Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • General Inspection:

  • Safety conditions

  • Service capacity, % used, and age

  • Switchgear capacity, % used, and age

  • Feeder capacity, % used, and age

  • Panel capacity

  • Thermo-scanning

  • Maintenance records

  • Convenience outlets

  • Building user comments

  • Exterior Service

  • Line drawing

  • Feed source:

  • Utility/owned

  • Transformer:

  • Transformer tested

  • Transformer PCB's

  • Above/below ground

  • Transformer arcing or burning

  • Ownership (facility or utility)

  • Interior Distribution

  • Line drawing

  • Main circuit breaker marked

  • All wiring in conduit

  • Panels marked

  • Missing breakers

  • Incoming conduit marked

  • Panel boards, junction boxes covered

  • Conduit properly secured

  • Panel schedules

  • Emergency Circuits

  • Emergency generator(s):

  • Condition and age

  • Testing schedule

  • Service schedule

  • Circuits appropriate

  • Fuel storage (capacity)

  • Auto start and switchover

  • Test records available

  • Service schedule records available

  • Cooling & exhaust

  • Emergency lighting/power systems:

  • Battery operation

  • Exit signs

  • Elevators

  • HVAC

  • Separate power feed

  • Stairways/corridors

  • Interior areas

  • Exterior

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.