CIT Building Decommissioning Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Decommissioning Electrical

• Has Electrical Power Been Disconnected?

  Safe

  At Risk

  N/A

• Has the cables redundant cables been removed and/or made safe?<br>

  Safe

  At Risk

  N/A

• Please provide photgraphic evidence of Disconnection points.

  Media

• Any additional Comment

Overall

• Notes

• Please provide Photos of Overall Site Condition

  Media

• Client Acceptance

  Sign

• CIT Representative

  Sign