Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
-
Store Manager
-
Auditor
HVAC
AC System
-
Responsibility of HVAC
- Game
- Centre
-
Central Air Conditioning plant installed?
-
AC System
Unit
-
Add media
-
Serving Area
-
Unit Manufacturer
-
Unit Model
-
Unit Serial
-
Unit Type
-
Unit Configuration
-
Cooling Capacity in Btu
-
Heating Capacity in Btu
-
Controller
-
Add media
-
Type
-
Model
-
Additional Information
-
Compressors
-
Compressors installed
Compressor
-
Add media
-
Manufacturer
-
Model
-
Serial
-
Type
-
Additional Information
-
Evaporator Fan & Motor
-
Fan & Motor
Unit
-
Add media
-
Fan Manufacturer
-
Fan Model
-
Fan Serial
-
Motor Manufacturer
-
Motor Voltage
-
Motor Model
-
Motor Serial
-
Fan Wedge Belt size
-
Wedge Belt quantity
-
Additional Information
-
Condenser
-
Add media
-
Condenser Type
-
Add media
-
Manufacturer
-
Model
-
Serial
-
Fan Motor Manufacturer
-
Fan Motor Serial
-
Fan Wheel Manufacturer
-
Fan Wheel Model
-
Fan Wheel Serial
-
Wedge Belt Size
-
Wedge Belt Quantity
-
Bearings Size
-
Bearing Quantity
-
Pump Motor Manufacturer
-
Pump Motor Model
-
Pump Motor Serial
-
Pump Manufacturer
-
Pump Model
-
Pump Serial
-
Damper Motor Manufacturer
-
Damper Motor Model
-
Damper Motor Serial
-
Additional Information
-
Add media
-
Manufacturer
-
Model
-
Serial
-
Additional Information
-
Type of Cooling Tower
-
Fan Motor Assembly
Assembly
-
Fan Assembly Manufacturer
-
Fan Assembly Model
-
Fan Assembly Serial
-
Fan Motor Manufacturer
-
Fan Motor Model
-
Fan Motor Serial
-
Fan Wheel Manufacturer
-
Fan Wheel Model
-
Fan Wheel Serial
-
Wedge Belt Size
-
Wedge Belt Quantity
-
Bearings Size
-
Bearing Quantity
-
Pump Motor Manufacturer
-
Pump Motor Model
-
Pump Motor Serial
-
Pump Manufacturer
-
Pump Model
-
Pump Serial
-
Damper Motor Manufacturer
-
Damper Motor Model
-
Damper Motor Serial
-
Additional Information
-
Air cooled condensers
Condenser
-
Add media
-
Manufacturer
-
Model
-
Serial
-
Fan Assembly Manufacturer
-
Fan Assembly Model
-
Quantity of Fan Assemblies per condenser
-
Additional Information
-
Comments
Plant operation and control
-
Add media
-
System in service?
-
Plant control selection:
-
All temperature sensors in range?
-
Controller/ Control panel free from alarms?
-
All buttons, switches, indication lights and displayes in working condition?
-
Date and time settings correct on controller/ 7 day timer?
-
Scheduled ON/OFF program set on controller/ 7 day timer?<br>
-
FR cable connected to fire relay/ input?
-
Comments
Electrical enclosure and safeties
-
Add media
-
Glands used on all cable enteries?
-
Control and fan circuit fed from Emergency section?
-
Compressors & heaters fed from Normal section?
-
All circuit breakers in the ON position?
-
Conductors/cables free from signs of overheating and surface damage?
-
Terminals and connection free from signs of overheating and damage?
-
Protection and safety devices wired properly and have not been bypassed?
-
Phase/ sequence failure relays functional?
-
Safety and protection devices functional?<br>
-
Unit and components earthed?
-
Panel clean and dry?
-
All wiring neat and trunking covers in place?
-
Lights and plug points in working condition?
-
Comments
Ventilation and filtration
-
Add media
-
Condition of filter bank?
-
Filter Quantities and sizes
-
Wedge belts tensioned and in good condition?
-
Drive guards in place and secured?
-
Fan motor free from defects, abnormal noise or vibration?
-
Supply air fan free from defects, abnormal noise or vibration?
-
Emergency STOP switch installed and within reach from motor?
-
Economy damper motors installed and functional?
-
Comments
Heating
-
Type of heating?
-
Add media
-
Operational?
-
Comments
-
Add media
-
Operational
-
Heater elements free from surface rust and damage?
-
Terminal connections and cabling free from signs of overheating?
-
Comments
Refrigeration circuit
-
Add media
-
Refrigerant circuit
Circuit
-
Compressor
Compressor
-
Add media
-
Compressor operational?
-
Free from refrigerant and oil leaks?
-
Free from abnormal vibration and noise?
-
Compressor properly secured?
-
Unloaders functional?
-
Crankcase heater installed and functional?
-
Circuit free from pressure or temperature loss across liquid/ suction line driers?<br>
-
Liquid line solenoid valve operational and system pump down functional?
-
Expansion device functional, feeler bulb insulated and distributor lines free of frost?
-
Comments
Condensing unit
-
Type of condenser
-
Spray pump & motor assembly operational without defects or water leakages?
-
Fan motor and fan drum operational without any defects?
-
Wedge belts and pulleys in good condition
-
Damper motor functional?
-
Spray nozzles operational without blockages?
-
Refrigerant lines inside evaporative condenser still in good condition?
-
Water treatment system in place and functional?
-
Float valve functional and set correctly?
-
Sump clean and free from water leakages?
-
Comments
-
Condenser coils clean and in good condition?
-
Condensers free from refrigerant leaks?
-
Fan cycle switches set correctly?
-
All condenser fans operational?
-
Does the fans turn in the correct direction?
-
Comments
-
Spray pump & motor assembly operational without defects or water leakages?
-
Fan motor and fan drum operational without any defects?
-
Fan Assemblies operational without defects?
-
Wedge belts and pulleys in good condition?
-
Damper motor functional?
-
Spray nozzles operational without blockages?
-
Refrigerant lines inside evaporative condenser still in good condition?
-
Water treatment system in place and functional?
-
Float valve functional and set correctly?
-
Sump clean and free from water leakages?
-
Comments
General
-
Unit free from corrosion?
-
Does the chamber doors seal properly?
-
Are the unit well maintained?<br>
-
Condensate water draining freely from the unit?
-
All ducting and canvas still in good condition?
-
Fusible links installed on dampers?
-
Unit base standing on Teco pads?
-
Ducting in good clean condition?
-
Comments
Split air conditioners
-
Split Air Conditioners installed?
-
Split air conditioning units
Unit
-
Add media
-
Area serving
-
Indoor unit
-
Type
-
Manufacturer
-
Model
-
Serial
-
Cooling Capacity in Btu
-
Heating Capacity in Btu
-
Outdoor unit
-
Manufacturer
-
Model
-
Serial
-
Refrigerant type
-
Additional Information
-
Unit operational?
-
Heating and cooling properly?
-
Unit free from refrigerant leaks?
-
Remote controller in working condition?
-
General condition?
-
Comments
Ventilation
-
Ventilation or Extraction fans installed? <br>(Exclude smoke extraction fans from this section)
-
Ventilation/ Extraction
Ventilation fan
-
Add media
-
Area serving:
-
Manufacturer
-
Model
-
Serial
-
Additional Information
-
Operational?
-
Free from corrosion and damage?
-
Louvres in good condition?
-
Comments
Fire detection and control
Fire Panel
-
Fire Panel installed?
-
Fire Panels installed
Panel
-
Add media
-
Location Installed
-
Manufacturer
-
Model
-
Serial
-
Additional Information
-
Panel free from alarms, disabled zones and faults?
-
Accurate date and time displayed on panel?
-
Panel in general good and clean condition?
-
Comments
Fire Extinguisher
-
Last service date
-
Fire extinguishers installed?
-
Add area installed( Trading floor , Receiving area , Office )
Area
-
Add media
-
Area :
-
Count Dry Powder
-
Count CO2
-
Comments :
Fire Hose Reels
-
Last service date
-
Fire Hose Reels installed?
-
Add area installed ( Trading floor , Receiving area , Office )
Fire Hose Reel
-
Add media
-
Area:
-
Count
-
Comments
Sprinkler System
-
Sprinkler system installed?
-
Sprinkler system owner
-
Add media
-
Is the colour code of the piping red?
-
Piping in visual good condition?
-
Are sprinkler heads and piping free from leaks?
-
Are the piping free from corossion?
-
Does pressure gauges exist, are they free from damage and are they functional?
-
Comments
-
Add media
-
Is the colour code of the piping red?
-
Water tanks free from corrosion and leaks?
-
Are the tanks full?
-
Are sprinkler heads and piping free from leaks?
-
Are the piping free from corossion?
-
Does pressure gauges exist, are they free from damage and are they functional?
-
Diesel engine & pump installed?
-
Engine
-
Add media
-
Engine manufacturer:
-
Engine model:
-
Engine serial/number:
-
Rated kW output @ rpm:
-
Additional information:
-
Pump
-
Add media
-
Pump model:
-
Pump serial:
-
Additional information:
-
Battery
-
Manufacturer:
-
Model/ series:
-
Capacity:
-
Type:
-
Additional information:
-
Battery Charger
-
Add media
-
Manufacturer:
-
Model/ series
-
Rating:
-
Additional information
-
Is the control panel on and free from fault conditions?
-
Radiator cap in good condition?
-
Coolant level in order?
-
Coolant system free from leaks?
-
Radiator free from debris?
-
V-belts and radiator fan in good condition?
-
Pocket/ Jacket heater in working condition?
-
Heater hoses free from cracks?
-
Engine oil level in order?
-
Oil lines and components free from leaks?
-
Fuel level 80% or above?
-
Fuel lines free from leaks and cracks?
-
All covers and guards in place?
-
Battery terminals are tight and free from oxidation?
-
Sight glass on battery is green indicating sufficient charge?
-
Mechanical fuel shut off mechanism with fusible link installed?
-
Fire extinguisher install in or near the vicinity?
-
Engine placed on Teco pads?
-
Hinged metal flap installed on vertical outlet exhaust?
-
Bird guard installed on horizontal outlet exhaust?
-
Exhaust covered with lagging?
-
Engine in good clean condition?
-
Pump free from leaks?
-
Pump free from debris/ corossion?
-
Comments:
Smoke Extraction
-
Smoke relief panel installed?
-
Smoke relief panels installed
Smoke relief panel
-
Add media
-
Location installed
-
Power ON?
-
Panel in good and clean condition?
-
Control Mode
-
Comments
Smoke extractor fans
-
Smoke Extractor fans installed?
-
Smoke extractor fans
Fan
-
Add media
-
Location installed
-
Manufacturer
-
Model
-
Serial
-
Fire rating
-
Additional Information
-
Functional?
-
Burglar proofed?
-
Does the fans service as ventilation as well?
-
Comments
Smoke relief dampers
-
Smoke relief dampers installed?
-
Dampers in good condition?
-
Does the dampers close properly?
-
Dampers mechanism free from obstructions?
-
Trigger type
-
Air compressors
Compressor
-
Manufacturer:
-
Model:
-
Serial:
-
Tank size:
-
Capacity : ( CFM or liters/min)
-
Manufacture date:
-
Compressor operational?
-
Water separator installed?
-
Pressure switches operational?
-
Compressor free from air leaks?
-
Compressor and tank free from corrosion?
-
Is the compressor located in a suitable area and protected from outdoor elements?
-
Are all fusible links in place?
-
Damper motor in place and secured?
-
Damper connected to solenoid and spring in place?
Vertical Transport
Conveyors
-
Conveyor installed?
-
Add media
-
Location installed
-
Manufacturer
-
Model
-
Serial
-
Additional information
-
Control station functional and in good condition?
-
Emergency stop functional?
-
Conveyor belt in good condition?
-
Mechanics free from abnormal noise or vibration?
-
All covers and drive guards in place?
-
Comments
Dock Levellers
-
Dock Levellers installed?
-
Dock Levellers installed
Dock Levelers
-
Add media
-
Location installed
-
Type of dock leveller
-
Manufacturer
-
Model
-
Serial
-
Lifting capacity in kg
-
Motor & Pump assembly
-
Manufacturer
-
Model
-
Serial
-
Additional Information
-
Oil level visible and on correct level?
-
Controls functional?
-
Emergency stop installed and functional?
-
Hoses and connections free from oil leaks?
-
Bottom safety switch functional?
-
Motor & pump operates without abnormal noise?
-
Pressure gauges functional?<br>
-
Swing lip functional?<br><br>
-
Extended lip functional?
-
Pit in clean and dry condition?
-
Comments
Scissor lifts
-
Scissor lifts on site?
-
Scissor lifts
Scissor lift
-
Manufacturer
-
Model
-
Serial
-
Type
-
Additional Information
-
Control panel clearly marked and operational?
-
Emergency stop functional?
-
Emergency lowering device functional?
-
Guardrails, mid-rails, chain or bar appropriately in place?
-
Tyres/wheels in good condition?
-
Hydraulic hoses damage free and without signs of leakage?
-
Free from corrosion?
-
Comments
Passenger lifts
-
Passenger Lift installed?
-
Passenger Lifts
Passenger lift
-
Add media
-
Location installed?
-
Manufacturer
-
Model
-
Serial
-
Lift number
-
Load Capacity
-
Additional Information
-
Call stations functional?
-
Doors open and close properly?
-
Door switch functional?
-
Lift stop at the correct level?
-
Alarm button installed inside lift?
-
Emergency stop functional?
-
Sufficient lighting?
-
Comments
Hoists
-
Hoist installed?
-
Comments.
Escalators
-
Escalator installed?
-
Add media
-
Location installed
-
Manufacturer
-
Model
-
Serial
-
Additional information
-
Is the escalator operational?
-
Steps and handrails in good condition?
-
Smooth operation without any abnormal noise of vibration?
-
Emergency stop switches functional?
-
Comments
Goods lifts
-
Goods Lift installed?
-
Goods Lifts
Lift
-
Add media
-
Location installed?
-
Manufacturer
-
Model
-
Serial
-
Lift number
-
Load Capacity
-
Additional Information
-
Call stations functional?
-
Doors open and close properly?
-
Door switch functional?
-
Lift stop at the correct level?
-
Alarm button installed inside lift?
-
Emergency stop functional?
-
Sufficient lighting?
-
Comments
Generator
Standby generator
-
Responsibility of Generator
-
Generators installed
Generator
-
Add media
-
Type of installation
-
Comments
Alternator Specifications
-
Add media
-
Manufacturer
-
Model
-
Serial
-
Type
-
kVA rating
-
Additional Information
-
Comments
Engine Specifications
-
Add media
-
Manufacturer
-
Model
-
Serial / Engine number
-
Output kW @ rpm
-
Additional Information
-
Comments
Controller
-
Add media
-
Manufacturer
-
Model
-
Serial
-
Additional Information
-
Comments
Circuit Breakers & Change Over
-
Add media
-
Mains Breaker Details
-
Alternator Output Breaker Details
-
Generator Breaker Details
-
Change-Over Type
-
Mains Contactor
-
Manufacturer
-
Model
-
Rating
-
Coil voltage
-
Additional Information
-
Generator Contactor
-
Manufacturer
-
Model
-
Rating
-
Coil voltage
-
Additional Information
-
Manufacturer
-
Model
-
Rating
-
Additional Information
-
Comments
Battery Information
-
Add media
-
Battery Charger
-
Manufacturer
-
Model
-
Serial
-
Rating
-
Starter Batteries
-
System Voltage
-
Manufacturer
-
Model / Series
-
Capacity
-
Type
-
Installation date
-
Additional Information
-
Comments
Fuel Tank
-
Add media
-
Fuel Tank Dimensions
-
Approximate volume
-
Additional Information
-
Comments
General Checks
-
Radiator cap in good condition?
-
Coolant level in order?
-
Cooling system free from leaks?
-
Radiator & Intercooler free from debris?<br>
-
Pocket/ Jacket heater in working condition?<br>
-
Heater hoses free from cracks?
-
Engine oil level in order?
-
Oil lines and components free from leaks?
-
Fuel level on 80% or above?
-
Fuel lines free from leaks and cracks?<br>
-
Engine in good, clean condition?<br>
-
Alternator heaters in working condition?
-
Alternator in good, clean condition?
-
Battery terminals are tight and free from oxidation?
-
Sight glass on batteries are green indicating sufficient charge?
-
Mechanical fuel shut off mechanism with fusible link installed?
-
Fire extinguisher installed in or near the vicinity?
-
Genset base placed on Teco pads?<br><br>
-
Hinged metal flap installed on vertical outlet exhaust pipe?
-
Bird guard installed on horizontal outlet exhaust pipe?
-
Exhaust covered with lagging?
-
Good housekeeping being maintained?
-
Additional Information
-
Comments
Control/ Electrical Panel
-
Controller/ control panel functional without alarms or trips active?
-
Generator in "Auto Mode"?
-
Record run hours (Indicate ODO / and controller hours)
-
Panel indication lights working (test using "lamp test" buttom - if fitted)?
-
Voltage / Amp selector switches and meters working or visible on controller display?<br>(Some readings will only be visible when generator is running)
-
Battery charger operational without alarms/ abnormal noise?
-
Emergency stop switch fitted on panel or near generator?<br>(indicate whether a strobe/siren is also fitted)
-
Panel in good, clean and neat condition?
-
Electrical components and cables free from signs of overheating and arcing?
-
Contactors mechanically and/or electrically interlocked?
-
Wiring diagram available inside panel?
-
Additional Information
-
Comments
General Building
Floors and Floor covering
-
Store currently free from flooring related issues?
-
Floor and floor covering related issues
Note
-
Add media
-
Comments
Walls
-
Store currently free from wall related issues?
-
Wall related issues
Note
-
Add media
-
Comments
Ceilings
-
Store currently free from ceiling related issues?
-
Ceiling related issues
Note
-
Add media
-
Comments
Skylights
-
Sky lights installed?
-
Store currently free from skylight related issues?
-
Skylight related issues
Note
-
Add media
-
Comments
Doors & Gates
-
Doors and gates operational without visual damage noted?
-
Door and Gate related issues
Note
-
Add media
-
Comments
Carpentry
-
Cupboards and drawers free from damage and/or malfunction?
-
Carpentry defects
Note
-
Add media
-
Comments
Turnstiles
-
Turnsiles installed
Turnstile
-
Add media
-
Location installed
-
Manufacturer
-
Model
-
Serial
-
Additional Information
-
Turnstile operational?
-
Comments
Roller shutter doors
-
Roller shutter doors installed
Roller shutter door
-
Add media
-
Location installed
-
Manufacturer
-
Model
-
Serial
-
Additional Information
-
Roller shutter door operational?
-
Manual override installed?
-
Gears & chains greased and guards in place?
-
Comments
Plumbing
-
Store currently free from plumbing related issues?
-
Plumbing issues noted
Note
-
Add media
-
Comments
Electrical
Distribution boards
-
Distribution Boards Installed
DB
-
Add media
-
Location Installed
-
Main Breaker details
-
Additional Information
-
Lightning/ Surge Protection Devices installed?
-
Device status in normal condition?
-
Legends available in panels?
-
Distribution panel accessible?
-
Comments
Power Factor Correction
-
Add media
-
Location Installed
-
Manufacturer of controller
-
Controller Model/ Series
-
Capacity
-
Additional Information
-
Power Factor Correction panel ON and functional?
-
PFC value
-
Number of stages active?
-
Last service date
-
Comments
Lighting
-
Light control switches functional?
-
Lighting free from defects?
-
Defects
Note
-
Add media
-
Comments
-
Additional information
-
Comments
UPS Equipment
-
UPS Equipment Installed
UPS
-
Manufacturer
-
Model
-
Serial
-
Capacity in kVA
-
System calculated backup time (If displayed by controller)
-
Additional Information
-
Rectifier and Inverter in ON position?
-
UPS in normal operation with Bypass in Open position?
-
Display panel free from alarms and faults?
-
System in good clean condition?
-
Comments
Building management system
-
Building Management system installed?
-
Main panel ON, free from alarms and information active on PLC?
-
Lighting control stations in Facilities and Store entrance functional?
-
Comments
Electric fence
-
Add media
-
Energizer
-
Location Installed
-
Manufacturer
-
Model
-
Serial
-
Output
-
Additional Information
-
Energizer visually in good working condition?
-
Electric fence visually in good condition without line breaks/ crossed lines?
-
Fence on gate connect with fence when gate is closed ?<br>(visually check connection)
-
Comments