Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Date:

Roof top

  • Is the roof top area clean & tidy

  • Are all drains clear from debris

  • Padlocks/locks/bolts are in good condition & secure

  • Caps are on all the divets

  • Walk way is clear

  • Barrier free from cobwebs

  • Tanking on roof area

  • Wall in good condition

  • Caulking good condition

Hot water plant equipment

  • Boilers working

  • Temp boiler 1

  • Temp boiler 2

  • Tie downs on boilers

  • Control panel

  • Pump 1 working

  • Pump 2 working

  • Circulating pump 1 working

  • Circulating pump 2 working

  • Cabinet secure

  • Hot water tank serviceable

  • Doors serviceable

Ventilation

  • Main corridor fan working

  • Kef-20/1 working

  • Tel-20/1 working

  • Kef-20/2 working

  • Tel-20/2 working

  • Main services switchboard

  • All siemen units working

  • Cabinet dry

  • Cabinet secure

  • Vsd cabinet secure & dry

  • Vsd unit working

Lights

  • Lights are working

  • Pic

Lift motor room

  • Stairs clear & clean

  • Lights working

  • Aircon unit working

  • Area clean & tidy

  • Pic

  • Check carried out by:

  • Signature:

  • Date/time finished:

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.