Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

Main electrical panel

  • Cover the photo cell with aluminum to activate the perimeter lights for inspection purpose.

Gate

Main Gate / drop arm barrier

  • Painted/marked correctly

  • Lift arm gate serviceable

  • Vehicle access gate serviceable

  • Wire serviceable

Perimeter Fence/Lights

Perimeter fence / lights

  • i. Check for any signs of tampering or damage, built up of sand or garbage.
    ii. Cover the photo cell on the main exterior electrical panel to activate perimeter lights, check to ensure all lights are functional.

  • Perimeter fence in good condition<br>(including the concertina)

  • Perimeter lights functional

Septic

Septic Tank / Leech System

  • Septic/Leech tanks operational

  • Leech field does not smell

  • Septic tank not filled with solids

  • Site Commander understands Septic System

Bunkers

Bunkers

  • Entrance is clear

  • Floor area is firm and intact

  • No obstructions

  • Grenade trap is clear and serviceable

  • Vertical members are sound (no gaps)

  • Roofing members are sound and seated correctly

  • No major timber defects

  • Spacing of support beams even

Blast Walls

Blast walls

  • Outer surface of blast walls intact

  • No major defects or faults

Generators

Generators

  • Generator serviceable and clean

  • Tag #:

  • Generator Hours

  • Tag #:

  • Generator Hours

  • Fuel filter clean

  • Air filter clean

  • Oil level (take pic of dip stick)

  • Sound barrier walls in place

Solar Panels

Solar panels

  • Solar panel free of condensation, leak free

  • Solar panels clean and dirt free

Grease Trap

Grease Trap

  • Grease trap clean<br>(must be cleaned out EVERY day)

Inspection Chambers

Inspection Chambers

  • Checking for flooding, broken covers and evidence that solids are being put down the kitchen sink or directly into the septic tank.

  • Septic lines are clear and not leaking

Water Supply

Water supply

  • Water tanks serviceable, to include lids and latches

  • Water lines, pipes, valves and sight tubes serviceable

  • Water pumps serviceable

Sunshade/Patio

Sunshade/patio/fitness area

  • Support structure clean and painted

  • All lights work

  • Roof serviceable

  • Patio tiles and concrete unbroken

  • Flags, halyards serviceable

  • Flag poles operational, clean and painted

Showers

Ext.

  • Exterior condition serviceable

  • Exterior plumbing serviceable and no leaks

  • Roof serviceable

Int.

  • Doors and handles operate correctly

  • All lights work

  • Floor covering serviceable

  • Windows/fly screens serviceable

  • Shower tray and soap dish serviceable

  • Shelf, mirror, paper towel holder serviceable

  • Sink, faucets and drains operational, without leaks

  • Hooks serviceable

  • Showers sealed and clean

1st Aid Room

Ext.

  • Exterior condition serviceable

  • Exterior lights working

  • Roof serviceable

Int.

  • Doors and handles operate correctly

  • All lights work

  • Floor covering serviceable

  • Exhaust fan operational, covers in place

  • Electrical outlets serviceable

  • Add all Tag# for A/C's

  • A/C operational / filter clean

  • Smoke detectors operational

Store Room

Ext.

  • Exterior condition serviceable

  • Exterior lights work

  • Roof serviceable

Int.

  • Doors and handles operate correctly

  • All lights work

  • Floor covering serviceable

  • Exhaust fan operational, covers in place

  • Electrical outlets serviceable

Kitchen/TOC

Ext.

  • Exterior condition serviceable<br>(painted, no rust/stains)

  • Door and handle operate correctly

  • Exterior lights working

  • Exterior plumbing serviceable

  • Roof serviceable

TOC

  • Floor covering serviceable

  • All lights work

  • Electrical outlets serviceable

  • Add all Tag# for A/C's

  • A/C operational / filter clean

  • Windows/fly screens serviceable

  • Fire extinguisher correctly charged/serviced

Kitchen

  • Door and handle operate correctly

  • All lights work

  • Floor covering serviceable

  • Water heater operational and no leaks

  • No water leaks - faucets, lines, drain and water cooler

  • All cupboards and drawers serviceable

  • Exhaust fan operational, covers in place/no nests

  • Electrical outlets serviceable

  • Add all Tag# for A/C's

  • A/C operational / filter clean

  • Windows/fly screens serviceable

  • Stoves/ovens work

  • Microwave works

  • Fridge works

  • Tag #:

  • Tag #:

  • Freezer works

  • Tag #:

  • Tag #:

Accommodation

Ext.

  • Exterior condition serviceable

  • Exterior lights working

  • Roof serviceable

Int.

  • Doors and handles operate correctly

  • All lights work

  • Floor covering serviceable

  • Electrical outlets serviceable

  • Add all Tag# for A/C's

  • A/C operational / filter clean

  • Windows/fly screens, curtains serviceable

  • Beds serviceable

Ablution

Ext.

  • Exterior condition serviceable

  • Exterior lights working

  • Exterior plumbing serviceable

  • Roof serviceable

Int.

  • Doors and handles operate correctly

  • All lights work

  • Floor covering serviceable

  • Windows/fly screens serviceable

  • Toilets/urinals serviceable, no leaks

POL

POL

  • Containment pads operational

  • Hoses, valves and fittings secure

  • Tanks painted and marked correctly

Tower

Tower

  • Ladder and safety rails secure and painted

  • Door catch and latch serviceable

  • Add all Tag# for A/C's

  • Painted interior and exterior

  • Light operational

  • A/C operational / filter clean

  • Counter serviceable

  • Glazing serviceable (windows)

Additional Comments

  • Misc. (any thing not on this form that needs reporting)

  • General Comments / Issues from the Site Commander:

Signatures

  • Site Commander's Signature:

  • Inspector's Signature:

  • Once the report is completed and all parties are happy, the report must be sent to the following pers. Make sure to email to site as to provide them with the full report on the spot. This process expedites the work order procedures. Send as both PDF.


    fenc@mfo.org
    rsnco1@mfo.org

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.