Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • SITE NAME:

  • VISIT DATE:

  • SITE LOCATION:

Refrigeration

Refrigeration (Indoor)

  • Cabinet Service Sticker

  • Cabinets Temp gauges are working & Maintain Temp.

  • Chiller / Freezer Cabinets Doors Auto Closing, Gaskets conditions

  • Door closer speed damping (Slow closing)

  • Cabinet Lamps working

  • Aesthetic Parts No broken

  • Safety guard and bottom gladding available & Fixed properly

  • Dry floor under the cabinet(No Water leakage)

  • No Moisture on the cabinet

  • Wires are dressing properly (No loose wiring)

  • No sound from condenser compressor(Plugin unit)

  • Proper defrosting on the cabinets(No ice buildup)

  • Condensate evaporate system (Hot gas or heater) for plugin

  • Door/Frame heater working

  • Coordinated defrosting for each group of cabinet

  • Cabinet Multiplexing Properly

  • Ball Valves are installed on each cabinet

  • Dryer Filters are installed on each cabinet

  • O&M manuals available

Cold Rooms

  • Cold Rooms Evaporators Cleanliness, Fins, No Ice Formation

  • Evaporator Fans No Noise Or Vibration

  • Evaporator Good Physical Condition, Paint, Brand, etc

  • Evaporator Fan Guards Condition

  • Condensate Drain Line Condition

  • Cold Room Door handle, Lock, Hinges Condition

  • Cold Room Door Plastic Curtains Condition

  • Door Frame Heaters function No any frost or Sweat formation

  • Cold Room Floor Heaters Operational

  • Light position should not block the air flow

  • Dry sprinkler as per DCD requirements

  • Defrost duration and interval

  • Cold room flooring level to match with market flooring level with ramp

  • Type of flooring (Wooden flooring or epoxy coating)

  • Light WP rating (minimum IP 67)

  • Pressure port connected and working

  • Door opening from inside (Emergency push) available

  • Preparation area evaporator pressure regulator installed

  • Liquid section heat exchange/P trap available

  • Leak and creak in the cold room section

  • Evaporators fan dia.

  • Distance b/w wall and evaporator for maintenance access.

  • Is the Evaporators fixed in front of the door?

  • O&M Manual of Cold Room/Indoor/controller etc..

Ice Machine

  • Ice Machine Gear Box Lubrication, Next Service Due Date

  • Control Panel conditions

  • Ice Machine Salt Dosing System in Satisfactory Operation

  • Ice Machine, Safety Controls, Functional

  • Heat Exchanger Working Condition

  • No Any Damaged or Rusted Part or Component on Ice Machine

  • Refrigerant Pipes & Insulation Condition

  • O&M Manual of Ice Machine

  • Ice machine capacity as per the store requirement

  • Ice Machine connected with Remote or plugin

Refrigeration Rack

  • Plant Room Temperature, Cleanliness & No Any Unwanted Materials

  • No Any Discrepancy, Deficiency or Malfunction controller

  • No Any Damaged or Rusted Parts or Components

  • All Compressors are working condition

  • Control panel cooling fans working conditions

  • Proper Wiring on the control panel

  • Proper Electrical parts on the control panel

  • No rust on the compressor

  • Oil Level maintained on receiver

  • Refrigerant level maintained

  • Proper access for replace the filters

  • No Any Trace of Oil, Rust or Damage at any Equipment

  • Rack working in auto mode

  • Safety switches condition

  • Moisture indicator and Oil Indicator available

  • Refrigerant Moisture is within the level

  • Correct Oil level in the compressor.

  • Refrigerant Pipes Hangers & Brackets Condition

  • Racks Paint, Appearance, Condition, Any Frosting

  • Condensers Fins Condition & Straightness

  • Condensers Physical Condition

  • Oil Traces on Condenser Surfaces

  • All Condenser fans are working condition

  • Vibrations or Noise at Condensers

  • No Unnormal sound from rack

  • Simplex Outdoors Compressor Noise or Vibration

  • Simplex Outdoors Paint and Appearance

  • Pipe size match with design

  • O&M Manual for Rack/Simplex/Pipe/Insulation etc..

  • Controller set parameters

  • Load condition on the plant

  • Each compressor running time and stop time

  • compressor running cycling

  • Condenser to receiver liquid gravity flow

  • No blockage for condenser air flow

  • Condenser capacity matching with plant

  • Water supply connection for washing the condenser

  • Drainage point available on condenser area.

  • Lab test report for oil & Gas Available

LPG

  • Service Stickers Updated

  • Tank area clean

  • No fault on control Panel

  • DM approval

  • O&M Manual

  • Interface with FACP

Electrical

  • LV Room Cleanliness

  • All MDBs, SMDBs, DBs and other Panels with Earthing & Earth Leakage System

  • Doors & Covers of All Panels & Containments

  • Load Schedule available and updated

  • No damaged Electrical component inside the LV panel/MDB/SMDB/DB's

  • Lighting control panel operational

  • No damaged sockets/Plugs

  • All lamps/EFK lamps are working conditions.

  • Indicator lamp, meters are working conditions

  • ACB/MCCB's are normal operational

  • Cables wires are proper dressing

  • All lights factures are cleaned

  • Ventilation Fans are functional

  • All DB's are from dust free

  • Cable/wire size matched as per the load schedule

  • No hanging wires

  • DEWA approved Load schedule

  • O&M manual

  • Cable/SG brands

HVAC

Indoor

  • Air Curtains Functional OK

  • BMS auto mode

  • Supply and Return Air Grills / Diffusers Condition & Function

  • Market Temperature & RH

  • AHU / FCU/AC Blower & Bearings Appearance & Physical Condition

  • Steiner condition

  • AHU / FCU/AC Blower V Belts Condition & Replacement Date

  • AC/AHU / FCU Coil & Fins Physical Condition

  • AHU/AC/FCU Vibrations or Noise

  • Air Leakages at AHUs/AC out door

  • Pre filters and Bag Filters Cleanliness & Condition

  • AHU/AC Base Foundation Mounting Vibration Absorbers Condition

  • FAHU Physical Condition, Appearance & Functioning

  • Electrical Control Panel Condition

  • Indication Lights Working Normal

  • External Painting & Finish Condition

  • Supply & Return Air Ducts Physical Condition

  • Actuator Valves operational

  • AHU/FCU/FAHU/AHU/AC in ON condition

  • Any water leakage

  • Pipe Insulation

  • Noise Level inside the market

  • Service Access

  • ΔT

  • Testing and Commissioning report

  • Temperature and Pressure Gauge installed

  • BTU meter installed

  • Any design issue

  • O&M Manual

Exhaust

  • Exhaust Fans, Kitchen, Toilets, Pantry Working Condition

  • Kitchen Exhaust Hood, Duct & ESP Condition, Function & Appearance

  • Kitchen Exhaust Hood, Fire Suppression System Operational & Condition

  • Any Damaged or Rusted Part or Component

  • Ecology unit normal working condition

  • Fresh Air connected

  • No Air passing out from the hood.

Plumbing

  • Wash Basin Mixers Working Properly

  • Foot Press Wash Basin Working Properly

  • Hand Dryers Working Conditions

  • Water Shut Off Valves in proper Working Condition

  • Tank Level Control and Alram

  • Physical Appearance of Toilet Sanitary

  • No damaged WC

  • Mirrors are in good condition

  • No water leakage on department sink mixers

  • Urinal sensors working conditions

  • Water Heaters/Solar heater are functional with Proper flow & Temperature

  • Transfer/Booster Pump Condition Appearance

  • Pumps are Auto operational

  • O&M Manual

Civil

Interior

  • Building Interior Walls Paint Condition, any Cracks, etc

  • Threshold at Doors Between Different<br>Departments

  • Floor Tiles, Wall Tiles Condition &<br>Appearance

  • False Ceiling Condition & Appearance

  • Wall Corners Condition & Possible Corner Protection Installed

  • Wooden & Metallic Doors Condition &<br>Appearance

  • Toilet Door Vent Louvers, Condition,<br>Function & Appearance

  • All Door locks, Handles stoppers conditions

  • Floor coatings are proper conditions

  • O&M Manual

F/F FA

  • No Alarm on Fire Alarm System

  • Portable Extinguishers Expiry Date

  • Portable Extinguishers Quantity as per DCD

  • Emergency Lights and Central Battery system

  • Luminated Exit Signage as per DCD

  • 24x7 connected

  • No blockage on Emergency Exit Door

  • CD Approval

  • O&M Manual

SignBoard

  • Sign Boards Working Properly

  • Cleanliness

  • Any Color Variation

  • Any Letter Broken

  • No broken letters

FPE

  • Cleanliness

  • No broken parts

  • Painting

  • No sound from Machine

  • All Safety parts are installed

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.