Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • Completed on

Loading Bay

  • Loading Bay - Tag 73. Water. Is All in order?

  • Take photo of any irregularities

  • Loading Bay - Tag 74. Powder. Is All in order?

  • Take photo of any irregularities

  • Loading Bay Corridor - Tag 76. Co2. Is All in order?

  • Take photo of any irregularities

  • Birchalls Workshop - Tag 77. Co2. Is All in order?

  • Take photo of any irregularities

  • Birchalls Workshop - Tag 78. Water. Is All in order?

  • Take photo of any irregularities

  • Birchalls Office - Tag 79. Water. Is All in order?

  • Take photo of any irregularities

  • Birchalls Office - Tag 80. Co2. Is All in order?

  • Take photo of any irregularities

  • Generator Control Room - Tag 81. Co2. Is All in order?

  • Take photo of any irregularities

  • Generator Control Room - Tag 82. Co2 - Is All in order?

  • Take photo of any irregularities

  • Generator Room - Tag 83. Co2. Is All in order?

  • Take photo of any irregularities

  • Generator Room - Tag 84. Co2. Is All in order?

  • Take photo of any irregularities

  • Generator Room - Tag 85. Co2. Is All in order?

  • Take photo of any irregularities

  • Generator Room - Tag 86. Co2. Is All in order?

  • Take photo of any irregularities

  • Fuel Tank Room - Tag 87. Powder. Is All in order?

  • Take photo of any irregularities

  • Fuel Tank Room - Tag 88. Powder. Is All in order?

  • Take photo of any irregularities

  • Loading Bay Shutters - Tag 89. Powder. Is All in order?

  • Take photo of any irregularities

  • EBRD Car Park - Tag 90. Co2. Is All in order?

  • Take photo of any irregularities

  • Marex Car Park - Tag 91. Powder. Is All in order?

  • Take photo of any irregularities

  • Marex Car Park - Tag 92. Powder. Is All in order?

  • Take photo of any irregularities

  • LBG Car Park - Tag 93. Powder. Is All in order?

  • Take photo of any irregularities

  • Barings Car Park - Tag 94. Powder. Is All in order?

  • Take photo of any irregularities

  • AXA Car Park - Tag 95. Powder. Is All in order?

  • Take photo of any irregularities

  • AXA Car Park - Tag 96. Powder. Is All in order?

  • Take photo of any irregularities

  • Sign when completed

HV Tank Room

  • Chiller Pump Room - Tag 49. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Pump Room - Tag 50. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Pump Room - Tag 51. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Pump Room - Tag 52. Co2. Is All in order?

  • Take photo of any irregularities

  • Tank Room - Tag 61. Co2 Is All in order?

  • Take photo of any irregularities

  • Tank Room - Tag 63. Co2. Is All in order?

  • Take photo of any irregularities

  • Tank Room - Tag 62. Co2. Is All in order?

  • Take photo of any irregularities

  • Tank Room - Tag 59. Co2. Is All in order?

  • Take photo of any irregularities

  • Main BT Frame Room - Tag 60. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Room - Tag 57. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Room - Tag 56. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Room - Tag 55. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Room - Tag 54. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Room - Tag 53. Co2. Is All in order?

  • Take photo of any irregularities

  • Boiler Room - Tag 70. Co2. Is All in order?

  • Take photo of any irregularities

  • Boiler Room - Tag 71. Co2. Is All in order?

  • Take photo of any irregularities

  • Chiller Room (outside Boiler Room) - Tag 72. Powder. Is All in order?

  • Take photo of any irregularities

  • HV Switch Room - Tag 68. Co2. Is All in order?

  • Take photo of any irregularities

  • HV Switch Room - Tag 69. Co2. Is All in order?

  • Take photo of any irregularities

  • HV Switch Room - Tag 64. Co2. Is All in order?

  • Take photo of any irregularities

  • HV Switch Room - Tag 65. Co2. Is All in order?

  • Take photo of any irregularities

  • HV Switch Room - Tag 66. Co2. Is All in order?

  • Take photo of any irregularities

  • HV Switch Room - Tag 67. Co2. Is All in order?

  • Take photo of any irregularities

  • Sign when completed

Plant Area

  • Level 12 BT Riser - Tag 11. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 12 Plant Room - Tag 12. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 12 Plant Room - Tag 13. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 11 BT Riser - Tag 14. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 11 Plant Room - Tag 15. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 11 Plant Room - Tag 16. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 10 BT Riser - Tag 19. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 10 Plant Room - Tag 17. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 10 Plant Room - Tag 18. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 9 BT Riser - Tag 20. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 9 Plant Room - Tag 21. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 9 Plant Room - Tag 22. Co2. Is All in Order?

  • Take photo of any irregularities

  • F24 Lift Motor Room (BAM Area) - Tag 23. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 8 BT Riser - Tag 24. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 8 Plant Room - Tag 25. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 8 Plant Room - Tag 26. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 7 BT Riser - Tag 27. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 7 Plant Room - Tag 28. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 7 Plant Room - Tag 29. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 6 BT Riser - Tag 30. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 6 Plant Room - Tag 31. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 6 Plant Room - Tag 32. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 5 BT Riser - Tag 33. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 5 Plant Room - Tag 34. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 5 Plant Room - Tag 35. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 4 BT Riser - Tag 36. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 4 Plant Room - Tag 37. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 4 Plant Room - Tag 38. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 3 BT Riser - Tag 39. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 3 Plant Room - Tag 40. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 3 Plant Room - Tag 41. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 2 BT Riser - Tag 42. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 2 Plant Room - Tag 43. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 2 Plant Room - Tag 44. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 1 BT Riser - Tag 45. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 1 Plant Room (SMTB) - Tag 46. Co2. Is All in Order?

  • Take photo of any irregularities

  • Level 1 Plant Room (ETC) - Tag 47. Co2. Is All in Order?

  • Take photo of any irregularities

  • Management Office - Tag 203 - Co2. Is All in Order?

  • Take photo of any irregularities

  • Security Control Room - Tag 204. Co2. Is All in Order?

  • Take photo of any irregularities

  • Fire Command Centre - Tag 48. Co2. Is All in Order?

  • Take photo of any irregularities

  • Sign when completed

Stair 6

  • Level 13 Plant Room - Tag 8. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Plant Room - Tag 9. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Plant Room - Tag 10. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Plant Room - Tag 6. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Plant Room - Tag 4. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Plant Room (Cooling Towers) - Tag 5. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Lift Motor Room - Tag 1. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Lift Motor Room - Tag 2. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 Lift Motor Room - Tag 3. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 F24 Lift Motor Room - Tag 7. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 13 - Tag 135. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 12 - Tag 136. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 11 - Tag 137. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 10 - Tag 138. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 9 - Tag 139. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 8 - Tag 140. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 7 - Tag 141. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 6 - Tag 142. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 5 - Tag 143. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 4 - Tag 144. Water. Is all in Order?

  • Take photo of any irregularities

  • Between levels 4 & 3 - Tag 145. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 3 - Tag 146. Water. Is all in Order?

  • Take photo of any irregularities

  • Between levels 3 & 2 - Tag 147. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 2 - Tag 148. Water. Is all in Order?

  • Take photo of any irregularities

  • Between levels 2 & 1 - Tag 149. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 1 - Tag 150. Water. Is all in Order?

  • Take photo of any irregularities

  • Mezzanine - Tag 151. Water. Is all in Order?

  • Take photo of any irregularities

  • Corridor - Tag 152. Water. Is all in Order?

  • Take photo of any irregularities

  • Ground - Tag 153 Water. Is all in Order?

  • Take photo of any irregularities

  • Sign when completed

Stair 7

  • Level 13 - Tag 97. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 13 - Tag 97. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 12 - Tag 98. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 12 Electrical Riser - Tag 99. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 11 - Tag 100. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 11 Electrical Riser - Tag 101. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 10 - Tag 102. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 10 Electrical Riser - Tag 103. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 9 - Tag 104. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 9 Electrical Riser - Tag 105. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 8 - Tag 106. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 8 Electrical Riser - Tag 107. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 7 -Tag 108. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 7 Electrical Riser - Tag 109. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 6 - Tag 110. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 6 Electrical Riser - Tag 111. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 6 - Tag 110. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 6 Electrical Riser - Tag 111. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 5 - Tag 112. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 5 Electrical Riser - Tag 113. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 4 - Tag 114. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 4 Electrical Riser - Tag 115. Co2. Is all in Order?

  • Take photo of any irregularities

  • Between Level 3 & 4 - Tag 116. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 3 - Tag 117 Water. Is all in Order?

  • Take photo of any irregularities

  • Level 3 Electrical Riser - Tag 118. Co2. Is all in Order?

  • Take photo of any irregularities

  • Between Level 2 & 3 - Tag 119. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 2 - Tag 120. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 2 Electrical Riser - Tag 121. Co2. Is all in Order?

  • Take photo of any irregularities

  • Between Level 1 & 2 - Tag 122. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 1 - Tag 123. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 1 Electrical Riser - Tag 124. Co2. Is all in Order?

  • Take photo of any irregularities

  • Between Level Mezz & 1 - Tag 125. Water. Is all in Order?

  • Take photo of any irregularities

  • Mezzanine Level - Tag 126. Water. Is all in Order?

  • Take photo of any irregularities

  • Ground - Tag 127. Water. Is all in Order?

  • Take photo of any irregularities

  • Sign when completed

Stair 8

  • F22 Lift Motor Room - Tag 154. Co2. Is all n Order?

  • Take photo of any irregularities

  • Level 12 Lift Lobby - Tag 155. Water. Is all in Order?

  • Take photo of any irregularities

  • Bottom of Cooling Towers - Tag 156. Co2. Is all in Order?

  • Take photo of any irregularities

  • Level 11 Lift Lobby - Tag 157. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 10 Lift Lobby - Tag 158. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 9 Lift Lobby - Tag 159. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 8 Lift Lobby - Tag 160. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 7 Lift Lobby - Tag 161. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 6 Lift Lobby - Tag 162. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 5 Lift Lobby - Tag 163. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 4 Lift Lobby - Tag 164. Water. Is all in Order?

  • Take photo of any irregularities

  • Between Level 3 & 4 - Tag 165. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 3 Lift Lobby - Tag 166. Water. Is all in Order?

  • Take photo of any irregularities

  • Between Level 2 & 3 -Tag 167. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 2 Lift Lobby - Tag 168. Water. Is all in Order?

  • Take photo of any irregularities

  • Between Level 1 & 2 - Tag 169. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 1 Lift Lobby - Tag 170. Water. Is all in Order?

  • Take photo of any irregularities

  • Mezzanine - Tag 171. Water. Is all in Order?

  • Take photo of any irregularities

  • Ground - Tag 172. Water. Is all in Order?

  • Take photo of any irregularities

  • Sign when completed

Stair 9

  • F23 Lift Motor Room- Tag 173. Co2. Is all in Order?

  • Photo of any irregularities

  • Level 8 - Tag 174. Water. Is all in Order?

  • Photo of any irregularities

  • Level 7 - Tag 175. Water. Is all in Order?

  • Photo of any irregularities

  • Level 6 - Tag 176. Water. Is all in Order?

  • Photo of any irregularities

  • Level 5 - Tag 177. Water. Is all in Order?

  • Photo of any irregularities

  • Level 4 - Tag 178. Water. Is all in Order?

  • Photo of any irregularities

  • Between level 3 & 4 - Tag 179. Water. Is all in Order?

  • Photo of any irregularities

  • Level 3 - Tag 180. Water. Is all in Order?

  • Photo of any irregularities

  • Between level 2 & 3 - Tag 181. Water. Is all in Order?

  • Photo of any irregularities

  • Level 2 - Tag 182. Water. Is all in Order?

  • Photo of any irregularities

  • Between level 1 & 2 - Tag 183. Water. Is all in Order?

  • Photo of any irregularities

  • Level 1 - Tag 184. Water. Is all in Order?

  • Photo of any irregularities

  • Mezzanine - Tag 185. Water. Is all in Order?

  • Photo of any irregularities

  • Ground - Tag 186. Water. Is all in Order?

  • Photo of any irregularities

  • Mezzanine - Tag 132. Water. Is all in Order?

  • Photo of any irregularities

  • Mezzanine Plant Room - Tag 133. Co2. Is all in Order?

  • Photo of any irregularities

  • Mezzanine Plant Room - Tag 134. Co2. Is all in Order?

  • Photo of any irregularities

  • Mezzanine - Tag 131. Water. Is all in Order?

  • Photo of any irregularities

  • Mezzanine - Tag 130. Water. Is all in Order?

  • Photo of any irregularities

  • Rest Room - Tag 129. Co2. Is all in Order?

  • Photo of any irregularities

  • Mezzanine (by Goods Lift) - Tag 128. Water. Is all in Order?

  • Photo of any irregularities

  • Sign when completed

Stair 10

  • Level 9 - Tag 187. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 8 - Tag 188. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 7 - Tag 189. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 6 - Tag 190. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 5 - Tag 191. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 4 - Tag 192. Water. Is all in Order?

  • Take photo of any irregularities

  • Between Level 3 & 4 - Tag 193. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 3 - Tag 194. Water. Is all in Order?

  • Take photo of any irregularities

  • Between Level 2 & 3 - Tag 195. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 2 - Tag 196. Water. Is all in Order?

  • Take photo of any irregularities

  • Between Level 1 & 2 - Tag 197. Water. Is all in Order?

  • Take photo of any irregularities

  • Level 1 - Tag 198. Water. Is all in Order?

  • Take photo of any irregularities

  • Mezzanine - Tag 199 - Water. Is all in Order?

  • Take photo of any irregularities

  • Mezzanine (by lift) - Tag 200 - Water. Is all in Order?

  • Take photo of any irregularities

  • Mezzanine Corridor- Tag 201 - Water. Is all in Order?

  • Take photo of any irregularities

  • Ground - Tag 202. Water. Is all in Order?

  • Take photo of any irregularities

  • Sign when completed

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.