Title Page

  • Conducted on

  • Prepared by

Main House

Exterior

  • Was generator manually run for 10 minutes?

  • Was generator mode returned to automatic?

  • Generator Hours

  • Generator Heater

  • Generator Coolant

  • Generator Oil

Ski Room

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Ext Doors / Windows

  • Lights

Ski Room Powder

  • Wall & Ceilings

  • Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Windows

  • Lights

  • Exterior lights around Porte Cache

Back Staircase

  • Walls & Ceiling

  • Rodent Traps

  • Replaced traps?

  • Lights

Laundry

  • Wall & Ceilings

  • Rodent Traps

  • Replaced traps

  • Washing Machines

  • Water Temperature

  • Is water less than 120degs?

  • Faucet

  • Lights

Mechanical Room

  • Fire Suppression Line Above 85 PSI?

  • Walls & Ceiling

  • Watercop repeater: Verify no lights are flashing

  • Battery backup sensor above door (Alarm Antenna). Is the status of the battery 100%?

  • Did you turn sensor off?

  • Boiler #5

  • Is boiler temp below 95 degs?

  • Boiler #4

  • Is boiler temp below 95 degs?

  • Boiler #3

  • Is boiler temp below 95 degs?

  • Boiler #2

  • Is boiler temp below 95 degs?

  • Boiler #1

  • Is boiler temp below 95 degs?

  • Boiler Loop PSI

  • Is pressure below 10psi ?

  • Battery backup in corner by feeder tank (Propane Sniffer and shut off valve) Is the status of the battery 100%?

  • Rodent Traps

  • Number Replaced

  • Breaker Panels

  • Tripped Breaker Location (Box# and Breaker#)

  • Check the battery sensors (2)

  • Battery backup sensors (2x) in back of hallway (Alarm system) Is the status of the batteries 100%?

  • Did you turn sensor off?

Wine Cabinets

  • #1 Temp

  • #1 Humidity

  • #2 Temp

  • #2 Humidity

  • #3 Temp

  • #3 Humidity

Water Softener

  • Room Checked for Leaks

  • Salt levels for water softener above 50%?

  • Battery backup above ceiling (water cop valves) Is the status of the battery 100%?

Server Room

  • Walls & Ceiling

  • Server Room Temp

  • Is server room over 65degs?

  • Check rodent traps

  • Replaced traps?

  • Battery backup in far corner of rack (Pathfinder modem and Savant audio switch) Is the status of the battery 100%?

  • Battery backup bottom center of rack (Unknown use) Is the status of the battery 100%?

  • Battery backup on floor (Phone system) Is the status of the battery 100%?

Chiller

  • Chiller Temp

  • Is Chiller temp above 55 degs?

  • Chiller PSI

  • Is pressure below 10psi ?

Staff Hallway

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

Staff Powder Room

  • Walls & Ceilings

  • Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Bath fan

  • Lights

Theater

  • Wall & Ceilings

  • Lights

  • Temperature

  • Is Temperature Below 60?

  • Ext. Door

Theater Powder Room

  • Walls & Ceilings

  • Bath fan

  • Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Lights

  • Temperature

  • Is the temperature below 55

Piano Room

  • Walls & Ceiling

  • Temperature

  • Is room less than 55 degs

  • Humidity

  • Patio Clean Drains

  • Awnings functional?

  • Exterior Lights on Patio

  • Ext Doors / Windows

  • Piano Room Faucet

  • Lights

Control Room

  • Walls & Ceiling

  • Battery backup on wall (Honeywell com unit (Thermostat)) Is the status of the battery 100%?

  • Breaker Panels

  • Tripped Breaker Location

Thermostats (FCU) - Report Anomalies

  • 1 Ajax Set Point

  • 1 Ajax Temperature Actual

  • Is room less than 55 degs

  • 2 Bunk Room Set Point

  • 2 Bunk Room Temperature - Actual

  • Is room less than 55 degs

  • 3 Piano Set Point

  • 3 Piano Temperature - Actual

  • Is room less than 55 degs

  • 4 Media/Laundry Set Point

  • 4 Theater Temperature - Actual

  • Is room less than 55 degs

  • 5 Highlands Set Point

  • Highlands Temperature - Actual

  • Is room less than 55 degs

  • 6 SG Study Set Point

  • 6 SG Study Temperature - Actual

  • Is room less than 55 degs

  • 7 Stairwell Set Point

  • 7 Stairwell Temperature - Actual

  • Is room less than 55 degs

  • 8 NG Dressing Set Point

  • 8 NG Dressing Temperature - Actual

  • Is room less than 55 degs

  • 9 Master Suite Set Point

  • 9 Master Suite Temperature - Actual

  • Is room less than 55 degs

  • 10 NG Study Set Point

  • 10 NG Study Temperature - Actual

  • Is room less than 55 degs

  • 11 Great Room Set Point

  • 11 Great Room Temperature - Actual

  • Is room less than 55 degs

  • 12 Kitchen / Family Set Point

  • 12 Kitchen / Family Temperature - Actual

  • Is room less than 55 degs

  • 13 Ski Room Set Point

  • 13 Ski Room Temperature - Actual

  • Is room less than 55 degs

Radiant Thermostats

  • 14 Ski Room Set Point

  • 14 Ski Room Temperature - Actual

  • Is room less than 55 degs

  • 15 Ajax Set Point

  • 15 Ajax Temperature - Actual

  • Is room less than 55 degs

  • 16 Bunk Room Set Point

  • 16 Bunk Room Temperature - Actual

  • Is room less than 55 degs

  • 17 Highlands Set Point

  • 17 Highlands Temperature - Actual

  • Is room less than 55 degs

  • 18 Lower Powder Set Point

  • 18 Lower Powder Temperature - Actual

  • Is room less than 55 degs

  • 19 Theater Set Point

  • 19 Theater Temperature - Actual

  • Is room less than 55 degs

  • 20 NG Dressing Set Point

  • 20 NG Dressing Temperature - Actual

  • Is room less than 55 degs

  • 21 Master Set Point

  • 21 Master Temperature - Actual

  • Is room less than 55 degs

Wine Room

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Door

  • Lights

SG office hall

  • Lights

  • Radius door wall switches (2)

SG Study

  • Walls & Ceiling

  • Battery backup under far side of desk (SG devices) Is the status of the battery 100%?

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Windows

  • Fireplace

  • Lights

  • Radius door remote control

Lower Powder Room

  • Lights

  • Wall & Ceilings

  • Bath Fan

  • Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

Lower Stairs

  • Radius Door Aligned

  • Radius door wall switch

  • Check rodent trap under 1st step

  • Replaced trap?

  • Walls & Ceiling

  • Lights

Highlands Suite

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Walls & Ceiling

  • Ext Doors / Windows

  • Bath Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Bath Fan

  • Exterior Lights

  • Lights

Bunk Room

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Walls & Ceiling

  • Ext Doors / Windows

  • Bath Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Bath Fan

  • Cell extenders

  • Verizon Booster

  • AT&T Booster

  • Lights

  • Exterior Lights

Ajax Suite

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Walls & Ceiling

  • Ext Doors / Windows

  • Bath Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Bath Fan

  • Lights

  • Exterior Lights

  • Rodent Traps

NG Dressing

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Ext Doors

  • Ext Windows

  • Bath Fan

  • Bath Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Lights

  • Check rodent traps in attic and above the millwork

  • Replaced traps?

  • Exterior Lights

Master Suite

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Bath Fan

  • Bath Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Check rodent traps in attic and above millwork

  • Replaced traps?

  • Ext Doors

  • Ext Windows

  • Lights

  • Exterior Lights on Balcony

NG Study

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Check rodent traps in attic

  • Replaced trap?

  • Ext Doors

  • Ext Windows

  • Lights

  • Exterior Lights on Balcony

Staircase

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Humidity

  • Lights

Upper Powder Room

  • Wall & Ceilings

  • Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Bath Fan

  • Lights

Great Room / Entry

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Check rodent traps over mantle

  • Replaced traps?

  • Ext Doors

  • Ext Windows

  • Lights

  • Exterior lights around main entry

Dining Room

  • Walls and ceiling

  • Exterior doors and windows

  • Interior Lights

  • Exterior Lights

  • Sun shades

  • Deco Shades

  • Overhead Awnings

  • Vertical Awning

  • Patio Heaters

Butler Pantry

  • Walls and ceiling

  • Dishwasher

  • Lights

Kitchen/Breakfast/Family

  • Walls & Ceiling

  • Temperature - Actual

  • Is room less than 55 degs

  • Check rodent traps under stove and above millwork

  • Replaced traps?

  • RANGE HOOD RUNNING WHILE TESTING BURNERS

  • Dishwashers

  • Stove burners

  • Refrigerator and freezer temps

  • Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Lights

  • Ext Door / Windows

Family Room

  • Ext Door/Windows

  • Walls and Ceiling

  • Cup Warmer

  • Interior Lights

  • Exterior Lights

  • Sun shades

  • Deco Shades

  • Fireplace

Mud Room Powder

  • Wall & Ceilings

  • Fixtures - run water, check fixtures and stoppers for mineral buildup and wear.

  • Lights

Pantry

  • Fridge/Freezer Temps Checked?

  • Lights

Mudroom

  • Walls & Ceiling

  • Ext Doors / Windows

  • Lights

  • Auto court Lights

Ladder Work : Rodent Traps - 2 person

  • 1. NG Dressing room – on top of the closets

  • 2. NG Dressing room – Cove lighting past the dressing room hallway

  • 3. Master bathroom – cove lighting

  • 4. Master bedroom – above all closets

  • *Master Bedroom: Vacuum Sconce Lights to Remove Bugs

  • 5. Front entry – above closet

  • 6. Above NG Office bathroom

  • 7. Great Room – above the mantle

  • 8. Kitchen – above all cabinets

  • 9. Family room – above the mantle

Garage

  • Walls & Ceiling

  • Ext Doors / Windows

  • Temperature - Actual

  • Is room less than 55 degs

  • Faucet

  • Breaker Panels

  • Tripped Breaker Location

  • ATS

  • Rodent Traps

  • Lights

Lights

  • Are the owners inside the house?

  • If the owners are NOT inside the house, press "ALL OFF" button located in the mudroom or garage.

Irrigation

  • Queens Gulch Head Gate

  • Inspect and clean T1, T2 and T3

  • Upload Data from Water Meter with Flash Drive

Staff Office Fire Suppression Line PSI

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  • Is pressure below 90 PSI?

  • Did you investigate why the PSI is low?

Battery Back Up Units (UPS)

Staff Office Attic

  • Is the status of the battery 100%?

561 crawl space near entrance

  • Is the status of the battery 100%?

561 crawl space back wall

  • Is the status of the battery 100%?

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.