Site conducted
Address
Conducted on
Date
Prepared by
Photos of DB Main, DB1, DBE, DBs...
DB Main (Please take photos of the outside, schedule, naming, connectors, inside if possible)
Media
DB1 and other DBs (Please take photos of the outside, schedule, naming, connectors, inside if possible)
Media
Is the PFC an SVG or capacitor type?
What is the current status?
Fully Operational
Partially Isolated
Isolated
Faulty
What is the fault?
Please contact Paulo from WW NZ at 027 615 7104 (Text or Call)
When was the PFC commissioned? (If information is available)
Date
Lighting (LED or None LED)
Is there any lighting controller?
What brand and (model, if applicable)?
Could you please take photos
Media
Identifying lighting in store sections
Trading Area
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
Bakery, Fish, Deli
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
Coolrooms
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
Stock & Back of House Areas
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
Staff Lunchrooms, Offices, Store Rooms
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
Refrigerated Cases
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
External Lighting (Under Awning, Perimeter Building Lighting)
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
External/Internal Carpark Lighting (if applicable)
LED
Partial (Mostly LED)
Partial (Mostly Fluro)
Fluro
Other None LED
link copied
Paulo Once
Countdown Audit Form
This audit is to identify key points in a store. Mainly (DBs, PFC, LED)
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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.
