Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General Customer Information

  • What is the customer name, billing address, phone number, fax number, email address, or other contact information?

  • How did you hear about us?

Job Proposal Information

  • Scope of Work

  • Are there any specific inclusions?

  • Are there any specific exclusions?

  • Have you offered the customer a verbal amount?

  • When is the proposal promised?

General Information

  • What is the square footage?

  • How many AFCI circuit breakers will be required?

  • What is the total number of smoke detectors to be added?

  • What is the device color?

  • What is the device style?

  • What type of wall materials are there?

  • What type of wiring methods are existing?

  • Is the existing service an FPE panel?

  • Is there a service change involved? If yes, use the appropriate worksheet.

  • When is the work to scheduled to happen?

  • General Purpose Photos

Main/Recreation Room

  • What is the total number of receptacles for this room?

  • What is the total number of receptacles for this room?

  • What kind of lighting is being used for this room?

  • What is the total number of lights for this room?

  • How many ceiling fans are in this room?

  • Are there any ceiling fans in this room?

  • Is there any in-floor heat? If yes, provide details.

  • Main/Recreation Details

  • Main/Recreation Sketch

  • Main/Recreation Photos

Bathroom

  • What is the total number of receptacles for this room?

  • What kind of lighting is being used for this room?

  • What is the total number of lights for this room?

  • Are there any heat lights or exhaust fans in this room? If yes, provide details.

  • Is there any in-floor heat? If yes, provide details.

  • Bathroom Details

  • Bathroom Sketch

  • Bathroom Photos

Bedroom #1

  • Is there any in-floor heat? If yes, provide details.

  • What kind of lighting is being used for this room?

  • What is the total number of receptacles for this room?

  • What kind of lighting is being used for this room?

  • What is the total number of lights for this room?

  • Are there any ceiling fans in this room?

  • Bedroom #1 Details

  • Bedroom #1 Sketch

  • Bedroom #1 Photos

Bedroom #2

  • What is the total number of receptacles for this room?

  • What kind of lighting is being used for this room?

  • What is the total number of lights for this room?

  • Are there any ceiling fans in this room?

  • How many ceiling fans are in this room?

  • Is there any in-floor heat? If yes, provide details.

  • Bedroom #2 Details

  • Bedroom #2 Sketch

  • Bedroom #2 Photos

Mechanical Room

  • What is the total number of receptacles for this room?

  • What kind of lighting is being used for this room?

  • What is the total number of lights for this room?

  • Mechanical Room Details

  • Mechanical Room Sketch

  • Mechanical Room Photos

Hallway

  • What is the total number of receptacles for this room?

  • What kind of lighting is being used for this room?

  • What is the total number of lights for this room?

  • Hallway Details

  • Hallway Sketch

  • Hallway Photos

Outside

  • Outside Details

  • Outside Sketch

  • Outside Photos

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.