Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
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Location
-
Personnel
- ISSUE IDENTIFIED
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Location:
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NUMBER OF EXISTING SEALED PENTRATIONS
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- MORE THAN 20
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LOCATION OF DEFECT POINT
- FLOOR
- WALL
- CEILING
- FIRE RATED DOOR
- ABOVE CEILING
- ABOVE FIRE RATED DOORS
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PHOTO OF DEFECT
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DEFECT TYPE
- PIPE
- CABLE
- CRACK
- CABLE TRAY
- MISSING SEALANT
- MISSING FIRE RATED PILLOWS
- UNSEALED/ OPEN HOLE
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SUGGESTED TYPE OF MATERIAL REQUIRED TO MAKE REPAIR.
- FIRE RATED TUBE SEALANT
- FIRE RATED PILLOWS
- INTUMESCENT SPARY ON APPLICATION
- INTUMESCENT PAINT
- PIPE COLLAR
- TO BE DETERMINED
-
ACCESS TO RECTIFY
- SHORT STEPS
- 1.8 LADDER/PLATFORM
- 3m LADDER/PLATFORM
- ONE MAN LIFTER
- SCISSOR LIFT
- BOOM LIFT
- SCAFFOLD
