Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Building Information:

  • Adress of Building:

  • Year Built:

  • Total Square Footage:

  • Add Room:

  • Room
  • Room Name:

  • Sketch of Room:

  • Add media

  • Approximate Room Size:

  • Add Piece of Equipment

  • Equipment
  • Type of Equipment:

  • Add media

  • Manufacturer:

  • Model Number:

  • Serial Number:

  • Add media

  • Size (Include Units):

  • Year:

  • Efficiency:

  • Equipment Condition:

  • Add media

  • Additional Comments:

  • Add media

  • Add Issue/Area of Improvement

  • Issue/Area of Improvement
  • Issue/Area:

  • Notes:

  • Photos of Issues/Areas

  • Possible ECM's for Room

  • ECM
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.