Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • General Inspection:

  • General Appearance:

  • Good

  • Fair

  • Poor

  • Lubrication: bearings and moving parts

  • Rust and corrosion

  • Motors, fans, drive assemblies, and pumps

  • Wiring and electrical controls

  • Thermostats and automatic temperature controls

  • Thermal insulation and protective coatings

  • Guards, casings, hangers, supports, platforms, and mounting bolts

  • Piping system identification

  • Solenoid valves

  • Burner assemblies

  • Combustion chambers, smokepipes, and breaching

  • Electrical heating units

  • Guards, casings, hangers, supports, platforms, and mounting bolts

  • Steam and hot water heating equipment

  • Accessible steam, water and fuel piping

  • Traps

  • Humidifier assemblies and controls

  • Stainers

  • Water sprays, weirs, and similar devices

  • Shell-and-tube-type condensers

  • Air cooled condensers

  • Compressors

  • Liquid receivers

  • Refrigerant diets, strainers, valves, oil traps, and accessories

  • Building user comments

  • Cleaning, Maintenance, Repair, and Replacement

  • Registers

  • Dampsters

  • Plenum chambers

  • Louvers

  • Grills

  • Draft diverters

  • Supply and return ducts

  • Fire damps

  • Air Filters

  • Correct type

  • Replacement schedule

  • Heating System Evaluation

  • Heating capacity

  • Heating:

  • Seasonal

  • Noise level

  • Air circulation & ventilation

  • Humidity control

  • Temperature control

  • All year

  • Energy consumption

  • Filtration

  • Cooling System Evaluation

  • Cooling capacity

  • Cooling all season

  • Energy consumption

  • Filtration

  • Temperature and humidity control

  • Noise level

  • Air circulation & ventilation

  • Reliability

  • Ventilation System Evaluation

  • Air velocity

  • Bag collection

  • Steam and hot water coils

  • Fire hazards

  • Exhaust air systems

  • Wet collectors

  • Electrical heating units

  • Fire protective devices

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.