Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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1.0 General Internal Lighting To Be Checked (Monthly)
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Lighting Operational And Have Correct Lamps Fitted As Stated By Manufacturers
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Light Fixtures And Covers Are Not Damaged
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Light Fittings Are Secure <br><br>
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Any Faults Found To Be Noted Below
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2.0 RCD Testing To Be Carried Out (Quarterly)
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RCD Testing Carried Out On This Visit
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Test Button Operational
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Test Instruments And Results
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3.0 Routine Maintenance Visit (Monthly)
Doors ( Escape & Fire)
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Good Condition
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Fixtures Secure
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Locks And Closers Operational
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Glass In Good Condition
Windows
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Good Condition
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Latches And Locks In Place
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Weather Strips Good
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Glass Secure
Walls And Ceilings
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Good Condition
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Clean
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Not Damaged
Floors
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Good Condition
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Clean
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Not Damaged
Furniture, Displays, Mirrors Etc
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Good Condition
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Clean
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Not Damaged
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Fixtures And Brackets In Place And Secure
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Securely Fixed
Escape / Fire Doors
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Good Condition
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Clean
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Clear Access To These
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Clearly Visible
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Fixtures And Fittings Secure And In Place
Health And Safety Hazards General Inspection
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Technical / Structural Systems
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Any Unsuitable Elements On The Building (Graffiti Etc)
Fire Safety Systems / Intruder Alarms
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Fire Extinguishers
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Fire Hydrants
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Sprinklers
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Fire Alarm / Intruder Alarm Visual Inspection
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Fire Safety Signage
Lifts
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Lift Test Drive
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Lift Condition
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Functional Test Of Lift Emergency Call
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4.0 HVAC Routine Maintenance (Quarterly)
Air Conditioning
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Inspect Air Filters
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Check Unit Heats And Cools
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Check Units For Noise And Vibration
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Check Refrigerant Pipe Connection For Leakage
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Check And Clean Indoor And Outdoor Units
Air Handling Units
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Intake Unobstructed
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Air Flows In
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Filters Satisfactory
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Belts Satisfactory
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Cleanliness
Water Temperatures
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Ensure Hot Water Temperature Of 50 Degrees C Is Obtained After Running For 1 Minute
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Ensure Cold Water Temperature Does Not Exceed 20 Degrees C After Running For 2 Minutes
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5.0 Completion And Sign Off
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All Works Carried Out Left In A Safe Condition And Any Defects Noted
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Date
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Engineers Signature
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Manager Signature