Title Page

  • Site address

  • Project Name

  • Client

  • Conducted on

  • Prepared by

  • Location

Mechanical

Existing Air Conditioning Report;

  • Is there an existing AC system?

  • Summarise the existing; Manufacturer, Type, Capacity, Age and Condition

  • Number of AC Units positioned internally;

  • Details of areas served;

  • Photos capturing the existing AC internally;

  • Where is the existing plant located?

    &

    Summarise the existing; Age and Condition of the installation;

  • Photos capturing the existing Plant location and installation;

Existing Ventilation Report;

  • Is there an existing Ventilation system?

  • Summarise the existing; Manufacturer, Type, Capacity, Age and Condition

  • Detail of areas currently served by existing Ventilation;

  • Photos capturing the existing Ventilation location and installation;

Existing Heating Report; (Other than the AC)

  • Is the existing building currently heated?

  • Summarise the existing; Manufacturer, Type, Capacity, Age and Condition

  • Detail of areas served by this system;

  • Photos capturing the existing Heating installation;

  • Is there an Overdoor heater or Door curtain installed?

  • Summarise the existing; Manufacturer, Type, Capacity, Age and Condition

  • Photos capturing the existing ODAC installation;

  • Are there any Electric panel-heaters installed?

  • Summarise the existing; Areas served, Manufacturer, Type, Capacity, Age and Condition

  • Photos capturing the existing Panel-Heater installation;

Existing Controls Report;

  • Is there an existing controls package?

  • Summarise the age, manufacturer and extent of the control package installed;

  • Photos capturing the existing installation of Building controls;

Electrical

Existing Power Report;

  • Summarise the existing installation; Age and Condition

  • Is there adequate mechanical support and protection provided to the existing installation?

  • What is the existing setup of Main & Sub-main installations?

  • Is there any feasibility for re-using any of existing installations? *If No then why?<br>

  • Photos capturing the existing power installation;

Existing Lighting Report;

  • Is the existing lighting LED?

  • Summarise the existing installation; Age, Condition and Type

  • How is the existing lighting controlled?

  • Confirm avg FoH Lux levels;

  • FoH Lux levels

  • Confirm avg BoH Lux levels;

  • BoH Lux levels

  • Is there any feasibility for re-using any of existing installations?

  • Photos capturing the existing lighting installations;

Existing Fire Alarm Report;

  • Is there an existing fire alarm system?

  • If yes; What equivalent level of protection does the system offer?

  • Digital or Analogue?

  • Approx age of system & installation;

  • Summarise the existing installation; Age, Condition and Type

  • Can the existing system be retained?

  • Is the system operational and showing no faults?

  • List any known interfaces internally or larger landlord premises;

  • Photos capturing the existing Fire panel, smoke heads and current installation condition;

Public Health

Existing WC Facilities Report;

  • Details of current WCs;

  • Qty of pans/urinals;

  • Qty of basins;

  • Summarise the existing; Manufacturer, Type, Capacity, Age and Condition

  • How is the water heated?

  • Photos capturing the existing WC facilities;

Existing Staff-Welfare Facilities Report;

  • Details of the current facilities;

  • Summarise the existing; Manufacturer, Type, Capacity, Age and Condition

  • How is the water heated?

  • Photos capturing the existing staff welfare facilities;

Building Utilities

Existing Electrical Mains Report;

  • Confirm the size and capacity of the existing incoming supply and fuses;

  • Summarise the existing; Age and Condition of the incoming supply and meter;

  • Describe location of incoming supply & service head within building;

  • Has a clamp loading test taken place?

  • If "Yes" please report the current loadings;

  • Photos capturing the existing Mains, incoming supply, cutout, fuses and meter;

Existing Gas Mains Report;

  • Confirm the size and capacity of the existing incoming supply;

  • Summarise the existing; Age and Condition of the incoming supply and meter;

  • Describe location of incoming supply & meter within building;

  • Photos capturing the existing Gas meter and its position;

Existing Water Mains Report;

  • Confirm the size and capacity of the existing incoming supply;

  • Summarise the existing; Age and Condition of the incoming supply

  • Describe location of incoming supply & meter within building;

  • Is the incoming supply lead?

  • If there any visible parts of the water infrastructure that could be lead please report the location;

  • Is the water main adequately bonded?

  • Photos capturing the wain main, stock cock, meter and earthing;

Building Constraints

  • What is the local resident proximity to the site?

  • Photos capturing proximity;

  • Details of existing ceiling heights and any voids (floor or ceiling);

  • Photos of ceiling type and voids;

  • Detail of the existing building slab;

  • Photos of existing slabs;

  • Detail of any vacant spaces;

  • Photos capturing any vacant areas;

  • Detail of unique access equipment requirements to stair wells etc;

  • Photos capturing areas requiring access equipment;

  • Detail of any requirements of interfaces to landlord or neighbours;

  • Photos capturing any interfaces;

  • Detail of any defects to the existing building fabric internally and externally;

  • Photos capturing building fabric defects;

Project Risk Items

  • Is there any requirement for works associated with any Utility Mains services? If so does it pose as a risk to the main proposed works?<br>

  • Is there any notable requirement for a drainage and CCTV survey to be undertaken (ie; will the new installation involve any changes that could affect the infrastructure of the existing services?

  • Will a crane lift be required?

  • Has an asbestos survey been carried out and issued? & Is there any notable signs of asbestos present onsite?

  • If there any other notable risk items to raise then please highlight these below;

  • Photos in support of any risk items raised;

Recommendations

  • Mechanical recommendations; (Air conditioning & Ventilation)

  • Electrical recommendations; (Mains dist & general power)

  • Lighting recommendations; Ambient lighting

  • Lighting recommendations; Emergency lighting

  • Lighting recommendations; Illuminated directional signage

  • Fire alarm recommendations;

  • Public Health, Heating and Welfare recommendations;

Other

  • Please add, using the space below, any information in relation to the site survey that does not appear in the survey format above;

  • Photos in association

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.