Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Fixed Assets

HVAC

  • Gas Fired boiler

  • Make, Model and GC number if applicable

  • Water heaters - (Includes oversink)

  • Quantity and location

  • Make and Model numbers

  • Electric Heaters (Skyline panel heaters / over door air curtains)

  • Make and Model number

  • Quantity of heaters and location

  • Make and Model numers

  • Air Conditioning Units

  • Quantity of indoor

  • Quantity of outdoor

  • Do all units have F gas register with quantity of refrigerant

  • Detail Make and model numbers

  • Any gas fired high level heaters?

  • Quantity and make / model numbers

  • Supporting photos

  • Are there any other forms of heating / hot water? Ie Air to water heat pump, AHU, chiller etc

  • Please specify with text and pictures - Including model numbers etc

Fire Equipment

  • Make and Model number of FA Panel

  • Is there a zone chart in place?

  • Number of manual call points

  • Number of detectors

  • Are any high level ie Warehouse?

  • Is there a FA log book on site?

  • How many fire extinguishers or on site?

  • Have the team been shown how to operate the system and have user guide available?

  • Has a Fire Alarm installation certificate been completed and available to for Mace records?

Emergency lighting

  • Do site have a test key for the EML?

  • How many exit bulkheads are on site?

  • Total number of EML if known

Distribution Boards

  • How many DB's on site

  • Location of each DB

  • Image of all boards with locations clear

  • Date on install - Picture of sticker on boards

  • Do Mace have a copy of the install certificate?

Doors - Roller Shutter / Automatic / Manual

  • How many roller shutter are on site?

  • List the locations and associated serial numbers

  • Photograph of each door and control panel

  • Do site have any automatic doors? If so how many?

  • Asset details - make and model number

  • How many fire doors are on site?

  • List the locations

Racking

  • Do Mace have a copy of the installation certificate?

  • Do Mace have a copy of the post installation report?

  • Number of pallet gates

  • Racking type / manufacturer

Lifts/External Stair cases

  • Are there any lifts in place?

  • Type, make and model

  • Location Details

  • Is there an external staircase?

General Lighting

  • Photos of shop floor lighting

  • Any make model fitting details

  • Warehouse lighting

  • Any make model fitting details

  • Yard lighting

  • Any make model, fitting details and working height

  • Signage lighting

  • Is this shared responsibility?

Other Services

  • Drinks dispenser

  • If yes provider

  • Is there a specification for ceiling tiles?

  • Details - Make and Model

  • Is there a specification for flooring?

  • Details - Make, model and colour code

PPM Schedules

  • Do you have all details for PPM schedules needed? Ie asset types and next test due dates

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.