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  • Client / Site

  • Report Date

  • Visit Date

  • Last visit Date

  • Technical Consultant

  • Property Manager

  • Location
  • Last visit score

A. Systems & Equipment

A.1 Electrical Systems

A.1.1 Switchboards

  • Applicable?

  • Electrical scheme Circuits identification Equipotential bonding Conservation state Electrical scheme Clear access

  • Switchboard Condition

A.1.2 Standby Generator

  • Applicable?

  • Restricted area Conservation state Alarms/Malfunctions Leaks (Oil, fuel) Battery voltage Fuel level Retention basin Regular load testing Regular idle testing Inspection tests records Use instructions Electrical scheme

  • Standby Generator Condition

A.1.3 Power Transformer Station

  • Applicable?

  • Restricted area Conservation state Ventilation Lighting Identification Danger signage First aid instructions Insulating mat Protection gloves Portable emergency light Electrical scheme Earth measurement record

  • Power Transformer Station Condition

A.1.4 Lightning Rod

  • Applicable?

  • System range System fixings Conservation state

  • Lightning Rod Condition

A.1.5 Lighting

  • Applicable?

  • Conservation state Efficient lighting Time switch Motion detectors Cleaning Efficient lighting Time switch Motion detectors Photocell

  • Lighting Condition

A.1.6 Sound System

  • Applicable?

  • Conservation state<br>Volume<br>System range<br>Maintenance contract

  • Sound System Condition

A.2 Electronic Security

A.2.1 Fire Detection System (SADI)

  • Applicable?

  • Identification
    Alarms / Malfunctions
    Conservation state
    Use instructions
    Alarms registry
    External communication

  • Fire Detection System (SADI) Condition

A.2.2 CO Detection System (SADCO)

  • Applicable?

  • Identification
    Alarms / Malfunctions
    Conservation state
    Use instructions
    Alarms registry
    External communication
    Detectors expiration date

  • CO Detection System (SADCO) Condition

A.2.3 Gas Detection System (SADG)

  • Applicable?

  • Identification
    Alarms / Malfunctions
    Conservation state
    Use instructions
    Alarms registry
    External communication
    Detectors expiration date

  • Gas Detection System (SADG) Condition

A.2.4 Access Control System

  • Applicable?

  • Commands
    Intercoms
    Database
    Prev. Maintenance Contract

  • Access Control System Condition

A.2.5 CCTV

  • Applicable?

  • Identification
    Alarms / Malfunctions
    Conservation state
    Technology
    Information to public
    Image records (30 days)
    System coverage

  • CCTV Condition

A.2.6 Intrusion

  • Applicable?

  • Identification
    Alarms / Malfunctions
    Conservation state
    Use instructions
    Alarms registry
    External communication

  • Intrusion Condition

A.3 Mobility

A.3.1 Lifts

  • Applicable?

  • Alarms / Malfunctions
    Conservation state
    Cabin lighting
    Emergency signage
    Valid inspection certificate

  • Lifts Condition

A.3.2 Goods Lift

  • Applicable?

  • Alarms / Malfunctions
    Conservation state
    Cabin lighting
    Emergency signage
    Valid inspection certificate

  • Goods Lift Condition

A. 3.3 - Mobility - Platforms

  • Applicable?

  • Alarms / Malfunctions
    Conservation state
    Cabin lighting
    Emergency signage
    Valid inspection certificate
    Use instructions

  • Mobility - Platforms Condition

A.3.4 Travelators

  • Applicable?

  • Alarms / Malfunctions
    Conservation state
    Danger signage
    Valid inspection certificate

  • Travelators Condition

A.3.5 Escalators

  • Applicable?

  • Alarms / Malfunctions
    Conservation state
    Danger signage
    Valid inspection certificate

  • Escalators Condition

A.4 HVAC & Refrigeration Systems

A.4.1 Cooling Production

  • Applicable?

  • Conservation state
    Schematic diagram
    Operational
    Alarms / Malfunctions
    Pumps
    Piping network
    Thermal insulation
    Buffer tank
    Fan coils
    AHU (Air Handling Unit)
    Ventilation grids and nozzles

  • Cooling Production Condition

A.4.2 Heat Production

  • Applicable?

  • Conservation state
    Schematic diagram
    Operational
    Alarms / Malfunctions
    Pumps
    Piping network
    Thermal insulation
    Buffer tank
    Water treatment
    Fan coils
    AHU (Air Handling Unit)
    Ventilation grids and nozzles

  • Heat Production Condition

A.4.3 Refrigeration Station

  • Applicable?

  • Conservation state
    Schematic diagram
    Operational
    Alarms / Malfunctions
    Pumps
    Piping network
    Thermal insulation
    Buffer tank
    Water treatment
    Fan coils
    Ventilation grids and nozzles

  • Refrigeration Station Condition

A.5 DHW Systems

A.5.1 DHW Systems

  • Applicable?

  • Conservation state
    Schematic diagram
    Pumps
    Piping network
    Thermal insulation
    Buffer tank
    Operational
    Alarms / Malfunctions

  • DHW Systems Condition

A.6 Fire Fighting Equipment

A.6.1 Fire Extinguishers

  • Applicable?

  • Valid inspection certificate
    Conservation state
    Pressure
    Signage
    Fixing height (<1.2m)
    Hydrostatic test (10 years)
    Clear access

  • Fire Extinguishers Condition

A.6.2 Fire Hose Reels

  • Applicable?

  • Conservation state
    Pressure
    Manometer
    Shut-off valve
    Painting
    Use instructions
    Valid inspection certificate
    Hydrostatic test (5 years)
    Clear access
    Signage
    Fixing height
    Painting

  • Fire Hose Reels Condition

A.6.3 Fire Hydrant

  • Applicable?

  • Conservation state
    Valid inspection certificate
    Clear access
    Signage
    Protection bollards
    Painting

  • Fire Hydrant Condition

A.6.4 Dry Riser

  • Applicable?

  • Conservation state
    Valid inspection certificate
    Clear access
    Pressure test
    Signage
    Painting

  • Dry Riser Condition

A.6.5 Wet Riser

  • Applicable?

  • Conservation state
    Shut-off valve
    Valid inspection certificate
    Clear access
    Signage
    Painting

  • Wet Riser Condition

A.6.6 Sprinklers

  • Applicable?

  • Conservation state
    Valid inspection certificate
    Clear access
    Painting
    Signage

  • Sprinklers Condition

A.6.7 Fire Pump Station

  • Applicable?

  • Control panel - Conservation state
    Control panel - Alarm communication
    Control panel - Jockey start counter
    Control panel - Diesel/Electric pump hours meter
    Diesel /Electric /Jockey pumps - Alarms / Malfunctions
    Diesel /Electric /Jockey pumps - Leaks (Oil, fuel)
    Diesel /Electric /Jockey pumps - Conservation state
    Diesel /Electric /Jockey pumps - Battery voltage
    Diesel /Electric /Jockey pumps - Fuel level
    Diesel /Electric /Jockey pumps - Retention basin
    Diesel /Electric /Jockey pumps- Identification
    Diesel /Electric /Jockey pumps - Painting
    O&M - Clear access
    O&M - Regular load testing
    O&M - Regular idle testing
    O&M - Inspection tests records
    O&M - Use instructions
    O&M - Schematic diagram

  • Fire Pump Station Condition

A.6.8 Smoke Control Systems

  • Applicable?

  • Fire doors - Conservation state
    Fire doors - Valid inspection certificate
    Fire doors - Clear access
    Fire doors - Closed doors
    Fire doors - Spring closer
    Fire doors - Magnetic holders
    Ventilation - Alarms / Malfunctions
    Ventilation - Valid inspection certificate
    Skylights - Alarms / Malfunctions
    Skylights - Valid inspection certificate
    Fire dampers - Alarms / Malfunctions
    Fire dampers - Valid inspection certificate
    Firestop sealants - Conservation state
    Firestop sealants - Valid inspection certificate
    Firestop sealants - System coverage

  • Smoke Control Systems Condition

A.7 Watering Systems

A.7.1 Watering Systems

  • Applicable?

  • Watering Pump
    Piping Network
    Sprinklers
    Scheduling period
    Maintenance record

  • Watering Systems Condition

A.7.2 Fire water tank

  • Applicable?

  • Fire water tank - Conservation state
    Fire water tank - Cleaning / Sanitation
    Fire water tank - Leaks
    Fire water tank - Recirculating loop
    Fire water tank - Low level control
    Fire water tank - High level control
    Fire water tank - Alarm communication

  • Fire water tank Condition

A.8 Pumping Systems

A.8.1 Pumping Systems

  • Applicable?

  • Duty pump - Operational
    Duty pump - Conservation state
    Duty pump - Network pressure
    Duty pump - Setpoint
    Duty pump - Leaks
    Rainwater lift station - Operational
    Rainwater lift station - State (Automatic / Manual)
    Rainwater lift station - Level
    Rainwater lift station - Chains and guides
    Rainwater lift station - Piping Network
    Rainwater lift station - Check valve
    Rainwater lift station - Manholes
    Rainwater lift station - Maintenance registry
    Rainwater lift station - Sewage/Waste
    Wastewater lift station - Operational
    Wastewater lift station - State (Automatic / Manual)
    Wastewater lift station - Level
    Wastewater lift station - Chains and guides
    Wastewater lift station - Piping Network
    Wastewater lift station - Check valve
    Wastewater lift station - Manholes
    Wastewater lift station - Maintenance registry
    Wastewater lift station - Sewage/Waste

  • Pumping Systems Condition

A.9 Water Treatment

A.9.1 Drinking Water

  • Applicable?

  • Water treatment system - Operational
    Water treatment system - State (Automatic / Manual)
    Water treatment system - Level
    Water treatment system - Chains and guides
    Water treatment system - Piping Network
    Water treatment system - Check valve
    Water tank - Conservation state
    Water tank - Cleaning / Sanitation
    Water tank - Leaks
    Water tank - Low level control
    Water tank - High level control
    Water tank - Alarm communication

  • Drinking Water Condition

A.10 Barriers and Gates

A.10.1 Barriers and Gates

  • Applicable?

  • Gates - Operational
    Gates - Conservation state
    Gates - Photocells
    Gates - Induction loop
    Barriers - Operational
    Barriers - Conservation state
    Barriers - Appropriate length
    Barriers - Photoluminescent material
    Barriers - Photocells
    Barriers - Induction loop

  • Barriers and Gates Condition

B. Building & Construction

B.1 Facade

B.1.1 Facade

  • Applicable?

  • Coating / Painting
    Cleaning
    Frames
    Voids
    Others

  • Facade Condition

B.2 Flat Roof

B.2.1 Flat Roof

  • Applicable?

  • Waterproofing - Fissure
    Waterproofing - Hole cracks
    Waterproofing - Joints
    Waterproofing - Wrinkling
    Waterproofing - Moss
    Waterproofing - Water pooling
    Waterproofing - Coating
    Drainage system - Dirty surface
    Drainage system - Waste accumulation
    Drainage system - Water pooling
    Drainage system - Slope
    Drainage system - Joints
    Drainage system - Rusting
    Drainage system - Crack holes
    Drainage system - Drop outlet
    Organization - Cable tracks
    Organization - Ducts and pipes
    Organization - Circulation
    Organization - Water point
    Windows and skylights - Glass
    Windows and skylights - Dirty
    Windows and skylights - Waterproof

  • Flat Roof Condition

B.3 Sloped Roof

B.3.1 Sloped Roof

  • Applicable?

  • Coating - Highly damaged
    Coating - Material alignment
    Coating - Detachment
    Coating - Waste accumulation
    Coating - Pinpoint rusting
    Coating - Moss
    Coating - Cracks
    Drainage system - Dirty surface
    Drainage system - Waste accumulation
    Drainage system - Water pooling
    Drainage system - Slope
    Drainage system - Joints
    Drainage system - Rusting
    Drainage system - Crack holes
    Drainage system - Drop tube
    Drainage system - Drop outlet
    Asbestos cement - Conservation state
    Asbestos cement - Less than 25 years
    Windows and skylights - Glass
    Windows and skylights - Dirty
    Windows and skylights - Waterproof

  • Sloped Roof Condition

B.4 Structure and Masonry

B.4.1 Structure and Masonery

  • Applicable?

  • Concrete structure - Columns and beams
    Concrete structure - Expasion joints
    Concrete structure - Cracks
    Wooden structures - Veneer
    Wooden structures - Painting
    Wooden structures - Cracks
    Wooden structures - Detachment
    Wooden structures - Fixations
    Wooden structures - Cables
    Metal Structures - Corrosion
    Metal Structures - Painting
    Metal Structures - Deformation
    Metal Structures - Fixations

  • Structure and Masonery Condition

B.5 Exterior Floor

B.5.1 Exterior Floor

  • Applicable?

  • Cleaning
    Drainage System
    Conservation state
    Levelling
    Vegetation
    Kerbstone
    Sidewalk
    Road hump

  • Exterior Floor Condition

B.6 Interior

B.6.1 Atrium

  • Applicable?

  • Walls Floors Ceilings Lighting Paper bins Directory Mailbox Doors

  • Atrium Condition

B.6.2 Sanitary Facilities

  • Applicable?

  • Walls Condition

B.6.3 Lifts Hall

  • Applicable?

  • Lifts Hall Condition

B.6.4 Technical Areas

  • Applicable?

  • Technical Areas Condition

B.6.5 Access

  • Applicable?

  • Walls
    Floors
    Ceilings
    Lighting
    Paper bins

  • Access Condition

B.7 Stairs

B.7.1 Exterior

  • Applicable?

  • Floors
    Painting
    Structure
    Safety handrail
    Lighting

  • Exterior Condition

B.7.2 Interior

  • Applicable?

  • Walls
    Floors
    Ceilings
    Lighting

  • Interior Condition

B.8 Parking Lot

B.8.1 Interior

  • Applicable?

  • Walls
    Pavement
    Ceilings
    Vertical signs
    Horizontal signs
    Marks
    Mirrors
    Water drainage
    Paper bins
    Lighting

  • Interior Parking Lot Condition

B.8.2 Exterior

  • Applicable?

  • Pavement
    Vertical signs
    Horizontal signs
    Road marks
    Lighting
    Water drainage

  • Exterior Parking Lot Condition

B.9 Urban Furniture

B.9.1 Urban Furniture

  • Applicable?

  • Paper bins
    Chairs and tables
    Arbour
    Flags
    Children's playground
    Motorbike park

  • Urban Furniture

B.10 Loading and Unloading docs

B.10.1 Loading and Unloading docs

  • Applicable?

  • Lighting
    Cleaning
    Signaling
    Floor
    Ceilings
    Walls
    Truck guides
    Dock bumpers
    Dock shelters / dock seals
    Dock Door
    Dock leveller

  • Loading and Unloading docs Condition

B.11 Exterior Lighting

B.11.1 Exterior Lighting

  • Applicable?

  • Facades
    Galleries
    Pedestrian Access
    Road access
    Gatehouse
    Perimeter

  • Exterior Lighting Condition

B.12 Surroundings

B.12.1 Surroundings

  • Applicable?

  • Gatehouse
    Railing
    Roads
    Paper bins

  • Surroundings Condition

B.13 Signs

B.13.1 Signs

  • Applicable?

  • Directions
    Welcome sign
    Goodbye sign
    Opening hours
    Sanitary Facilities
    Lifts
    ATM
    Information
    Foodcourt
    Public Telephone
    Totem

  • Signs Condition

B.14 Solid Waste

B.14.1 Solid Waste

  • Applicable?

  • Identification
    Adequate number of containers
    Ventilation

  • Solid Waste Condition

B.15 Entrance

B.15.1 Entrance

  • Applicable?

  • Painting
    Span
    Drainage System
    Lighting
    Visibility
    Signaling
    Directories
    Mailboxes

  • Entrance Condition

B.16 Foodcourt

B.16.1 Foodcourt

  • Applicable?

  • Walls
    Floors
    Ceiling
    Capacity (seated)
    Paper bins

  • Foodcourt Condition

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.