Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
First Floor
First Floor
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All lights functional
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All A/C functional
Male Washroom
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Lights Functional
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Extractor Fans functional
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Taps Functional
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Stalls Functional
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Urinal Functional
Female Washroom
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Extractor Fans functional
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Lights Functional
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Taps Functional
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Stalls Functional
Ground Floor
Ground Floor
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All Lights Functional
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All A/C functional
Male Washroom
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Extractor Fans functional
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Lights Functional
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Taps Functional
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Stalls Functional
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Urinal Functional
Female Washroom
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Extractor Fans functional
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Lights Functional
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Taps Functional
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Stalls Functional
Pump Room
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All Lights Functional
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Water Tank Level
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Water Pumps Functional
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Fire Water Level
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Fire Pump Functional
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General Condition of room
Low Voltage/ATS room
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A/C Functional
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ATS Functional
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Voltage Readings
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Amps Reading
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General Condition of Room
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All Lights Functional
Generator
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Fuel Level #1
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Fuel Level #2
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General Condition
Security System
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Barrier Functional
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Swipe Card Functional
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Fire Alarm Panel Functional
Communication 1st Floor
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Lights Functional
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Room Condition
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A/C Functional
Communication Ground Floor
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Lights Functional
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Room Condition
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A/C Functional
UPS Room 1st Floor
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Light Functional
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Room Condition
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A/C Functional
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Any Abnormal sounds
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UPS Load reading
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Any vibration on UPS
UPS Room Ground Floor
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Lights Functional
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Room Condition
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A/C Functional
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Any Abnormal sounds
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UPS Load Reading
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Any Vibration on UPS
Sewer System
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System Functional
Elevator
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Lift Functional
Other Observations/ Comments