Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Asset Information
-
Equipment Photos
-
Building Name
-
Suite
-
System
- Building Controls and Monitoring
- Building Exterior
- Building Interior
- Commercial Kitchen
- Communications
- Conveyance
- Electrical
- Fire & Life Safety
- Fleet
- Gaming Equipment
- General Administration
- HVAC
- Information Technology (IT)
- Janitorial
- Kitchen, Bar, and Food Service
- Laundry
- LEED-EB
- Manufacturing
- Medical
- Office
- Parking
- Plumbing
- Process Systems
- Security
- Special Building Systems
- Tools
- Utilities
-
Subsystem
-
Equipment Category
-
Type
-
Model Number
-
Title (Nomenclature of equipment)
-
Manufacturer
-
Description
-
Serial Number
-
Barcode Identification
-
Location
-
Area(s) served
-
Criticality Alert Note
- 1 - None No reason to expect failure to have any impact on Safety, Environment or Core Business
- 2 - Very Low Minor disruption to facility function. Repair to failure can be accomplished during a trouble call
- 3 - Low Minor disruption to facility function. Repair to failure may be longer than a trouble call but does not impact core business.
- 4 - Low to Moderate Moderate disruption to facility function. Some elements of core business functions may need to be rescheduled or delayed.
- 5 - Moderate Moderate disruption to facility function. Significant portions of Core business functions will need to be reworked or delayed.
- 6 - Moderate to High Moderate disruption to facility function. Some portion of core business is lost. Moderate delay in restoring function
- 7 - High High disruption to facility function. Some portion of core business is lost. Significant delay in restoring function.
- 8 - Very High High disruption to facility function. Significant portion of core business is lost. Significant delay in restoring function.
- 9 - Hazard Potential significant Safety, Health or “Environmental issue. Failure will occur with warning.
- 10 - Hazard Potential significant Safety, Health or Environmental issue. Failure will occur without warning.
-
Other 1
-
Other 2
-
Other 3
-
Ownership
-
Owner Name
-
Date Acquired
-
Installation Date
-
Warranty Start Date
-
Warranty End Date
PM Schedules
-
PM Tasking Forms
-
January
-
February
-
March
-
April
-
May
-
June
-
July
-
August
-
September
-
October
-
November
-
December
-
Vendor & Technician
-
Special Instructions
