Information

  • Site conducted

  • Site Location:

  • Conducted on:

  • Inspector:

Stage Left

HandiCap Toilet

  • Lights and Exhaust Fan Operational

  • Toilet Operational:

  • Sink Operational:

  • Paper towel Dispenser Operational:

  • Any Leaks From Pipe work or Structure:

  • General condition of Toilet Block.

  • Active Pump Alarms:

  • Sewage Pump Operational (manually test both Pumps)

Door 6 Public Toilets

  • Lights and Exhaust Fan Operational

  • Toilet's Operational:

  • Sink Operational:

  • Paper towel Dispenser Operational:

  • Any Leaks From Pipe work or Structure:

  • General condition of Toilet Block.

  • Active Pump Alarms:

  • Sewage Pump Operational (manually test both Pumps)

Door 4 Public Toilets:

  • Lights and Exhaust Fan Operational

  • Toilet Operational:

  • Sink Operational:

  • Paper towel Dispenser Operational:

  • Any Leaks From Pipe work or Structure:

  • General condition of Toilet Block.

  • Active Pump Alarms:

  • Sewage Pump Operational (manually test both Pumps)

Water and Sewage Distribution

  • Any Leaks on Fresh Water Pipe Connections

  • Any Leaks On Sewage Pipe Connections

  • Water Pressure At Last Manifold:(Psi)

  • Cable Bridges with ADA Pipe are in good condition and have not moved:

Front Of House Concession Tent and VIP

Stage Right Bar (Bar 1)

  • Sink Is Operational:

  • Pump under sink is operational:

  • Hot Water System Is operational:

  • Any Leaks from Hot water System, Sink or Pump Connections:

  • Sewage pipe from Sink pump is in good condition:

Stage Left Bar (Bar 2)

  • Sink Is Operational:

  • Pump under sink is operational:

  • Hot Water System Is operational:

  • Any Leaks from Hot water System, Sink or Pump Connections:

  • Sewage pipe from Sink pump is in good condition:

VIP Catering

  • Sink Is Operational:

  • Pump outside for sink is operational:

  • Hot Water System Is operational:

  • Any Leaks from Hot water System, Sink or Pump Connections:

  • Sewage pipe from Sink pump is in good condition:

  • Capacity of Grease Trap: (%)

FOH Public Toilet

  • Lights and Exhaust Fan Operational:

  • Toilet Operational:

  • Any Leaks From Pipe work or Structure:

  • Paper towel Dispenser Operational:

  • Sink Operational:

  • Environment is Clean:

  • Sewage Pump Operational:

  • Active Pump Alarms:

Water and Sewage Distribution

  • Any Leaks on Fresh Water Pipe Connections:

  • Any Leaks On Sewage Pipe Connections:

  • Cable Bridges with ADA Pipe are in good condition and have not moved:

Emergency Water Pumps

  • Pump is operational when float is lifted:

  • Hose is strait with as few kinks as possible:

  • Discharge end of hose is clear and will not get blocked:

Stage Right:

Door 7 HandiCap Toilet

  • Lights and Exhaust Fan Operational

  • Toilet Operational:

  • Sink Operational:

  • Any Leaks From Pipe work or Structure:

  • Paper towel Dispenser Operational:

  • Environment is Clean:

  • Sewage Pump Operational:

  • Active Pump Alarms:

Door 3 Public Toilets

  • Lights and Exhaust Fan Operational

  • Toilet's Operational:

  • Sink Operational:

  • Any Leaks From Pipe work or Structure:

  • Paper towel Dispenser Operational:

  • Environment is Clean:

  • Sewage Pump Operational:

  • Active Pump Alarms:

Door 5 Public Toilets

  • Lights and Exhaust Fan Operational

  • Toilet's Operational:

  • Sink Operational:

  • Any Leaks From Pipe work or Structure:

  • Paper towel Dispenser Operational:

  • Environment is Clean:

  • Sewage Pump Operational:

  • Active Pump Alarms:

Water and Sewage Distribution

  • Any Leaks on Fresh Water Pipe Connections:

  • Any Leaks On Sewage Pipe Connections:

  • Water Pressure At Last Manifold:(Psi)

  • Cable Bridges with ADA Pipe are in good condition and have not moved:

Back Stage

Kitchen

  • Kitchen Sinks Operational:

  • All Taps Are operational and do not drip:

  • Dishwasher is operational:

  • Hot Water System 1 & 2 are operational:

  • Kitchen Sewage Pump is Operational:

  • Active Alarms on Pump:

  • Water Pressure at the kitchen Manifold:(Psi)

  • Any Leaks from Fresh water Manifold and piping (MTD) or pipework (in the truck) under the kitchen:

  • Any Leaks on the sewage pipe or connections:

  • Capacity of Grease Trap:(%)

  • Capacity of Gas Bottle

Laundry

  • Sink Operational:

  • All Taps Are operational and do not drip:

  • Washing machines all Work:

  • Dryers are all operational:

  • Any visible leaks from the pipe work when looking under the laundry in the belly box:

Sanitary Male Restroom

  • Sinks Operational

  • Taps Are operational and do not Leak:

  • Showers are operational and do not Leak

  • Toilets are Operational and no signs of damage:

  • Urinal's are operational and do not leak:

  • visible signs of leaks from pipe work in belly box:

  • Hand Dryer Operational.

  • Environment is Clean:

Sanitary Female Restroom

  • Sinks Operational

  • Taps Are operational and do not Leak:

  • Showers are operational and do not Leak

  • Toilets are Operational and no signs of damage:

  • visible signs of leaks from pipe work in belly box:

  • Hand Dryer Operational.

  • Environment is Clean:

Sanitary Water and Sewage

  • Sewage Pump is Operational:

  • Active Alarms on Pump

  • Any Leaks on Fresh Water Pipe Connections:

  • Water Pressure At Last Manifold:(Psi)

  • Any Leaks On Sewage Pipe Connections:

General Back of Site.

  • Cable Bridges with ADA Pipe are in good condition and have not moved:

Site Flood Management

  • Pump is operational when float is lifted:

  • Hose is strait with as few kinks as possible:

  • Discharge end of hose is clear and will not get blocked:

Water Station and Booster Pumps

Water Station

  • Water Meter Reading: (5 Digits)

  • Incoming water Pressure: (Psi)

  • Outgoing water Pressure: (Psi)

  • LHS Water Softener Display Reading:

  • RHS Water Softener Display Reading:

  • Dutrion Level:

  • Salt Level Tank 1

  • Salt Level Tank 2

  • Is The Dutrion Pump Operational:

  • Is The UV Lamp Operational:

  • Work Light Operational:

  • HVAC Operational:

  • Any Visible signs of leaks:

  • Has the water Station Been Bypassed.

Booster Pump 1 Supply to water Station

  • Pump Operational:

  • Active Faults:

  • Current Value on drive display (Bar)

Booster Pump 2 Supply To water Station

  • Pump Operational:

  • Active Faults:

  • Current Value on drive display (Bar)

Booster Pump 3 Supply from water station to site

  • Pump Operational:

  • Active Faults:

  • Current Value on drive display (Bar)

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.