Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Begin Audit

Sign In Sheets

  • Are sign in sheets available and filled out for PSM employee training element

  • Inspector Name

  • Supervisor, Leads, Operators, Safety Coordinator Names In Attendance On Audit

  • Supervisor, Leads, Operators, Safety Coordinator Names In Attendance On Audit

  • Supervisor, Leads, Operators, Safety Coordinator Names In Attendance On Audit

  • Supervisor, Leads, Operators, Safety Coordinator Names In Attendance On Audit

  • Compliance Audit Date

Roof

Roof

Valve Stations

  • Gauges in place and working properly

  • Paint is in good condition.

  • Defrost pressure between 65-70 PSI

  • Valve stems clean and lubricated

  • Valve stems exercised regularly

  • Pipe plugs in place

  • No evidence of leaks

  • Electrical boxes and conduit in good condition

  • Select from range

Pipe and Insulation Condition

  • Crossovers in place and in good condition

  • Piping in good condition

  • Proper pipe labels being used and in place

  • Insulation in good condition.

  • Pipe labels in good condition

  • Pipe saddles in place at pipe stands

  • Pipe stands in place and properly supporting pipes

  • Select from range

Safety Relief Vent Line

  • Vent line exhaust 15 feet above working surface

  • Vent line sensor installed.

  • Rain cover in place on relief line to prevent contamination

  • Select from range

Condenser

  • Fans in good condition

  • Fan belts in good condition

  • Fan blades in good condition

  • Bearings in good condition

  • Piping in good condition

  • Paint on piping in good condition

  • Tubes in good condition - check for corrosion and scaling

  • Nozzles have good water pressure and coverage over tubes, none plugged.

  • Drift eliminators in place and in good condition

  • Water sump clean and free of debris

  • Water pumps running properly with no leaks

  • Relief valves removed from condensers

  • Structural steel in good condition

  • Electrical conduit and junction boxes in good condition

  • Water treatment is effective.

  • Valves in good working condition

  • Access to valves and nozzles easily accessible

  • Select from range

DHU

  • Valves in good working condition

  • Sensors in place and working properly

  • Filters in place and not clogged

  • Belts in good working order

  • Desiccant wheel in good working condition

  • Equipment operating properly

  • Select from range

Machine Room

Machine Room

Condenser Pumps and Water Treatment

  • Condenser pumps working properly with no leaks

  • Condenser water is tested and results recorded daily.

  • Condenser Water Usage is Tracked

  • Condenser side stream filter is working properly.

  • Condenser water treatment chemical feed equipment is working properly.

  • Select from range

Glycol Loop

  • Heat exchanger working properly

  • Relief valves in place and in compliance

  • Glycol pump working and in good condition

  • Glycol temperature between 40-50 degrees

  • Glycol flow is appropriate

  • Glycol liquid level is appropriate

  • Glycol valves in good condition

  • Glycol temperature probes working properly

  • Select from range

Cross Connection Regulator

  • Cross connection regulator set properly and working

  • Select from range

Compressors - Screw

  • Name plate legible

  • Relief valves in place and in compliance

  • Gauges in place and in good working condition

  • Economizer working properly

  • Set points set up properly

  • Guards in place

  • Filter pressure within acceptable limits

  • Operating limits are good

  • Anchors and grouting in good condition

  • Safety switches in place and working properly

  • Oil quality and changing is based on oil sampling analysis

  • Sensors reading accurately

  • Equipment is clean

  • Equipment is operating properly

  • No oil leaks are evident

  • Valves are in good shape and working properly

  • Starters are in good condition and working properly

  • Select from range

Compressor - Reciprocating

  • Name plate legible

  • Relief valves in place and in compliance

  • Gauges in place and in good working condition

  • Set points set up properly

  • Guards in place

  • Filter pressure within acceptable limits

  • Operating limits are good

  • Anchors and grouting in good condition

  • Safety switches in place and working properly

  • Oil quality and changing is based on oil sampling analysis

  • Sensors reading accurately

  • Equipment is clean

  • Equipment is operating properly

  • No oil leaks are evident

  • Valves are in good shape and working properly

  • Starters are in good condition and working properly

  • Select from range

Vessels

  • Name plate / ASME stamp legible

  • Level controls working properly

  • Bulls eyes in good condition

  • Oil pots in good condition

  • Insulation in place and in good condition

  • Feed valves working properly

  • All Safety float cut outs working properly

  • Relief valves in place and in compliance

  • Vessel is in good condition

  • Piping in good condition

  • Equipment is clean

  • Valves in good working condition

  • Electrical conduit and junction boxes are in good condition

  • Equipment is operating properly

  • Select from range

Ammonia Pumps

  • Guards in place

  • Rotary guard working properly

  • Oil cutout switch working properly

  • Shaft seal in good condition - no seal leaks

  • Pump operating good

  • Gauges in place and working properly

  • Equipment operation good

  • Select from range

Oil Recovery System

  • Oil recovery system in good condition and working properly

  • Select from range

Floors, Walls and Room Cleanliness, and Door Signage.

  • Is the machine room restricted to authorized personal only?

  • Is There Proper Warning Signs on the Door?

  • No unauthorized storage in a machine room. Only refrigeration equipment and parts allowed

  • Floors in good condition

  • Walls are in good condition

  • Is the machine room including tools and benches clean?

  • Select from range

Electrical / Panels

  • Electrical panels are in good condition and doors closed

  • No open holes are in panel, especially the top

  • If filters are in panel filter is clean and fits opening properly

  • Select from range

Ladders

  • Ladders are designated for machine room with warning sign posted.

  • Select from range

Pipes and Insulation

  • Pipe hangers are adequate and adjusted properly.

  • Pipes are in good condition and painted

  • Insulation is in good condition and pipe saddles in place

  • Pipe and equipment labels are in place and meet IIAR standards

  • Select from range

High Pressure Reciever

  • Ammonia level within acceptable range

  • High pressure receiver is in good condition

  • Select from range

Ammonia Dispersion Tank

  • Dispersion tank is in good condition with no leaks

  • Select from range

Transfer Hose

  • Transfer hose is suitable and certification date is not expired

  • Select from range

HVAC

  • Heat exchanger working properly

  • Relief valves in place and in compliance

  • Pump in good working order

  • Temperature set properly

  • Glycol flow is acceptable

  • Valves in good working order

  • Temperature probes working properly

  • Select from range

Purger

  • Equipment clean and bubbler easy to see through

  • Insulation in place and in good condition

  • Purger operation working properly

  • Purger cycle counts recorded

Exhaust System

  • Exhaust system operates when ammonia is detected

  • Exhaust system meets IIAR2-2008 standards

  • Fan belts in good condition

  • Fan blades in good condition

  • Intake dampers working properly

  • Exhaust fans can be started manually from outside the engine room

  • Select from range

Evaporators

Evaporators

Freezer Evaporators / Penthouses

  • Unit defrosting properly

  • Temperature set points set properly

  • Electrical conduit and junction boxes in good condition

  • Fans in good condition and working properly

  • No excessive ice buildup

  • Coils clean

  • Unit clean

  • Heat trace in place and working

  • Drains in good condition and clear

  • Condensate drip pans in good condition

  • Support hangers in place and properly adjusted

  • Guards in place

  • Equipment operation good

  • Sensors in place and working properly

  • Piping in good condition

  • Insulation in place and in good condition

  • Select from range

Cooler Evaporators / Penthouses

  • Unit defrosting properly

  • Temperature set points set properly

  • Electrical conduit and junction boxes in good condition

  • Fans in good condition and working properly

  • No excessive ice buildup

  • Coils clean

  • Unit clean

  • Heat trace in place and working

  • Drains in good condition and clear

  • Condensate drip pans in good condition

  • Support hangers in place and properly adjusted

  • Guards in place

  • Equipment operation good

  • Sensors in place and working properly

  • Piping in good condition

  • Insulation in place and in good condition

  • Select from range

Dock Evaporators / Penthouses

  • Unit defrosting properly

  • Temperature set points set properly

  • Electrical conduit and junction boxes in good condition

  • Fans in good condition and working properly

  • No excessive ice buildup

  • Coils clean

  • Unit clean

  • Heat trace in place and working

  • Drains in good condition and clear

  • Condensate drip pans in good condition

  • Support hangers in place and properly adjusted

  • Guards in place

  • Equipment operation good

  • Sensors in place and working properly

  • Piping in good condition

  • Insulation in place and in good condition

  • Select from range

Door Operation

  • Automatic door timers and sensors set to minimize door open time

  • Strip curtains installed properly

  • All doors closed and good seals

  • Select from range

Controls / Electrical

Controls / Electrical

Cleanliness of Control Cabinets

  • HOA Switches set properly

  • Cabinets in good condition and clean inside and out

  • Select from range

Electrical Panels

  • Panel in good condition and sealing properly

  • Select from range

Operator Understanding

  • Monitoring screens are set up and include all system equipment

  • Operators use trend screens on a daily basis

  • Operators understand system operation and controls

  • Select from range

Temperature and Pressure Sensors

  • Sensors set up and working properly

  • Select from range

Ammonia Detectors and Operation

  • Ammonia detectors in proper locations and working

  • Select from range

Defrost Schedule and Times

  • Defrost schedules set up and working properly

  • Select from range

System Pressure Settings

  • Pressure settings are set properly to maintain building temps and be energy efficient

  • Condenser head pressure is at acceptable level

  • Select from range

Labeling

  • Labeling of piping, equipment and door signs meets IIAR standards

  • Select from range

E-Stops

  • E-Stops work properly and are tested per Maximo work orders

  • Select from range

Alarm Settings

  • Alarm settings are set properly and active

  • Select from range

Upgrade Wonderware

  • Wonderware has most recent updates

  • Select from range

Paperwork / Safety Equipment

Paperwork / Safety Equipment

Daily Logs

  • Building walk throughs are completed twice per day six days per week.

  • Daily logs are available and used between shifts

  • Select from range

Alarms Audible and Visual

  • Alarms are both audible and visual

  • Select from range

Oil Log

  • Oil logs are used for both adding oil and removing oil from system

  • Select from range

Parts Inventory, Maximo Work Orders and PM's

  • Refrigeration parts are in Maximo inventory and cycle counted on a regular basis

  • All equipment is in Maximo and set up with PM's

  • Select from range

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.