Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Emergency Lighting

  • 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.

  • Add signature

HVAC

Fuel

  • Inspect and record fuel levels are they within 30%

Furnace room

Furnace - basement inside left of door

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

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

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

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

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

Furnace on the Right (back of room)

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

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

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

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

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

Furnace on the Left (back of room)

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

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

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

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

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

Fire Extinguishers

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

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

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

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

  • 5. Council Chambers extinguisher charged and signed off?

  • Add signature

First Aid

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

General room by room Assessments

Building exterior/parking lot

  • Are all outside areas safe and accessible?

  • Are walkways clear of snow or obstruction?

  • Are all lights working?

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

Council Chambers

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

  • Are walls clean and smudge free?

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

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

  • Are the windows and ledges clean and smudge free?

  • Are the air return vents clean and dust free?

  • Are garbage receptacles adequate and clean?

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

Council Chamber Washrooms

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

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

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

  • Toilet paper holders stocked and in working condition?

  • Floors swept/cleaned and free of debris?

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

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

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

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

Kitchenette

  • Counters and Sinks clean and free of bacteria?

  • Floor swept and clean free of debris and bacteria

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

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

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

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

Upstairs office area

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

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

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

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

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

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

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

Basement Washrooms

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

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

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

  • Toilet paper holders stocked and in working condition?

  • Floors swept/cleaned and free of debris?

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

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

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

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

Equipment/Maintenance room

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

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

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

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

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

Basement Area

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

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

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

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

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

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

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

  • Add signature

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