Information
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Hotel Name
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* Work Site (Location)
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Assess by
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* Date of Inspection
MEP EQUIPMENT
GENSET
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Date & Time
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Genset Capacity (KVA)
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Life time
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Enginee Brand
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Generator Brand
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Total Unit
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System Operation
- Automatic
- Manual
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Maintenance Record
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ATS / AMF
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Panel Control
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Fuel Daily storage tank
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Fuel Daily storage tank capacity (liter)
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Fuel Main storage tank
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Fuel Main storage tank capacity (liter)
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Cleanlines
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Fire protection
PLN
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Date & Time
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PLN Capacity (KVA)
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Trafo PLN
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Panel Control
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Life time
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Maintenance Record
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Cleanlines
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Fire protection
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KWH Meter Record
WATER CONSUMPTION
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Date & Time
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Water Source
- PDAM
- DEEP WELL
- PDAM & DEEP WELL
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Total Unit Deep Well
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Clear Water tank Capaciy (M3)
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Raw Water tank Capaciy (M3)
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Upper Water tank Capaciy (M3)
WATER PUMPS
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Date & Time
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Deep Well Pump
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Total unit
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Maintenance Record
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Raw Water Pump
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Total unit
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Maintenance Record
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Transfer pump
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Total unit
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Maintenance Record
-
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Booster Pump
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Total unit
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Maintenance Record
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Cleanlines
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Water Meter Record
WATER TREATMENT PLAN
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Date & Time
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Media Filter
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Maintenance Record
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Cleanlines
HOT WATER INSTALLATION
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Date & Time
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Temperature Setting
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Hot Water Type
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Maintenance Record
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Cleanlines
KITCHEN EQUIPMENT
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Date & Time
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Refrigerator (Chiller)
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Refrigerator (Freezer)
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Stoves
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Waste management
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Ex Haust Hood
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Fresh air Fan
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Gas LPG Installation
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Fire Protection
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Maintenance Record
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Cleanlines
LAUNDRY EQUIPMENT
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Date & Time
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Energy Source
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Washing Machine
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Dry Machine
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Pressing Machine
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Maintenance Record
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Fire Protection
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Cleanlines
VERTICAL TRANSPORTATION
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Date & Time
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Total Unit Lift
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Lift Brand
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3rd Party Contract Maintenance
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Maintenance Report
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Fire Protection
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Cleanlines
MATV
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Date & Time
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TV Provider
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Total TV Channel
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Maintenance Report
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Cleanlines
CCTV
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Date & Time
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Totak Camera CCTV
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Total DVR
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Total CCTV Monitor
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Maintenance Report
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Cleanlines
SOUND SYSTEM (HOTEL BACK GROUND MUSIC)
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Date & Time
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Emergency Paging
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Car Call
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Speaker System
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Maintenance Report
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Cleanlines
SWIMMING POOL
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Date & Time
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Swimming pool for child
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Pool Depth
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Swimming pool for Adult
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Pool Depth
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Swimming Pool Test
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PH
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CL
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Water Colour
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Pool Depth Signage
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Pool Regulation Signage
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Life Buoy
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Hook
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First Aid Box
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Pool Attendant / pool guard
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Circulation Pump
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Media Filter
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Maintenance Report
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Cleanlines
AIR CONDITIONER
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Date & Time
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AC room type
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Maintenance Report
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Cleanlines
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ACPublic Area type
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Maintenance Report
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Cleanlines
STP
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Date & Time
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STP System
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STP Capacity
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Water Test Qality
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Maintenance Report
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Cleanlines
GAS LPG INSTALLATION
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Date & Time
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Fire Protection
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GAs LPG Leak Detector
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First stage Regulator
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Hose
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Maintenance Report
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Cleanlines
FIRE SAFETY
HYDRANT
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Date & Time
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Diesel Pump Hydrant
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Main Electric Pump Hydrant
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Jockey Pump Hydrant
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Sprinkler
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Water Pressure
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Hydrant Pillar
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SIammesse
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Maintenance Record
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Cleanlines
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Hydrant Box
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Hydrant Box Checklist
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Cleanlines
FIRE EXTINGUISHERS / APAR
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Date & Time
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Expired Date
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APAR Checlist
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Cleanlines
PANEL FIRE ALARM
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Date & Time
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MCFA
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Maintenance Record
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Cleanlines
Room
GUEST ROOM
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Date & Time
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Room type
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Room No
MAIN ENTRANCE
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Main door
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Door handle
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Room key access
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Room No
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Pipe Hole
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Door bell
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DND information
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Door closer
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Door stoper
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Door safety lock
Bathroom
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Door
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Door Handle
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Hook
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Toilet Bowl
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Jet sprayer
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Floor drain
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Tissue holder
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Towel Rack
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Wastafel
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Hot & cold water tap
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Mirror
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Face towel holder
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Hair drayer
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Hair drayer / shawer stop kontak
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Wastafel drainage / piping fitting
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Wastafel lamp
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Shower room door glass
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Shower curtain
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Head shower
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Mixing valve
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Soap rack
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Shower floor drainage
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Wall
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Floor
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Ceiling
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Shower room lamp
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Bathtub
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Mixing valve
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Bathtub drainage
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Bathtub curtain
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Bathtub lamp
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Wall
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Ceiling
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Bathroom wall
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Bathroom ceiling
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Bathroom floor
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Bathroom telpon
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Bath room exhaust fan
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Bathroom lamp
Foyer Area
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Wall
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Ceiling
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Floor
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Foyer lamp
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Wardrobe
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Minibar
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Safe Deposit Box
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Coffee Maker
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Luggage rack
Bed Room
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Bed
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Bedside Table
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Dressing table
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Dressing chair
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Dressing mirror
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TV
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Telephone
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AC
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Coffee/Tea Table
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Coffee/Tea chair
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Bed side lamp
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Dressing lamp
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Standing lamp
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Sofa
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Window
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Wall
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Floor
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Karpet
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Ceiling
Fire safety
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Heat detector
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Smoke detector
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Sprinkler
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Evacuation route Map
BOH
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Date & Time
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Male locker
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Female locker
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Staff Cantin
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Storages
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Wet & DRY Garbage
OFFICES
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Hk
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Accounting
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Purchasing
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Sales & Marketing
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HRD
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Engineering
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GM
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FB
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FO
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Reception
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Security
Others
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Musholla
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Luggage Store
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Control room
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Server room
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Parkir area
Section 4
Lobby
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Wall
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Floor
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Ceiling
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Reception counter
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Concierge
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Bussines center
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Lamp
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AC
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All furnitures
Lounge & Bar
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Wall
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Floor
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Ceiling
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Lamp
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AC
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Bar counter
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Bar equipment
Section 5
Contract compliance
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Meets project timelines
- NA
- Unsatisfactory
- Marginal
- Acceptable
- Good
- Superior
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Contractor Employees’ conduct on site and appearance
- NA
- Unsatisfactory
- Marginal
- Acceptable
- Good
- Superior
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WINS procedure adhered to and documents available on site
- NA
- Unsatisfactory
- Marginal
- Acceptable
- Good
- Superior
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Management of Subcontractors
- NA
- Unsatisfactory
- Marginal
- Acceptable
- Good
- Superior
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Adherence to Quality systems
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Adherence to Safety systems
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Adherence to Environmental Systems
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General Comments (Provide comments of standard of work etc)
