nr

  • Aircon Web nr

  • What temperature is the Aircon set to?


  • What Brand Ups is installed?

  • What size ups is installed?

  • Ups Serial nr

  • Ups Web nr

  • Is the UPS modbus communications card installed & operational?

  • Has the modbus card been configured?

  • Has the external battery pack been installed and switched on?


  • Is the touch screen keypad installed?

  • Can both doors be opened from Hmi?

  • Is the UPS system values reading from Hmi?

  • Has the db9 connection been sealed & secured?

Environmental Unit

  • Which model environmental unit is installed?

  • Environmental Unit serial nr

  • Environmental Unit Web nr

  • Is the temp sensors installed and measuring?

  • Is the environmental unit earthed the the earth bar in the cabinet?

  • In what status has the change-over switch been set?

  • How has the IP address been configured?

  • Has screenshots been taken of the HMI? Including info page and other relevant info?

  • Has screenshots been taken of the overall installation?

  • Has yellow fly lead been installed?


  • Busicor Comments

  • Photos for comments

  • Signature Busicor Representative

  • Client / Vendor comments

  • Signature Client/ Vendor Representative

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.