Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • What System does this issue relate to?

  • Facility / Site System
  • Select System

  • Select system / component Category Code.

  • Paved pedestrian surfaces including walks, site stairs, step ramps, paths, pedestrian signage, sidewalk bridges/canopies, pedestrian plaza/mall areas, etc. Description of issue follows.

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  • Paved vehicular surfaces including roads, paths, curbs, guards, bollards, bridges, skyways, joints, shoulder work, culverts, ditches, vehicular signage, etc. Description of issue follows.

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  • Landscape related work including new grass/turf refurbishment, grade improvements, catch basins, swales, berms, pruning, new ornamental flora, etc. Description of issue follows.

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  • Permanent hard site features, predominantly ornamental, including terraces, fences, statues, freestanding signage, fountains, benches, etc. Description of issue follows.

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  • Select system / component Category Code.

  • Stairs, Railings, and Ramps - Including exterior stairs and railings which are not part of building entrance points.

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  • Covers all aspects of entry into the building itself including ramps, lifts, doors and hardware, power operators, etc. Description of issue follows.

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  • Stairs and Railings - Upgrades to interior stairs and handrails for accessibility reasons. Description of issue follows.

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  • Doors and Hardware - Accessibility upgrades to the interior doors including widening, replacing hardware power, assisted operators, etc. Description of issue follows.

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  • Restrooms/Bathrooms - Modifications to, and installation of, accessible public restrooms and bathrooms. Description of issue follows.

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  • Select system / component Category Code.

  • Cold storage - Temperature control chambers for non-food storage. Includes both chamber and all associated mechanical equipment. Description of issue follows.

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  • Asbestos/Lead Paint - Testing, abatement, and disposal of structural and building finish materials containing asbestos. Description of issue follows.

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  • Fuel Storage - Includes monitoring, removal, and replacement of above and below ground fuel storage and distribution systems. Also includes testing and disposal of contaminated soils. Description of issue follows.

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  • Select system / component Category Code.

  • Exterior - Fixtures, stanchions, foliage interference, cleanliness, locations, etc. Description of issue follows.

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  • Fencing - Perimeter campus fencing, individual building fencing, includes both pedestrian and vehicular control fences. Description of issue follows.

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  • General - Hidden areas due to foliage, fencing, parking, walls, etc. Description of issue follows.

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  • Access to emergency phones; locations, visibility, function, reliability, etc. Description of issue follows.

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  • Select system / component Category Code.

  • Boilers and furnaces, and related components, including their related stacks, flues, and controls. Description of issue follows.

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  • Including cast iron radiators, fin tube radiators, baseboard radiators, etc. Description of issue follows.

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  • Chiller units for production of chilled water for cooling purposess. related controls (not including mods for CFC compliance). Description of issue follows.

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  • Heat Rejection - Repair/replacement of cooling towers, dry coolers, air-cooling and heat rejection. (Includes connection of once-through system to cooling tower). Description of issue follows.

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  • Replacement or major retrofit of HVAC systems. Description of issue follows.

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  • Repair/replacement of self-contained/package type units, rooftop units, window units, etc; both air conditioners and heat pumps. Description of issue follows.

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  • Includes air handlers and coils, fan coil units, unit ventilators, filtration upgrades, etc., not including package/self-contained units, split systems or other specifically categorized systems.

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  • Piping Network - Repair/replacement of piping networks for heating and cooling systems including pipe, fittings, insulation, related components, etc. Description of issue follows.

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  • Pumps - Repair or replacement of pumps used in heating and cooling systems, related control components, etc. Description of issue follows.

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  • Replacement of HVAC control systems.

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  • Select system / component Category Code.

  • Main building disconnect and switchgear. Description of issue follows.

  • Add media

  • Installation of meters to record consumption and/or demand. Description of issue follows.

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  • Main distribution upgrade due to deficiencies in condition. Description of issue follows.

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  • Includes distribution stepdown and isolation transformers. Description of issue follows.

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  • Exterior building lighting fixtures including supply conductors and conduit. Description of issue follows.

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  • Interior lighting fixtures (also system wide emergency lighting) including supply conductors and conduits. Description of issue follows.

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  • Includes generators, central battery banks, transfer switches, emergency power grid, etc. Description of issue follows.

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  • Uninterruptible power supply systems and DC motor-generator sets and distribution systems. Description of issue follows.

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  • Electrical system components not catalogued elsewhere. Description of issue follows.

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  • Select system / component Category Code.

  • Repair or replacement of domestic water supply piping network, insulation, hangers, etc. Description of issue follows.

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  • Domestic water booster pumps, circulating pumps, related controls, etc. Description of issue follows.

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  • Installation, repair, or replacement of water meters

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  • Domestic water heaters including gas, oil, and electric heaters, shell and tube heat exchangers, tank type and instantaneous. Description of issue follows.

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  • Plumbing fixtures including sinks, drinking fountains, water closets, urinals, etc. Description of issue follows.

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  • Backflow protection devices, including backflow preventers, vacuum breakers, etc. Description of issue follows.

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  • Repair or replacement of building wastewater piping network. Description of issue follows.

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  • Pump systems used to lift wastewater including sewage ejectors and other sump systems. Description of issue follows.

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  • Select system / component Category Code.

  • R&R work on exit signage and packaged AC/DC emergency lighting. Description of issue follows.

  • Add media

  • Repair or replacement of fire alarm/detection system/components including fire alarms, pull boxes, smoke/heat detectors, annunciator panels, central fire control stations, remote dialers, fire station communications, etc. Description of issue follows.

  • Add media

  • Repair or installation of water sprinklers type automatic fire suppressions including wet pipe and dry pipe systems, heads, piping, deflectors, valves, monitors, associated fire pump, etc. Description of issue follows.

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  • Other fire suppression items not specifically categorized elsewhere including fire blankets, carbon dioxide automatic systems, Halon systems, dry chemical systems, fire pumps and motors. Description of issue follows.

  • Add media

  • Installation or repair of special storage environment for the safe holding of flammable or otherwise dangerous materials/supplies including vented flammables storage cabinets, holding pens/rooms, cages, fire safe chemical storage rooms, etc. Description of issue follows.

  • Add media

  • Installation/replacement/repair of fire doors and hardware including labeled fire doors, fire shutters, closets, magnetic holders, panic hardware, etc. Description of issue follows.

  • Add media

  • Fire / Life Safety items not specifically categorized elsewhere. Description of issue follows.

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  • Select system / component Category Code.

  • R&R of carpet, hardwood strip flooring, concrete coating, vinyl linoleum and tile, marble, terrazzo, rubber flooring, underlayment in predominantly dry areas. Description of issue follows.

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  • Work on full height permanent interior partitions including R&R to gypsum board, plaster, lath, wood paneling, acoustical panels, wall coverings, column coverings, tile, paint, etc. Description of issue follows.

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  • Repair/replacement of interior ceilings, including tiles, gypsum board, plaster, paint, etc, or systems. Description of issue follows.

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  • Any work on interior non-fire rated doors, roll-up counter doors, mechanical/plumbing access doors, and all door hardware (except for reasons of access improvement). Description of issue follows.

  • Add media

  • Any finish restorative work to stair tower walking surfaces including replacement of rubber heads, safety grips, nosings, etc (except as required to accomodate disabled persons). Description of issue follows.

  • Add media

  • Select system / component Category Code.

  • Foundation/footing waterproofing work including damp proofing, dewatering, insulation, etc. Description of issue follows.

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  • Work concerning the structural integrity of the load supporting floors both exposed and unexposed, including deformation, delamination, spalling, shoring, crack repair, etc.

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  • Work on waterproof horizontal finish (roof) involving repair and/or limited replacement (<40& total), including membrane patching, flashing repair, coping, caulk/resetting, PPT wall parging/coating, walkpad installation, skylight and roof hatch R&R, etc. Description of issue follows.

  • Add media

  • Work on exterior exit/access door including storefronts, airlocks, air curtains, vinyl slat doors, all power/manual operating hardware (except handicapped), etc. Description of issue follows.

  • Add media

  • Work on exterior fenestration closure and related components including glass/metal/wood curtain walls, fixed or operable window sashes, glazing, frames, sills, casings, stools, seats, coatings, treatments, screens, storm windows, etc. Description of issue follows.

  • Add media

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.