Municipal Office (complete)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• 1. Unplug Georgian bay battery pack in electrical room in basement? check all emergency bulbs on both levels for operation. Are all lights lit and do they remain lit until inspection is over.

  Yes

  No

  N/A

• Add signature

  Sign

Fuel

• Inspect and record fuel levels are they within 30%

  Yes

  No

  N/A

Furnace room

Furnace - basement inside left of door

• Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  Yes

  No

  N/A

• Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  Yes

  No

  N/A

• While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  Yes

  No

  N/A

• Is the inside cabinet of the unit free of debris and or water?

  Yes

  No

  N/A

• Check all fittings to ensure that they are secure, is the unit in good working order

  Yes

  No

  N/A

Furnace on the Right (back of room)

• Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  Yes

  No

  N/A

• Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  Yes

  No

  N/A

• Check all fittings to ensure that they are secure, is the unit in good working order

  Yes

  No

  N/A

• While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  Yes

  No

  N/A

• Is the inside cabinet of the unit free of debris and or water?

  Yes

  No

  N/A

Furnace on the Left (back of room)

• Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  Yes

  No

  N/A

• Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  Yes

  No

  N/A

• Check all fittings to ensure that they are secure, is the unit in good working order

  Yes

  No

  N/A

• While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  Yes

  No

  N/A

• Is the inside cabinet of the unit free of debris and or water?

  Yes

  No

  N/A

• 1. Basement East side extinguisher charged and signed off?

  Yes

  No

  N/A

• 2. Basement West side extinguisher charged and signed off?

  Yes

  No

  N/A

• 3. Main office area exinguisher charged and signed off?

  Yes

  No

  N/A

• 4. Main hall kitchen extinguisher charged and signed off?

  Yes

  No

  N/A

• 5. Council Chambers extinguisher charged and signed off?

  Yes

  No

  N/A

• Add signature

  Sign

First Aid box in kitchen

• Is Regulations 1101 present

• Current edition of a standard St John's First Aid Manual

• 12 adhesive dressings individually wrapped

• 4 sterile gauze pads 3" square

• 2 rolls of gauze bandages 2" wide

• 2 field dressings, 4 inches square or 2 four-inch sterile bandage compresses

• 1 Triangular Badage

Building exterior/parking lot

• Are all outside areas safe and accessible?

  Yes

  No

  N/A

• Are walkways clear of snow or obstruction?

  Yes

  No

  N/A

• Are all lights working?

  Yes

  No

  N/A

• Are the entrance ways clean and free of debris (cigarette butts)?

  Yes

  No

  N/A

Council Chambers

• Are floors clean and free of debris or slip/trip hazards?

  Yes

  No

  N/A

• Are walls clean and smudge free?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the desks and chairs clean and in good condition?

  Yes

  No

  N/A

• Are the windows and ledges clean and smudge free?

  Yes

  No

  N/A

• Are the air return vents clean and dust free?

  Yes

  No

  N/A

• Are garbage receptacles adequate and clean?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Council Chamber Washrooms

• Are Sinks, mirrors and toilets clean and in working order?

  Yes

  No

  N/A

• Are the hand dryer/paper towel dispensers clean and in good working order?

  Yes

  No

  N/A

• Are the hand soap pumps clean, full and in good working order?

  Yes

  No

  N/A

• Toilet paper holders stocked and in working condition?

  Yes

  No

  N/A

• Floors swept/cleaned and free of debris?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are Ceiling tiles stain free and in there proper place?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Kitchenette

• Counters and Sinks clean and free of bacteria?

  Yes

  No

  N/A

• Floor swept and clean free of debris and bacteria

  Yes

  No

  N/A

• Fridge and walk in freezer clean and in good condition?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Upstairs office area

• is there adequate lighting in walking and work areas, record any burnt out bulbs or missing lenses.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are Ceiling tiles stain free and in there proper place?

  Yes

  No

  N/A

• Is there adequate storage and shelving? Is the shelving in good condition and safe?

  Yes

  No

  N/A

• Are the walls clean and free of mould and smudges?

  Yes

  No

  N/A

• Are the carpets clean and stain free? Have they been vaccumed?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Basement Washrooms

• Are Sinks, mirrors and toilets clean and in working order?

  Yes

  No

  N/A

• Are the hand dryer/paper towel dispensers clean and in good working order?

  Yes

  No

  N/A

• Are the hand soap pumps clean, full and in good working order?

  Yes

  No

  N/A

• Toilet paper holders stocked and in working condition?

  Yes

  No

  N/A

• Floors swept/cleaned and free of debris?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are Ceiling tiles stain free and in there proper place?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Equipment/Maintenance room

• Are tools put away in an orderly fashion and in good condition?

  Yes

  No

  N/A

• Is there adequate storage and shelving? Is the shelving in good condition and safe?

  Yes

  No

  N/A

• Is the floor clean and free of debris or chemicals that may damage ice surface?

  Yes

  No

  N/A

• Are the walls clean and free of mould and smudges?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Basement Area

• is there adequate lighting in walking and work areas, record any burnt out bulbs or missing lenses.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are Ceiling tiles stain free and in there proper place?

  Yes

  No

  N/A

• Is there adequate storage and shelving? Is the shelving in good condition and safe?

  Yes

  No

  N/A

• Are the walls clean and free of mould and smudges?

  Yes

  No

  N/A

• Are the carpets clean and stain free? Have they been vaccumed?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

• Add signature

  Sign