Title Page

  • Self-generate work orders to address any faults found that are within scope, contact property manager with any items that will require a 3rd party vendor

  • Conducted on

  • Please select and move forward

  • Prepared by

  • Location
  • VUE Work Order Number

Monthly General ~ Please provide detailed notes and create an action Item for all deficiencies

  • Total number of exit signs on site

  • Total number of fire extinguishers on site

  • Last Annual Inspection date (This date is hole punched on the fire extinguisher tag)

  • Last Maintenance Inspection date (Typically every 5 or 6 years - this date is located on the side of the extinguisher)

  • 1) Visually Inspect all fire extinguishers at each site <br>a. Confirm extinguisher is visible, unobstructed & in designated location<br>b. Verify the locking pin is intact<br>c. Tamper seal is unbroken<br>d. Visually confirm the extinguisher is free of damage, corrosion, leaks, or clogged nozzle<br>e. Confirm pressure gauge is in the green<br>f. Lift the extinguisher to check that it is full<br>g. Ensure instructions are legible and facing outward<br>h. Provide the date extinguisher was last professionally serviced<br><br>

  • 2) Date and sign the tag on all fire extinguishers

  • 3) Visually confirm that all emergency exit signs are operating properly.

  • Test ALL smoke detectors. Did you find any deficiencies?

  • Replace smoke detector batteries during month of day light savings and recycle old batteries

  • Inspect fire alarm (visual only) for any troubles or visible alarms and path is clear of any obstacles

  • Does this building have an elevator?

  • Inspect operation of any elevator phones

  • Ask Banking Center Manager if the elevator monthly recall test has been completed

Monthly - Emergency Light Test ~ Please provide detailed notes and create an action item for all deficiencies found

  • Press test button on Emergency Lighting - did all lights come "ON"?

  • Check each light for physical damage. Note any deficiencies include photos if appropriate

  • Check alignment of light beams and adjust if necessary. Light beams should be aligned so that it illuminates the egress path properly.

  • Check AC voltage and battery charge lamps if applicable

  • Record inspection on on-site emergency lighting check list located in mechanical/electrical room

  • Please indicate any deficiencies or notes here. Escalate any out of scope items to Property Manager - provide detailed notes for all actions taken.

Annual - Emergency Light Test ~ Please provide detailed notes and create an action item for all deficiencies found

  • Preform the 90 minute test follow the steps below

  • Step 1. Disconnect AC power supply to each Emergency Lighting Unit (If Disconnecting at the breaker, Confirm that the breaker isn't supplying power to other critical systems in the branch. If unsure preform this test after hours.)

  • Step 2. Time for 90 Minutes

  • Is this an Annual - Emergency Light Test?

  • Did the Emergency Lights remain "ON" during the entire 90 Minutes?

  • Check battery and lens for corrosion

  • Clean unit and lens

  • Adjust beam for proper alignment

  • Check charging system voltage

  • Check battery voltage output

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.