Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

  • Facilities Manager

  • Location Manager

  • Inspection date

  • Location Address
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Overview

  • 1. It is the intention of this report to identify R&M issues in consultation with the Location Manager.
    2. Provide a Overall Condition of the Building & General Workplace.
    3. Identify and mitigate urgent issues.

Number Of Structures

  • Are there multiple buildings ?

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Reception / Foyer

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Corridors

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Kitchen / staffroom.

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Bathrooms / toilets.

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Plumbing

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Workstations / Open Area

  • Add media

Offices

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Utilities / Storage Areas

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Doors

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Meeting Rooms / Arrangement Rooms

  • Add media

Flooring

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Mortuary / Cold Rooms.

  • Doe this location have a Mortuary or Cold room ?

  • Mortuary
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  • Cold room
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Ceiling Tiles / solid ceilings

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  • Is ceiling insulated ?

Electrical / Lighting

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Evacuation Signage.

  • Is there evacuation signage (Exit signs)

  • Illuminated Running Man.

  • Illuminated wording

  • Non-illuminated wording.

Mechanical Plant

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Landscaping

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Carpark.

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External of building/s

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External Signage

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High Risk issues

  • Add drawing

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Known Compliance issues

  • are there any known compliance issues ?

  • List issue/s

  • Add media

Are Fire Equipment records available ?

  • Yes

  • No

Condition Assessment-Summary

  • Add media

  • Add drawing

  • Add signature

  • Select date

  • Add location
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.