Title Page
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Visit Date
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Onsite/Offsite
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Task Request
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Site ID# & Name
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Access ref#
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Engineer's Name
Building/Compound
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Select Location Type
Checks
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1 Fire Alarm panel tests
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2 Fly Tipping in Vicinity of Compound
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3 Roadworks impeding access
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4 Padlocks (if applicable) servicable
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5 External Door & Roller Shutter secure
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6 Fencing/ Walling (Secure/Undamaged)
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7 Windows servicable
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8 Internal doors & gates servicable
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9 Roof Intact (if applicable)
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10 Site Certificates Up To Date
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11 Site Rules Displayed
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12 Signs of Compound Vegetation - shoots / leaves etc.
Office Space (if applicable)
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13 Clean & Tidy
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14 Building Fabric
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15 Heater servicable
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16 Any damage to be reported
Kitchen (if applicable)
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17 Clean & Tidy
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18 Taps, Water Boiler ok & Plumbing
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19 Electric Hand Dryer ok
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20 Any damage to be reported
Toilet(s)
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21 Clean & Tidy
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22 Over Sink water heater & Taps
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23 Electric Hand Dryer ok
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24 Plumbing ok
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25 Heater servicable
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26 Toilet Ventilation
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27 Any damage to be reported
Module Skin
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28 Module Exterior Condition
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29 Module Paint (Rust/Damage)
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30 Generator Paint (Rust/Damage)
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31 Generator socket servivable (commando)
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32 Gas Suppression locker secure
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33 Cages or Enclousres Secure
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34 Signage correct and secure
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35 Alarm Panel secure & servicable
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36 Steps even & secure
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37 Door Operates and closes correctly
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38 Any damage to be reported
IT& Plant Room
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39 Keypad Entry Serviceable
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40 Door Operates and closes correctly
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41 Door Hinges, closing mechanism and Lock functional
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42 No Damage to internal Ceiling, walls, floor
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43 Internal Lighting all servicable
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44 Room Clean and Tidy of litter - (Vacuum Clean any loose debris from Hot & Cold Aisles - Clean floors with Dry wipe Cleaner - Swiffer etc.)
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45 Access ways clear of items or obstructions
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46 No signs of water ingress
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47 Leak detection devices clean and unobstructed
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48 Smoke Detection unit alarm free
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49 No Temp issue
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50 Any other issues
Health & Safety
Medical/Fire
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1 Eye Wash <br>(if applicable)<br>BUILDING
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1 Eye Wash <br>(if applicable)<br>DATA/IT
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1 Eye Wash <br>(if applicable)<br>POWER/PLANT
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2 First Aid Kit<br>BUILDING
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2 First Aid Kit<br>DATA/IT
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2 First Aid Kit<br>POWER/PLANT
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3 Fire System (Auto to Manual)<br>BUILDING
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3 Fire System (Auto to Manual)<br>DATA/IT
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3 Fire System (Auto to Manual)<br>POWER/PLANT
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4 Fire Extinguishers<br>BUILDING
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4 Fire Extinguishers<br>DATA/IT
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4 Fire Extinguishers<br>POWER/PLANT
Signage
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5 Fire Evacuation <br>ALL AREAS
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6 Emergency Evacuation Area (Identified, Safe & Clear)<br>ALL AREAS
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7 Electrical Safety <br>ALL AREAS
Miscellaneous
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8 Ear plug dispenser<br>BUILDING
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9 Earth Tapes/Rod Covers Safe and Flush<br>BUILDING
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10 Fibre Chambers, Covers and Locks (intact and servicable)<br>OTHER
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11 Fuel Spill Kit Available - Generator <br>BUILDING
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12 Lone Worker Alarm (Verify With NOC Whilst Sounding)<br>DATA/IT
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13 Disease<br>ALL AREAS
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14 Hazardous Substances - Stored or leaking<br>ALL AREAS
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15 Non-ionising Radiation<br>ALL AREAS
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16 Access / Egress Obstructions & Hazards<br>ALL AREAS
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17 Fire Hazards<br>ALL AREAS
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18 Infestation (Insects, Rodents, Birds)<br>ALL AREAS
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19 Trip and Slip Hazards<br>ALL AREAS
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20 Weather<br>ALL AREAS
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21 Utility Hazards (Gas/Electric/Water)<br>ALL AREAS
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22 Encroaching Vegetation<br>BUILDING
Completion
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Report Details
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Reported fault Ticket #
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3rd Party Visitors to site during visit
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Engineers Name and Signature
