• Laing+Simmons | Corporate & Facilities Management

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Vertical Transport

  • Is emergency signage installed, legible and free from vandalism ?

  • Are the lifts/ lift in good clean working order ?

  • last maintenance service and next due service dates?

Common area lights

  • Are all lights operational and fit for purpose?

  • Can a more efficient light be used?

  • How many light globes have been replaced this month?


  • Are all perimeter doors operating as designed?

  • Are all CCTV systems working correctly?

Auto Entry/Exit Doors

  • Last service date of auto doors

Emergency Equipment

  • Have all emergency lights been tested in the past six months

  • Have all fire detection devices been tested this month.

  • Have all fire sprinkler systems been tested this month?

  • Have all fire hydrants, fire hose reels, fire extinguishers and fire doors been tested in the past 6 months?

Paths of Travel

  • Are all entry/exit doors and fire stairs free from trip hazards and debris?

  • Are all pedestrian crossings clearly marked and sign posted?

  • Has the roof access equipment been tested and certified in the past 12 months?

Electrical equipment

  • Have all common area RCD's been tested within the past 6 months?

  • Have all electrical leads been tested and tagged in the past 12 months?


  • Have all back flow devices been tested in the past 12 months?

  • Have all sump pumps been serviced in the past 6 months?

  • Have all roof gutters and down pipes been cleaned in the past 6 months?

  • Have storm water pits been inspected in the past 6 months?

  • Are hot water systems or boilers being inspected and serviced?

  • Are the pool pump systems being serviced?

  • Is the garden irrigation system operational?


  • Is the pool and its surroundings in good order?

  • Is pool signage in place?

  • Is pool fence and entry points secure?

  • Are the pool skimmer boxes free from contaminants and in good working order ?

  • Is the pool water clean and free from contaminants?

  • Is the pool indication panel free of faults?

  • Pool Maintenance contractor last attended site on

  • Pool jobs & tests performed by pool contractor?


  • Is gym equipment in good working order?

  • Are all gym weights present and accounted for?

  • Is the gym in clean order?


  • Is BBQ area, hot plates clean and free from grease?

  • Is BBQ functioning and in good order?

Garden area

  • Is the garden area being kept up to standard as per contract?

Basement carpark

  • Is basement car park in good clean order?

General cleaning

  • Is the General overall cleaning being met as per contract?

Garbage Area

  • Are all general waste and recycling bins clearly marked and in good condition?

  • Are all garbage enclosures clean and odour free?

PPM Status/Activity next month

  • Add media

Major Activity/works completed

  • Add media


  • Recommendations

Sign Off

  • Auditor's signature

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.