Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

Room Details

  • Location

  • Room Number - Name

  • Further clarification information

Room Checklist

Architectural

  • Walls

  • Floors

  • Cove Base

  • Ceiling

  • Doors / Hardware

  • Windows

  • Notes

Mechanical

  • Piping Complete

  • Supports

  • Insulation

  • Labeling

  • Fire-stopping

  • Emergency Shower / Eye Wash

  • Notes

Process

  • Piping Complete

  • Supports

  • Labeling

  • Fire-stopping

  • Notes

Electrical

  • Conduit

  • Lights

  • Outlets / Switches

  • Supports

  • Labeling

  • Fire-stopping

  • Emergency Exit Signage

  • Fire Alarm

  • VESDA / Smoke Detection

  • Notes

HVAC

  • Ductwork

  • Supports

  • Insulation

  • Labeling

  • Fire-stopping

  • Notes

Telecom

  • Tray / Conduit

  • Labeling

  • Fire-stopping

  • Notes

Fire Protection

  • Pipe Installed

  • Supports

  • Heads Installed

  • Labeling

  • Fire-stopping

  • Notes

LSS

  • Security / Access Control

  • TGMS

  • Notes

Verification

  • CNSE Representative

  • CH2M HILL Representative

  • M+W GROUP Room Owner

  • M+W GROUP QAQC

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.