Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

First Floor

First Floor

  • All lights functional

  • All A/C functional

Male Washroom

  • Lights Functional

  • Extractor Fans functional

  • Taps Functional

  • Stalls Functional

  • Urinal Functional

Female Washroom

  • Extractor Fans functional

  • Lights Functional

  • Taps Functional

  • Stalls Functional

Ground Floor

Ground Floor

  • All Lights Functional

  • All A/C functional

Male Washroom

  • Extractor Fans functional

  • Lights Functional

  • Taps Functional

  • Stalls Functional

  • Urinal Functional

Female Washroom

  • Extractor Fans functional

  • Lights Functional

  • Taps Functional

  • Stalls Functional

Pump Room

  • All Lights Functional

  • Water Tank Level

  • Water Pumps Functional

  • Fire Water Level

  • Fire Pump Functional

  • General Condition of room

Low Voltage/ATS room

  • A/C Functional

  • ATS Functional

  • Voltage Readings

  • Amps Reading

  • General Condition of Room

  • All Lights Functional

Generator

  • Fuel Level #1

  • Fuel Level #2

  • General Condition

Security System

  • Barrier Functional

  • Swipe Card Functional

  • Fire Alarm Panel Functional

Communication 1st Floor

  • Lights Functional

  • Room Condition

  • A/C Functional

Communication Ground Floor

  • Lights Functional

  • Room Condition

  • A/C Functional

UPS Room 1st Floor

  • Light Functional

  • Room Condition

  • A/C Functional

  • Any Abnormal sounds

  • UPS Load reading

  • Any vibration on UPS

UPS Room Ground Floor

  • Lights Functional

  • Room Condition

  • A/C Functional

  • Any Abnormal sounds

  • UPS Load Reading

  • Any Vibration on UPS

Sewer System

  • System Functional

Elevator

  • Lift Functional

Other Observations/ Comments

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