Melbourne Water

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

(1) Internal housekeeping

• Work areas free from rubbish, obstructions

  Yes

  No

  N/A

• Bathrooms and kitchenettes cleaned and maintained

  Yes

  No

  N/A

• Free from slip/trip hazards, Floor openings protected

  Yes

  No

  N/A

• Stock/materials stored safely, No unapproved storage

  Yes

  No

  N/A

• No smokers within 7 Metres of building entries

  Yes

  No

  N/A

• No evidence of pests

  Yes

  No

  N/A

• Lobby wet weather mats & associated equipment available & in good condition

  Yes

  No

  N/A

• Additional Comments

(2) Internal Fittings

• Surfaces safe & suitable, incl. mats, carpet, trims, vinyl, tiles

  Yes

  No

  N/A

• Condition of paint, doors & door hardware etc.

  Yes

  No

  N/A

• Condition of furniture and fittings

  Yes

  No

  N/A

• Floor temperature & air flow satisfactory

  Yes

  No

  N/A

• Additional Comments

(3) Building Exterior

• Building facade structure, cleanliness

  Yes

  No

  N/A

• No obvious structural defects

  Yes

  No

  N/A

• Paint work condition

  Yes

  No

  N/A

• Signage in good order and fully illuminated where required

  Yes

  No

  N/A

• Outside windows clean

  Yes

  No

  N/A

• Adequate rubbish and smokers. Ins provided and emptied regularly

  Yes

  No

  N/A

• Check trip hazards

  Yes

  No

  N/A

• Additional Comments

(4) Carpark & Loading Dock

• Lighting, including lighting inside entrance and movement sensor lighting

  Yes

  No

  N/A

• Adequate vision especially at corners

  Yes

  No

  N/A

• Bollards & Other protections in place

  Yes

  No

  N/A

• No rubbish, No unapproved storage, unimpressed access to stairs

  Yes

  No

  N/A

• Warnings, speed signage or instructions displayed, mirrors clean & positioned

  Yes

  No

  N/A

• Additional Comments

(5) Electrical

• No broken plugs, sockets, switches, defective leads, Tags in date

  Yes

  No

  N/A

• No temporary wiring, cables, No cable trip hazards

  Yes

  No

  N/A

• No combustibles stored <1 metre from electrical rooms

  Yes

  No

  N/A

• Switchboards locked, Plantrooms & Risers secured, No exposed services

  Yes

  No

  N/A

• Additional Comments

(6) Mechanical & Plant Areas

• Adequate work space around equipment and switchboards

  Yes

  No

  N/A

• Clean and tidy and free from excess oil, grease or water on floor

  Yes

  No

  N/A

• Compliant Stairs, Ladders & Walkways incl. toe-boards, to AS. 1657

  Yes

  No

  N/A

• Ducts & Pipes <2 metres AFL padded or marked

  Yes

  No

  N/A

• Raised thresholds, plinth etc highlighted

  Yes

  No

  N/A

• No evidence of smokers or butts in plantrooms, roof areas, fire stairs

  Yes

  No

  N/A

• No storage in plantrooms

  Yes

  No

  N/A

• Check Plant & panels for abnormal operations or warnings

  Yes

  No

  N/A

• No oils, paints, or contaminated rags left around

  Yes

  No

  N/A

• Fan & machine Guards in place

  Yes

  No

  N/A

• Warnings or instructions displayed, incl. restrictions access, eg. Confined space, Roof

  Yes

  No

  N/A

• Additional Comments

(7) Dangerous Goods/Hazardous Substances

• Stored appropriately, incl. Bunding, No spills or residue

  Yes

  No

  N/A

• Containers original & labelling correct

  Yes

  No

  N/A

• Adequate ventilation/exhaust systems

  Yes

  No

  N/A

• Waste disposal procedures in place

  Yes

  No

  N/A

• MSDS documents <5 years old and available

  Yes

  No

  N/A

• Additional Comments

(8) Stairs, Steps, Landings & Pathways

• No worn or broken steps, Non-slip treatment/treads in good condition

  Yes

  No

  N/A

• Handrails in good repair

  Yes

  No

  N/A

• Clear of obstructions, trip & slip hazards, debris & spills<br>

  Yes

  No

  N/A

• Adequate vision at corners

  Yes

  No

  N/A

• Structural damage, incl. potholes in paths & roadways

  Yes

  No

  N/A

• Additional Comments

(9) Lighting

• Adequate and operational, including Exits & movement sensors

  Yes

  No

  N/A

• Lighting diffusers clean and sensor lighting not staying on excessively

  Yes

  No

  N/A

• Additional Comments

(10) Fire Protection, Fire Safety

• Fire fighting equipment, incl. extinguishers serviced and tagged

  Yes

  No

  N/A

• Extinguishers appropriate to hazard & correct signage, no seals broken

  Yes

  No

  N/A

• No Storage <500mm from sprinkler heads

  Yes

  No

  N/A

• Nothing attached to sprinkler pipes or head

  Yes

  No

  N/A

• No faults on FIP, smoke detectors clean, not covered

  Yes

  No

  N/A

• Exit path ways clear of obstructions (1,000 generally, 600w x 2,000h in plantrooms

  Yes

  No

  N/A

• Fire doors not chocked, doors not jammed, no snobs, bolts etc.

  Yes

  No

  N/A

• No storage or rubbish in hose reel cupboards

  Yes

  No

  N/A

• Hydrants Hose reels accessible & unobstructed

  Yes

  No

  N/A

• All emergency procedures Evacuation Plans mounted in accessible locations

  Yes

  No

  N/A

• All Fire Pump Room equipment checked, inc fuel level min 75%

  Yes

  No

  N/A

• Additional Comments

(11) PPM, Documentation & General

• Programmed Preventative Maintenance plans in place and are implemented

  Yes

  No

  N/A

• Essential services log book

  Yes

  No

  N/A

• Fire PPM log book

  Yes

  No

  N/A

• Electrical PPM log book

  Yes

  No

  N/A

• Mechanical/Controls PPM log books

  Yes

  No

  N/A

• Water treatment log book

  Yes

  No

  N/A

• Lifts PPM Log book

  Yes

  No

  N/A

• Hydraulics PPM log book

  Yes

  No

  N/A

• Grease trap

  Yes

  No

  N/A

• Cleaning PPM log book

  Yes

  No

  N/A

• Pest control PPM log book

  Yes

  No

  N/A

• Security PPM log book

  Yes

  No

  N/A

• Third party contractors working safely & under approval

  Yes

  No

  N/A

• Additional Comments

(12) CEM

• CRAC units 1&2 operating correctly

  Yes

  No

  N/A

• UPS online and operating correctly

  Yes

  No

  N/A

• FIP online & no faults

  Yes

  No

  N/A

• Pumps & VSD's operating correctly

  Yes

  No

  N/A

• Chiller 1-4 operating correctly

  Yes

  No

  N/A

• Thermoscans and up to date

  Yes

  No

  N/A

• ATS Charged

  Yes

  No

  N/A

• Additional Comments

Dates Areas Inspected

• External incl Roadways & footpaths

  Yes

  No

  N/A

• Basement areas

  Yes

  No

  N/A

• Roof & level 7 Plant areas

  Yes

  No

  N/A

• Ground Lobby & retail areas

  Yes

  No

  N/A

• Tenancy areas, level 1-6

  Yes

  No

  N/A

Facility Managers Sign Off

• Add signature

  Sign