Information
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HUGO BOSS
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Site
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Conducted on
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Document No.
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Prepared by
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Auditor
General Inspection & Function Check - regarding damagers or defects, health & safety hazards
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Please pay attention to: defects of safety-relevant abnormalities regarding fixtures & fittings, equipment, technical facilities deviant performance or technical facilities, dirty air filters, visual inspection for abnormalities, check of water seals / odor traps, missing / damaged ceiling tiles, soiled or damaged areas or facilities, equipment, furniture etc. Functionality of plumbing, heating, ventilation, air-conditioning, safety or ways and spaces.
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a). technical / structural systems, facilities & installations
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a). Outcome
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b). fixtures & fittings, equipment (ie. furniture, shelves, mirrors, doors, fitting rooms, etc)
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b). Outcome
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c). building (ie. unstable elements, graffiti, etc)
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c). Outcome
Issues / Defects Identified
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Issue 1 Description:
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Location:
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Issue 1 Outcome:
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Issue 2 Description:
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Location:
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Issue 2 Outcome:
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Issue 3 Description:
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Location:
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Issue 3 Outcome:
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Issue 4 Description:
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Location:
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Issue 4 Outcome:
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Issue 5 Description:
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Location:
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Issue 5 Outcome:
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Issue 6 Description
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Location:
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Issue 6 Outcome:
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Issue 7 Description:
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Location:
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Issue 7 Outcome:
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Issue 8 Description:
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Location
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Issue 8 Outcome:
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Issue 9 Description:
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Location:
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Issue 9 Outcome:
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Issue 10 Description:
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Location:
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Issue 10 Outcome:
Fire Safety / Security
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Sealing fire hydrant, fixture fire extinguisher
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Fire Equipment - Outcome:
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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No covered (or damaged) sprinkler heads or smoke heads
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Sprinkler / Smoke Heads - Outcome:
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Function of fire doors, no damage
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Fire Doors - Outcome:
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments
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Function of escape doors, no damage
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Escape Doors - Outcome:
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Visual inspection of intruder alarm system, fire alarm system
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Alarm Systems - Outcome:
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Availability escape and rescue routes
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Escape Routes - Outcome:
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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No fire loads, no missing fire barriers
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Fire Loads - Outcome
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Lighting
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Replacement of defect lamps, bulbs, ballast, starters
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Lighting - Outcome
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Function of emergency lighting
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Emergency Lighting - Outcome
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Lifts
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Test drive, function of door contact
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Lift Test Drive - Outcome
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Visual inspection of damage, defect lamps, etc
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Lift Condition - Outcome
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
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Function test lift emergency call
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Lift Emergency Call - Outcome
- Okay
- Issue identified
- Repaired
- Follow up required
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Additional comments:
Water Safety & Meter Readings
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Hot Water temperature reading:
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Hot Water temperature reading outcome
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Running Water temperature reading:
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Running Water temperature reading outcome
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Water Meter Reading:
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Gas Meter Reading:
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Electricity Meter Reading:
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Store Management Sign Off
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Store Manager Comments:
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Name:
