Title Page

  • Tenant/Office

  • Address
  • Date

  • Prepared By

LIMA FAC RESIDENTIAL PREVENTIVE MAINTENANCE.

  • Attach photo of the residence here.

1. GENERAL INFORMATION - INFORMACION GENERAL

  • 1.1 Are the Smoke Alarms working?<br>Están los detectores de humo funcionando?

  • # Smoke Detectors.

  • • Expiration Date / Fecha de Vencimiento

  • 1.2 Is the CO2 Alarm working?<br>Esta el detector de CO2 funcionando?

  • # CO2 Alarm.

  • • Expiration Date / Fecha de Vencimiento

  • 1.3 Is the Fire Extinguisher working?<br>Esta el Extinguidor de Fuego funcionando?

  • Expiration Date / Fecha de Vencimiento

  • • Is it updated?<br> Esta actualizado?

2. ELECTRICITY - ELECTRICIDAD

  • 2.1 Are there low insulation in the circuits?<br>Hay bajo aislamiento en los circuitos?

  • 2.2 GFCI

  • Are there GFCI 16-25 Amp/ 10 mA?<br>Hay interruptores diferenciales de 16-25 Amp/ 10 mA?

  • 2.3 Are the GFCI circuit interrupters working? <br>Están los interruptores diferenciales funcionando?

  • 2.4 Are the light fixtures working? <br>Están las luminarias funcionando?

  • 2.5 Are there broken receptacles?<br>Hay tomacorrientes rotos?

  • 2.6 Is the Grounding Resistivity < 25 Ohm?<br>Es la Resisitividad de puesta a tierra < 25 Ohm?

3. PLUMBING - GASFITERIA.

  • 3.1 Is the Water pump working? <br>Esta la electrobomba de agua funcionando?

  • 3.2 Is the Jacuzzi pump working? <br>Esta la electrobomba de jacuzzi funcionando?

  • 3.3 Is the pool system working properly?<br>Esta el sistema de la piscina funcionando apropiadamente?

  • 3.4 Are the Water heaters working?<br>Están los calentadores de agua funcionando?

  • 3.5 Are the Water shut - off valves working? / Están las válvulas de corte de agua funcionando?

  • 3.6 Are the Flexible hoses working? <br>Están las mangueras flexibles funcionando?

  • 3.7 Are the Plumbing fittings OK? <br>Estan OK los accesorios de plomeria ?

4. SHEM - RESIDENTIAL SAFETY

  • 4.1 Is the railing top 42"? <br>Es la atura de la baranda 42 "?

  • 4.2 Is the stairs handrails top 34 -38"? <br>Es la altura del pasmanos 34"- 38"?<br>

  • 4.3 Are there latching devices on windows that allow open 4"?<br>Hay dispositivos de cierre en las ventanas que permiten abrir 4 "?<br>

• SWIMMING POOL - PISCINA

  • 4.1 Is there a non-climbable isolation barrier (fence, wall, etc.) 4 ft. (122cm) minimum heigh?<br>Hay una barrera de aislamiento no escalable (cerca, pared, etc.) de 4 pies (122 cm) de altura mínima?<br>

  • 4.2 Does the pool fence have sturdy supports (balusters) with no openings larger than 4" (10cm) and bottom of railing assembly no more than 4" (10cm) from the floor?<br>La cerca de la piscina tiene soportes resistentes (balaustres) sin aberturas mayores de 4 "(10 cm) y la parte inferior del ensamblaje de la barandilla a menos de 4" (10 cm) del piso?<br>

  • 4.3 Are there rescue equipments - shepherd pole and ring buoy?<br>Hay equipos de rescate - gancho y boya?<br>

  • 4.4 Does the swimming pool have depth markings? <br>La piscina tiene marcas de profundidad?<br>

  • 4.5 Are the outlets and pool system equipped with GFCI- 10mA and are waterproof? <br>Los tomacorrientes y el sistema de piscina están equipados con GFCI-10mA y son herméticos?<br>

  • 4.6 Are the self-closing /self-latching working properly?/ ¿Funcionan correctamente el cierre automático / el cierre magnetico?<br>

• GAS SYSTEM - SISTEMA DE GAS

  • 4.1 Are the cylinders located on the exterior of the building?<br>Están los cilindros ubicados en el exterior del edificio?<br>

  • 4.2 Are the supply pipes (rigid pipe/tubing/ flexible hoses working properly?<br>Los tubos de suministro (tubos rígidos / tubos / mangueras flexibles funcionan correctamente?<br>

  • 4.3 Are the cylinders upright and securely anchored or chained in place?<br>Están los cilindros en posición vertical y firmemente anclados o encadenados en su lugar?<br>

  • 4.4 Are the cylinders at least 7.6 m (25 ft.) from sources of ignition and 1.5 m (5 ft.) from building openings?<br>Están los cilindros a al menos 7,6 m (25 pies) de las fuentes de ignición y 1,5 m (5 pies) de las aberturas del edificio?<br>

  • 4.5 Is there Gas water heater?<br>Hay calentador de agua a gas?<br>

  • 4.6 Does the Gas water heater have vent duct? <br>El calentador de agua a gas tiene ducto de ventilación?

  • 4.7 Are there Gas shut-off valves within 1.8 m (6 ft.) of appliance?<br>Hay válvulas de cierre de gas a 1,8 m (6 pies) del aparato?<br>

  • 4.8 Are the cylinders equipped with a pressure regulator having a pressure relief valve?<br>Están equipados los cilindros con un regulador de presión que tiene una válvula de alivio de presión?<br>

WATER HEATER PROTECTION - PROTECCION DE TERMAS ELECTRICAS

  • 4.1 Does the water heaters have TPR valve? <br>Los calentadores de agua tienen válvula TPR?<br>

5. AC UNITS - UNIDADES DE AC

  • 5.1 AC Unit Capacity

  • Is the AC unit in the master bedroom working? <br>Esta la unidad de AC en el dormitorio principal funcionando?

  • 5.2 AC Unit Capacity.

  • Is the AC unit in the living room working? <br>Está la unidad de AC de la sala funcionando?

  • CLICK TO ADD AC UNIT.

  • AC UNIT BEDROOM
  • AC Unit Capacity

  • Is the AC unit working properly?<br>Esta la unidad de AC trabajando apropiadamente.

5. Other Comments

  • General Comments/Recommendations - Cometarios/Recomendaciones Generales

Completion

  • Click "Add FAC Tech"

  • FAC Tech
  • Name & Signature

  • Completed By : FAC RESIDENTIAL TEAM

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.