Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Contract Admin & Maint Staff

Contract Administration Program

  • Required contractor schedules, plans and other submittals are on file.

  • Does the PMO have a Quality Assurance Plan for reviewing contractor performance.

Maintenance Personnel

  • All personnel engaged in maintenance activities have certificates of training,license, permits and bonding as required by the authority having jurisdiction. Asbestos handling.

  • Do the appropriate state and local authorities in those trades or crafts requiring license, issue those licenses to the mechanics?

  • Are persons who maintain, service or repair appliances that contain class I or class II refrigerants certified by the EPA certifying program?

Preventive Maintenance

Preventive Maintenance

  • Is there a Preventive Maintenance program in place?

  • Was the PM program approved by the CO/COR?

  • An inspection program has been established, implemented, and documented to ensure that preventive maintenance is accomplished in accordance with the PM approved program?

  • Does the PM program match the equipment inventory?

  • Are PMs performed as scheduled with no pattern of unsatisfactory or incomplete work?

  • Is there a water treatment program for boilers, chillers, and cooling towers.

Service Calls

Service Calls

  • Is there a Service Call program in place?

  • Is the time and date of receipt recorded for each service call along with the name and contact info for the person or agency making the call?

  • Is the item and date of completion recorded when calls are completed?

  • Are service calls completed in a timely manner, in accordance with the building operating procedures?

  • Is the PMO using the CMMS to the maximum extent possible in their service call and PM program?

  • Is the PMO following up on service to gauge customer satisfaction?

Equipment Condition

  • Is there a plan to repair, replace, or dispose of equipment that is in unsatisfactory condition?

Boilers & Chillers

Boilers

  • Is there an approved BOP ( building operating plan) for each building specifying the hours of operation based on the seasons and in accordance with the outside temperature condition including startup and shut down procedures?

  • Is there a current annual inspection certificate displayed near the boiler and are Air Quality Management District permits updated?

  • Are there operating instructions posted on or near the boilers?

  • When was the last boiler tune up and Flue Gas Analysis performed

Chillers

  • Are there operating instructions posted on or near the chillers?

  • Is there a chiller water treatment program?

  • Are records being maintained for the control and management of refrigerants?

Air Compressors

  • Is the air dryer operational on the pneumatic system?

  • Is the tank drained regularly?

  • Is there an annual inspection certificate for any tanks over 60 psi and 15 gallons?

  • Are there unfired pressure vessel certificates for this tank if applicable?

Mechanical Rooms

  • Are all mechanical spaces clean and maintained?

  • Mechanical rooms are free of materials, i.e.( furniture, agency equipment, trash)?

  • Are combustable materials stored properly and away from Electrical switchgear, boilers ?

  • Is all piping in mechanical spaces properly labeled and color coded as to it's use?

  • Is all pipe lagging in good condition?

  • Are there unusual noises or leaks in the mechanical spaces?

Air Handlers

  • Are there Excessive vibration noises?

  • Dirt saturation in filters, cooling and heating coils?

  • Are belts tensioned properly and evenly?

  • Are fan shaft bearings lubricated?

  • Are belt guards in place?

  • Are belts in good condition?

Air Intake Louvers

  • Is weather stripping intact?

  • Are insect screens intact and clear of debris?

  • Do automatic dampers move freely?

  • Is there excessive air leakage when closed and do Outside Air and Return Air Dampers work in reverse of each other? (i.e. OA 100% open, return 100% closed and vice versa)

  • Are actuators working properly?

Cooling Tower

  • Is there a water treatment program in place?

  • Is the cooling tower water treated with biocides, rust inhibitors?

  • Are the tower media,slats and sump clean?

  • Are there any laks in the area of the towers?

  • Are there signs of Algae and/or Scale buildup?

Roof

  • Are drains clear of debris?

  • Is flashing intact and tight?

  • Is there ponding?

  • Is the roof membrane in good repair?

  • Are semi-annual roof inspection reports on file?

Generator

  • Does generator run logs show weekly tests?

  • Are Transfer Switch test under building load being conducted monthly?

  • Perform visual inspection of engine oil, battery connections and perform specific gravity test of battery.

  • Check generator for signs of leaks in, exhaust, oil and water systems.

  • Are the operating instructions posted on or nearby the generator?

Switchgear & Electrical

  • Is equipment properly marked?

  • Are all low voltage breakers over 50 amps and all molded case breakers over 400 amps tagged with the last inspection?

  • Three year infrared scanning to locate problems must be documented and tags must include testing firm, date and initials.

  • Proper voltage rated rubber mats in place around equipment?

Program Compliance

  • Program Compliance

  • Program Reviewer

  • Field Office Representative

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.