Facility Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Exterior Building Condition

• Condition of parking lot services and striping

  Safe

  At Risk

  N/A

• Condition of sidewalks, ramps, steps and railing

  Safe

  At Risk

  N/A

• Condition of Foundation, Walls, Expansion Joints, Door and Windows

  Safe

  At Risk

  N/A

• Condition of Landscaping and Irrigation System if Applicable

  Safe

  At Risk

  N/A

Interior Condition

• Condition of Flooring

  Safe

  At Risk

  N/A

• Condition of Walls

  Safe

  At Risk

  N/A

• Condition of Ceiling

  Safe

  At Risk

  N/A

• Condition of Restrooms

  Safe

  At Risk

  N/A

Mechanical Systems Condition

• Condition of HVAC Systems, Including Chillers, Cooling Towers, AHU, RTU, DXU, RTA, VAV,s Heaters, Water Treatment and Boilers.

  Safe

  At Risk

  N/A

• Condition of Exhaust and Ventilation Systems

  Safe

  At Risk

  N/A

• Condition of Overhead Doors and Dock Equipment

  Safe

  At Risk

  N/A

• Condition of other systems such as compressed air

  Safe

  At Risk

  N/A

Electrical System Condition

• Condition of lighting and types of lighting

  Safe

  At Risk

  N/A

• Condition of electrical distribution panels and transformers

  Safe

  At Risk

  N/A

Plumbing System, Fire Sprinkler and Alarm Panels

• Condition of Plumbing System, including drains fixtures and Back-flow Preventors

  Safe

  At Risk

  N/A

• Condition of Fire Alarm Panel

  Safe

  At Risk

  N/A

• Condition of Sprinkler System and Riser Room

  Safe

  At Risk

  N/A