Title Page

  • Site Code

  • CRE/Facilities ID

  • City, State

  • Conducted on

Assessment

Section 1: NER Asessment

  • I have read these General Instructions:<br>1. Complete all sections<br>2. Assess the NER and all requested rooms<br>3. Take pictures and provide detailed comments to any failure, outlining what was observed and what needs to be fixed.<br>4. For Pilot Only - As you progress through the form, please type in any notes/observations about the form and it's function. i.e. thing that you may want changed or aren't clear

  • I have worked with the site contact to obtain the following clean-up items, as needed:<br>- Broom and dustpan<br>- Paper towels<br>- Instructions and location for where to dispose of any trash, empty boxes, etc.

General Information

  • NER Floor Number

  • Take multiple wide angle photos to capture the entire space:
    - wide angle photos from various positions in the room
    - wide angle photos of aisles, data rack rows, and cabinet rows.
    - Series of photos of the racks and cabinets, not individually, but so that all are captured to show general condition
    - Entrances, floors, ceiling, panels on walls, and other notables
    **Try to avoid extreme close up pictures**

  • Add media

General Security

  • The room was secure when you arrived, with no doors propped open and all doors locked.

  • Site Contact used card reader, if present, to access the space. i.e. Did not use a key to bypass

  • If present, emergency exit signs are illuminated

Entrance Security - PRIMARY NER ENTRANCE/DOOR

  • Secured with a functioning electronic card reader

  • The door is equipped with a working automatic door closer

  • The door closes and latches properly

  • Take full-view photos of the entrance, from inside and outside:
    - Include close-up shots of the card reader, autocloser, lock hardware, and door handle.

  • Add media

Entrance Security - ADDITIONAL NER ENTRANCES/DOORS

  • Tap to ‘add’ if more than one door:

  • Additional Door
  • Secured with a functioning electronic card reader

  • The door is equipped with a working automatic door closer

  • The door closes and latches properly

  • Take full-view photos of the door, from inside and outside:
    - Include close-up shots of the card reader, autocloser, lock hardware, and door handle.

  • Add media

Physical Condition/Environmentals

  • Ceiling is free of water stains, physical damage, or missing tiles.

  • - Escalate any instances requiring immediate action, such as active leaks - Take Photos and document issue with detail - Describe location and mark on drawing.

  • Walls are free of water stains or other physical damage.

  • - Escalate any instances requiring immediate action, such as active leaks. - Take photos and document issue with detail. - Describe location and mark on drawing.

  • Floor is free of water stains or other physical damage.

  • - Escalate any instances requiring immediate action, such as active leaks. - Take photos and document issue with detail. - Describe location and mark on drawing.

  • The floor is free of safety hazards and in good repair. No open tiles, partial tile, trip hazards, protruding bolts, or other issues.<br>- Be descriptive and mark on drawing.

  • Space UNDER raised floor is clean and well maintained. Respond with "N/A" if it isn't a Raised Floor space.<br>- Lift 5-10 floor tiles at random locations within the room.<br>- For each tile, take pictures to show under floor and to show its location within the space. Also, mark the locations on the drawing.<br>- Look for cut cables, unused power receptacles, dirt, trash, and debris.

  • Describe the location and detail the issue

  • Lighting is functional. No burned out bulbs.

  • Address basic clean-up items while on site, as needed:<br>- Make sure equipment and shelves are clear of debris, cable ties, loose parts, etc.<br>- Sweep floors. Make sure area is clean of dust, debris, cable ties, loose parts, etc.<br>- Empty garbage cans.<br>- Remove loose trash, boxes, etc.<br>- Document what was resolved with notes and photos. Before and After photos are helpful, if you are able.

  • Add media

Cooling and Humidity Systems

  • If present, The cooling units show no signs of water leaks, filter problems, or poor maintenance

  • If present, The cooling units are operating properly with no alarms or error codes. Check units and panels.

  • Temperature is between 64F and 77F degrees.

  • Relative Humidity is between 15% and 70%.

  • Record the current temperature and humidity

  • Photograph the visible cooling units

  • Add media

Fire Extinguishers

  • How many fire extinguishers are located within the NER? - Check wall enclosures and structural pillars - Audit EACH fire extinguisher separately. Add more as needed.

  • Extinguisher is one of the following clean agent types: Halotron, Halon, or FE36 Clean guard.<br>- Take a readable photo that shows what type is indicated.

  • Service tag is not expired. (Expiration is one year from the punched year/month on tag)<br>- Close-up, readable photo is required of the tag.

  • - Document extinguisher location on the drawing
    - Take photo showing the location within the room

  • Add media

Fire Extinguishers - ADDITIONAL FIRE EXTINGUISHERS

  • Tap to ‘add’ if more than one extinguisher:

  • Additonal Extinguisher
  • Extinguisher is one of the following clean agent types: Halotron, Halon, or FE36 Clean guard.<br>- Take a readable photo that shows what type is indicated.

  • Service tag is not expired. (Expiration is one year from the punched year/month on tag)<br>- Close-up, readable photo is required of the tag.

  • - Document extinguisher location on the drawing
    - Take photo to show location within the room

  • Add media

Smoke detection, Sprinkler, and Gaseous suppression

  • Smoke detection sensors present in the NER.<br>- If present, Take photo

  • Room is protected by a sprinkler (water) system. (Check for sprinkler heads behind plastic covers. Look above false ceiling.)<br>- Take photo of at least one sprinkler head.

  • Room is protected by a fire suppression (gaseous) system<br>- The tanks and/or system may be in an adjacent room.

  • If “other”, explain and document here.

  • Fire suppression (gaseous) system tags are not expired. Check panels and tanks.<br>- Take a close-up, readable photos of the tag(s).

UPS Backup Power

  • All UPS are operational with no visible or audible alarm conditions.

  • Servers, routers, switches, and gateways are connected to an individual UPS or to a circuit fed from a central UPS.

  • Phone system (i.e., Nortel, Octel, Rolm) and/or BCM is connected to a UPS.

Equipment Stability Risk

  • Racks are bolted through the raised floor tile to the subfloor below.<br>If not Raised Floor, racks are bolted to the floor.

  • Ladder rack is sufficiently secured.<br>- Should be braced to at minimum one wall or is supported by the deck above

  • All server, network, and phone equipment is mounted properly or installed on a shelf. Should not be sitting on top of other equipment.

  • Is this site in a seismic zone? See work order

  • Cabinets are bolted through the raised floor tile to the subfloor below. If not raised floor, cabinets are bolted to the floor.

  • Servers are securely rack-mounted, braced, or strapped to prevent movement during seismic activity.

  • Network and phone equipment is rack-mounted, braced, or strapped to prevent movement during seismic activity.

Magnetic and Electronic media risk

  • Did you find any tapes, hard drives, CDs, diskettes, or similar magnetic media<br>- Look inside the storage cabinets<br>- Open and look inside any boxes, folders, etc.<br>- Look inside the racks and cabinets, and on top of equipment.

  • - Document the quantities and types

  • If media is found, before leaving the site, group it together so it can be easily identifiable for review/remediation. <br>- Take a photo of location.

Storage

  • There are no extra/stored PCs, servers, UPS, routers, switches, KVMs, or similar devices

  • - Document the device(s) and serial number(s) - Use the extra spaces on the inventory sheet or document here - Take photos

  • There is not more than one storage cabinet or shelving unit within the NER.<br>- Photograph each unit and its contents.<br>- If a locked cabinet is encountered, work with the Site contact to unlock. If unable to do so, clearly document why that is so the situation can be reviewed.

  • There are no desks, tables, or similar work surfaces located in the NER.<br>- Photograph each desk or work surface

  • Cables, parts, and related NER items are stored in the cabinet or hung from j-hooks.

  • Extra equipment or hardware is not stored in the room<br>- Examples: batteries, phones, power strips, extra rack equipment, etc

  • - Document the device and types with details and photos

  • Facilities or office supplies are not stored in the room, such as:<br>- Filters, lightbulbs, furniture, plumbing, electrical, or mechanical items.<br>- Holiday decorations, marker boards, office chairs, files, and related office items.

  • Hazardous or flammable items are not stored in the NER, such as:<br>- Food, beverages, paint, cleaning supplies, cardboard, paper, or pallets.

  • - Work with site contact to immediately remove offending items

Grounding and Bonding

  • A 2” X 6” (minimum) telecommunications grounding bus bar (TGBB) is mounted inside the room.

  • Are all cabinets grounded? Identify failed cabinet numbers during cabinet inspection

  • Are all racks grounded? Identify failed rack numbers during rack inspection

  • Ladder racks are grounded.

  • Ladder rack segments are bonded to one another.

  • Take photos to show evidence of grounding to bus bar, grounding grid, building steel, racks, and cabinets.

  • Add media

Cabling and Power

  • Cabling is installed using cable management and best practices.<br>- Consider all ladder racking, racks, cabinets and frames when reviewing.<br>- Include any instances of abandoned cabling as well. As an example, left behind after an equipment decomission

  • There are no power related issues.<br>- Consider that the power connections do not pose any trip hazards or loss of service risks.<br>- Basic/Household power strips aren't in use.<br>- Include instances of abandoned power that isn't of further use now or in the future.

  • Take photos of any issues and note location on the drawing, as needed

  • Add media

Section 3: NER Drawing

  • Using the provided NER drawing, identify any significant changes that you note during the visit. Mark those items on the drawing or respond 'no changes' here.

Section 4: PBX/UPS/FLS

  • See work order to determine if there are any of the following rooms to visit. Also inquire with site contact to see if they feel any additional rooms are present at the location which haven’t been listed:
    - PBX (Phone) Room
    - UPS Room
    - Fire Life Safety (Dedicated rooms for the sprinkler or gaseous suppression systems)

  • Is one or more of the following rooms present at this location?: PBX, UPS, or FLS

  • Tap to ‘add’ additional rooms, as needed:

  • Additional Rooms
  • Identify the room type.

  • Identify the floor number of the room.

  • Describe the location of the room within the building.

  • Room was secured when you arrived

  • How is the entrance to the room secured?

  • Temperature is below 80F degrees

  • Room is clean and in good condition with no evidence of physical or water damage.

  • - Escalate any instances requiring immediate action, such as active leaks.

  • Cabling in the room is well-managed.<br>- check racks, cabinets, ladder racking, wall fields, as needed.

  • There are no visible or audible device alarms

  • There are no disks, tapes, hard drives, or other media in the room.

  • Room is not used to store items.<br>- Check for equipment, hardware, and facilities or office supplies. There should be no storage cabinets or shelves within the room.

  • Are there any of the following present in the room?<br>- Fire Extinguishers<br>- Fire Panels<br>- Sprinkler systems<br>- Suppression tanks

  • Provide description of item in space to the right. - Check tags to make sure they are current, if present. - Take photos showing any applicable makes/models, service tags, as well showing location within the space.

  • Add media

  • Addressed all basic cleanup in this room? (debris, boxes, garbage, cable ties, etc)

  • Take photos of the room to show overall condition and layout.
    Take photos of the entrance to show how it is secured.
    Take photos of any concerns or issues.

Section 5: Telecomm Rooms

  • Are you required to assess any dedicated Telecomm Rooms during this visit?<br>- If NO, you may skip to the next section.<br>- If YES, ‘add’ a section per room.

  • Tap to ‘add’ additional rooms, as needed:

  • Additional Telecomm Room
  • TR Floor Number

  • Describe where on the floor this room is located.

  • Room was secured when you arrived

  • How is this room secured?

  • Floors, walls, and ceiling are clean and in good condition.<br>- No evidence of physical or water damage

  • - Escalate any instances requiring immediate action, such as active leaks.

  • Lights are working with no burned out bulbs.

  • Temperature is below 80F degrees.

  • Room is not used for storage of equipment, furniture, paper, etc. There are no storage cabinets or shelves located within the room.

  • Room does not contain any disks, tapes, hard drives, or other media.

  • Grounding/Bonding is present on all racks and ladder racking. If no bus bar, specify how grounding is provided.

  • Cabling is installed properly using cable management and best practices.

  • Address basic clean-up items while on site, as needed. If concerned about time needed to do so, escalate to tech support for instruction:<br>- Make sure equipment and shelves are clear of debris, cable ties, loose parts, etc.<br>- Sweep floors. Make sure area is clean of dust, debris, cable ties, loose parts, etc.<br>- Empty garbage cans.<br>- Remove loose trash, boxes, etc.<br>- Take before and after photos to show what was resolved.

  • Take photos of the room to show overall condition and layout.
    Take photos of the entrance to show how it is secured.
    Take photos of any concerns or issues.

  • Add media

Section 6: Final Sign-off and Completion

  • I completed all questions and documented recommendations.

  • I took pictures of all identified issues.

  • I have updated the NER drawing

  • I worked with site contact to remove combustibles, boxes, and other failed items that do not belong in these spaces. I completed other basic cleaning items, such as sweeping the floors, etc., as needed

  • I escalated any water damage, security problems, and alarms.

  • I took pictures of the completed floor plan, and any other printed worksheets. The pictures of these items have been submitted to Bailiwick.

  • For Pilot Only - Did you document any questions/concerns you may have had about the form and it's function

  • Sign name to signify completion of assessment.

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.