Information

  • Document No.

  • Audit Title

  • Hospital Name

  • Site Address
  • Conducted on

  • Prepared by

  • Personnel assisting with inspection

  • Rauland Project Number

  • Hospital Name

  • Site Address
  • Is a subcontractor responsible for the installation works for this project?

  • Subcontractor's Name

  • Is this a partial inspection due to a phased handover?

  • Please list the areas, wards or rooms that are to be inspected seperately

Headend

  • Has the head end been installed in the location and position identified on the approved shop drawing

  • Please enter the number and revision of the approved drawing.

  • Please enter the number and revision of the approved drawing.

  • Does the head end need to be relocated?

  • Please take a photo identifying the head end in the unapproved location

  • Is the head end wall mounted?

  • Is the cabling within the rack to Rauland Standards

  • Please take a photo showing cabling that is not too standard

  • Is there sufficient spacing between the shelves to enable serviceability while in operation?

  • Please take a photo showing area of concern

  • Is the head end level?

  • Please take a photo of the headend

  • Is the looming of cabling internally to the head end to Rauland standards?

  • Please take a photo of the cabinet with the door open

  • Are the connections on the structured cabling to Rauland standards? (<br>Please leave switch turned off if<br>1. Incorrect wire map <br>2. Too much sheath has been removed<br>3. Connections to TMB not in sequence<br>4. Cables are not labelled within 15mm of the connector

  • Please take a photo to show an example of incorrect terminations/connections

  • Has the cabling between the headend and ceiling plenum been dressed neatly, appropriately supported and/or housed within cable ducting?

  • Please take a photo to show inadequate cable dressing between head end and ceiling plenum

  • Are there any additional components of the head end that require rectification?

  • Please enter a description of the defect and the work required to rectify the issue.

  • Please take a photo of the defect.

  • Please the works required to rectify identified defects associated with the head end or any additional comments relating to the standard of workmanship that need to be addressed.

Field Stations

  • List the approved shop drawings and the relevant revision this installation is to have been installed to

  • Have all field devices been installed as per the approved drawings?

  • Please list rooms and devices that have been missed

FIELD STATIONS

  • Room No.

  • Room Name

  • Are all field stations level?

  • Please take a photo of the station

  • Has Silicon been applied to any stations installed within bathroom areas?

  • Please take a photo of the station

  • Has the Silicon been applied neatly and not smeared over the station and wall?

  • Please take a photo of the station

CORRIDOR LIGHTS

  • Are all corridor lights installed in the correct orientation as outlined in the Rauland installation requirements and not obstructing any other services?

  • Please take a photo of one of the corridor lights that do not meet this requirement

  • Have all corridor lights had the dust covers installed?

  • Please take a photo of one of the corridor light that does not meet this requirement

ANNUNCIATORS

  • Has the Annunciator been installed to achieve minimum clearance and is level?

  • Please take a photo of one of the annunciators that do not meet this requirement

ADDITIONAL ITEMS

  • Please list anything else within this room that requires rectification

Sign Off

  • Name of person who conducted inspection

  • Position

  • Signature of person who conducted inspection

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.