Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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PROJECT INFORMATION:
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Project Name:
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Project Code:
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Project Index Number:
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Premises Address:
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Project Manager:
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Deputy Director:
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Start Date of Project:
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PROPERTY CONTACT DETAILS:
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Landlord Contact Details:
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Agent Contact Details:
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LEASE DETAILS:
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Term:
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Break Dates & Notice Period:
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Funding Refusal Clause Included:
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Rent Payment Dates:
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Service Charge:
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Dilapidations:
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Property Insurance Details:
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BUSINESS RATES:
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Mandatory Relief Applied For?
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Select date
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TELEPHONE LINES AND SYSTEMS:
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Provider / Supplier Contact Details:
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Type Of Telephone System Installation:
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Handset Numbers and Type Installed:
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Main Telephone Number:
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Main Fax Number:
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ISDN Installation Type:
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DDI Numbers Range Allocated:
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Alarm Line Installed:
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SPOC Line Installation Number:
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Analogue Lines Installed & Purpose:
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Maintenance Contract:
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Select date
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BROAD-BAND INSTALLATION DETAILS:
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ADSL 2:
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Select date
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EFM:
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Select date
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SDSL:
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Select date
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LEASED LINE:
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Select date
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SECURITY INSTALLATION DETAILS:
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SUPPLIER CONTACT DETAILS:
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Intruder Alarm:
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Select date
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FIRE ALARM:
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Select date
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CCTV INSTALLATION:
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Select date
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ACCESS CONTROL:
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Select date
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PANIC ALARM:
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Select date
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EMERGENCY LIGHTING:
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Select date
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KEY-HOLDER DETAILS:
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FIRE EXTINGUISHERS - INSTALLATION DETAILS:
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Contractor Details:
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Water:
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CO2:
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Powder:
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Foam:
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Fire Blankets:
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OFFICE EQUIPMENT:
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Photocopiers, Printers & Type:
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Select date
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Desks & Type:
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Operators Chairs:
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Other Types of Chairs:
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Filing Cabinets & Type:
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Tambour Cupboards:
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Coffee Tables:
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Book Shelves:
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White Boards:
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Notice Boards:
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Pin Boards:
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IT INSTALLATION DETAILS & NUMBERS:
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Server:
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Thin Clients:
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Full PC's:
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Laptops Mid-Range:
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Laptops Expensive:
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Touchscreen PC's:
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Tablets & Type:
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LCD Monitor Stands:
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HEALTH & SAFETY
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Health & Safety Board Installed:
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PIR Test Certificate Obtained:
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Gas Certification Certificate Obtained:
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Asbestos Report Obtained:
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Legionella Report Obtained:
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PAT Testing Certificate Obtained:
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Select date
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Fire Risk Assessment Completed:
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Select date
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Emergency Evacuation Plan Completed:
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Select date
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Fire Escape Drawing Plan Provided:
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Select date
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Premises Inspection Completed:
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Select date
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WASTE CONTRACTS:
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Domestic Waste Contract:
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Hygiene Service Contract:
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Controlled Waste:
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Clinical Waste:
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Sharps Waste:
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Cleaning Contractor:
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UTILITIES DETAILS GAS:
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Gas Installed & Supplier Details:
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Gas Meter No:
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Account No:
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Reading On Occupation:
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Select date
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UTILITIES DETAILS ELECTRIC:
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Supplier Details:
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Electric meter numbers:
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Account numbers:
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Reading On Occupation:
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Select date
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UTILITIES DETAILS WATER:
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Supplier Details:
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Water Meter Numbers:
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Account Numbers:
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Reading On Occupation:
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Select date
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STAFF MOBILES & 3 G DONGLES:
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Mobiles Supplied & Staff Names:
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3G Dongles:
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PASSENGER LIFT DETAILS:
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Is There a Passenger Lift Installed:
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Is There a Lift Maintenance Contract in Place:
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Lift Insurance Inspection Certificate:
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AIR-CONDITIONING INSTALLATION:
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Is Air-Conditioning Installed in The Building:
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Type of Air-Conditioning & Number of Units:
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Air-Conditioning Maintenance Contract:
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Frequency of Visits:
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CLINICAL SERVICES AND CONTRACTS:
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DRUG TESTING EQUIPMENT:
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Supplier Details:
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Account Number:
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BLOOD TESTING EQUIPMENT:
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Supplier Details:
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Account Number:
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Blood Spot Testing:
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URINE TESTING:
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Supplier Details:
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Account Number:
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HEP B VACCINATIONS:
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Supplier Details:
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Account Number:
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NEEDLE EXCHANGE EQUIPMENT:
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Supplier Details:
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Account Number:
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LEASE VEHICLES SUPPLIED:
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Are There Cars, Vans or Other Vehicles on Lease Contracts:
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Contract Numbers & Rental Payments:
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ADDITIONAL INSTALLATIONS:
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Details:
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Details:
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Details:
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Details:
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Details:
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Details:
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Details:
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Details:
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Details:
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Details:
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KEY CONTACTS:
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1. Contact Name & Organisation:
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2. Contact Name & Organisation:
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3. Contact Name & Organisation:
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4. Contact Name & Organisation:
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5. Contact Name & Organisation:
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6. Contact Name & Organisation:
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7. Contact Name & Organisation:
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8. Contact Name & Organisation:
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9. Contact Name & Organisation:
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10. Contact Name & Organisation:
