Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Weather Conditions
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Sky Condition
- Sunny
- Partly Cloudy
- Cloudy
- Raining
- Snowing
- Sleeting
- Thunder Storm
ATCT Ground Level
ATCT Perimeter Security
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Parking Lot Lights
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Building Lights
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North Double Gate Secured
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Main Access Gate Secured
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West ATCT Entry Door Secured
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South Double Gate Secured
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South ATCT Exit Door Secured
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360 Fence Condition
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ATCT Generator
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System Status
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Fuel Status
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Battery Terminals Clean
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Visible Signs of Distress
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All Doors Secured
ATCT Pump House
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Pump House Secured
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Light Work
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Fuel Status
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Battery Terminals Clean
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Diesel Engine Control Pannel
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Visible Signs of Distress
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Pump Test 30 Min
First Floor
Tela-Com Room
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Door secured
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Lighting
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Smoke Control
- Auto
- Off
- Hand
- Fault
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HVAC
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Panel A
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Transfer Switch
- Normal Test Mode
- Automatic Mode
- Fast Test Mode
- Utility
- Emergency
- Operating
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Panel EM1
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General Cleanliness
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ATCT Fire Panel
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Training Room lighting
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Training Room General Cleanliness
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Fire Extinguisher
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Hallway HVAC
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Second Floor General Cleanliness
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Lighting
Second Floor
ATCM
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Door Secured
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HVAC
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General Cleanliness
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Fire Extinguisher
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Second Floor General Cleanliness
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Hallway HVAC
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Lighting
Third Floor
Equipment Room
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Lighting
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HVAC
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HVAC
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General Cleanliness
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Elevator Fan
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Restroom Light
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Restroom Stocked
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Restroom Cleanliness
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Restroom Tankless Heater
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Fire Extinguisher
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Hallway HVAC
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Lighting
CAB
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Lighting
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Window Shades
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Window Cleanliness
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Fire Extinguisher
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North Trash Can
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Sink Heater
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South Trash Can
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HVAC
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Ceiling Fan
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General Cleanliness
Catwalk
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Access Door Secured
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General Cleanliness
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Visible Signs of Damage
Rooftop
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Ladder Condition
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Clearance Lighting
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General Cleanliness
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Visible Signs of Damage
Stairway
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Deck 3
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Deck 2
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Deck 1
Elevator
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Lighting
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General Cleanliness
