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Equipment Inspection Audit A1 REV 2
Equipment Inspection Audit A1 REV 2
Ricardo Hudson

Equipment Inspection Audit A1 REV 2

Used to access the condition of existing boilers, AHU, Overdoor heaters equipment/systems on a property to determine if there are any issues that need to be resolved/repaired. KEY = GREEN, a green rating means the health of the system element is basically sound, there are no major barriers to continued operation, no major risk in the near future. AMBER = An amber rating means the element of the system is not fully healthy, Caution required, some specific risks that can be dealt with via maintenance or repair, however active monitoring and additional attention will be required as a priority. RED = a RED rating means the system element is in poor health and needs immediate treatment, one or more specific issues present a major risk to the store, requires close and active involvement by senior management in planning and monitoring.

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Free Equipment Inspection Audit A1 REV 2 Checklist

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Title Page

  • Take a photo of store.

  • Project No.

  • Report Title,Target element i.e AHU, BOILERS, ANSUL, OVERDOOR HEATERS

  • Client Prepared For - Company

  • Client Work Order / Purchase Order

  • Location/Property

  • Have you log in to Verisae system ( on site)

  • Conducted on

  • Prepared By

Equipment Inspection

  • Air Handling Unit (AHU)

    • AHU

  • Equipment Nameplate or AHU Photo and location

  • Make / Model / Serial Number

  • Heat/Cool or Cooling Only Equipment

  • Is there electrical power to the unit?

  • Electrical Disconnect Condition (saftey)

  • Is there natural gas to the unit? What is it conditaion overall

  • Is the unit assessable for maintenace ?

  • Check/Inspect Gas Valve Operation

  • Check Heating Safeties

  • Check Inducer or Combustion Motor

  • Check Fan Motor condition ?

  • Check/Inspect Heating or cooling coil ?

  • Check/Inspect Ductwork condition / leakage rate ?

  • Check air temperture- flow

  • Check air temperature retrun

  • Check Equipment Filter(s)

  • Check Equipment Belt(s)

  • Check/Test Thermostat Operation

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

  • Boilers Main store

    • Boilers store heating

  • Equipment Nameplate Photo , Location

  • Make / Model / Serial Number

  • General Boiler condition

  • Is there electrical power to the unit?

  • Check/Inspect Electrical Disconnect Condition

  • What is the condition of the pipework and insulation, take photos (Plant room/flow and return)

  • Natural Gas Shut-Off Valve in Good Working Condition?

  • Check/Inspect Gas Valve

  • Check Heating Safeties

  • Inspect Heat Exchanger

  • Check Inducer or Combustion Motor

  • Visual Inspection of distribution pipework insulation to possible units i.e AHU coils , Back of house heating units , overdoor heaters (Front).

  • Visual Inspection of System store pipework

  • Check Equipment Filter(s)

  • Check Temperture and Control Panel Operation = what is the set point and flow temperture (delta T)

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

    • Over Door Heater (ODH) and Back of House (loading door)

  • Equipment Nameplate

  • Make / Model / Serial Number

  • Accessibility of Unit Heater

  • Natural Gas Shut-Off Valve in Good Working Condition

  • Inspect Ignition Assembly Parts

  • Check and Inspect Thermocouple

  • Check Inducer Motor Assembly if possible

  • Check/Test Heating Safeties

  • Check Fan Motor if possible

  • Visual Inspection of Heat Exchanger

  • Check/Test Thermostat Operation

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

  • ANSUL Fire Suppression System

    • ANSUL

  • Location , Bakery , Staff Kitchen or other ?

  • Equipment Nameplate Photo

  • Make / Model / Serial Number

  • Is system set ok ?

  • Check if system has discharge on the panel ? (Take photo)

  • Check/Inspect service card on panel normally ? last maintenace inspection date ?

  • Visual Inspection of Tube Sections

  • Visual Inspection of end nozzle, are they capped? (take photo)

  • Check/Inspect In-Take & Exhaust Venting (Note if dirty please add as red "fire harzard")

  • Overall Equipment Condition

  • Equipment Inspection Recommendations & Notes

Other Observations , Note any other details worth reporting. (take photos and notes)

Overall Summery - short statement

  • Add signature

Information RAG report

  • Used to assess the condition of existing boilers, AHU, Overdoor heaters equipment/systems on a property to determine if there are any issues that need to be resolved/repaired. KEY = GREEN, a green rating means the health of the system element is basically sound, there are no major barriers to continued operation, no major risk in the near future. AMBER = An amber rating means the element of the system is not fully healthy, Caution required, some specific risks that can be dealt with via maintenance or repair, however active monitoring and additional attention will be required as a priority. RED = a RED rating means the system element is in poor health and needs immediate treatment, one or more specific issues present a major risk to the store, requires close and active involvement by senior management in planning and monitoring.

  • Disclaimer
    The assessors believe the information contained within this audit assessment report to be correct at the time of printing. The assessors do not accept responsibility for any consequences arising from the use of the information herein. The report is based on matters which were observed or came to the attention of the assessors during the day of the audit assessment and should not be relied upon as an exhaustive record of all possible risks or hazards that may exist or potential improvements that can be made.

    Confidentiality Statement
    In order to maintain the integrity and credibility of the audit assessment processes and to protect the parties involved, it is understood that the assessors will not divulge to unauthorized persons any information obtained during this audit assessment unless legally obligated to do so by the client.

Equipment Inspection Audit A1 REV 2
Ricardo Hudson

Equipment Inspection Audit A1 REV 2

Used to access the condition of existing boilers, AHU, Overdoor heaters equipment/systems on a property to determine if there are any issues that need to be resolved/repaired. KEY = GREEN, a green rating means the health of the system element is basically sound, there are no major barriers to continued operation, no major risk in the near future. AMBER = An amber rating means the element of the system is not fully healthy, Caution required, some specific risks that can be dealt with via maintenance or repair, however active monitoring and additional attention will be required as a priority. RED = a RED rating means the system element is in poor health and needs immediate treatment, one or more specific issues present a major risk to the store, requires close and active involvement by senior management in planning and monitoring.

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