Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Emergency Lighting

  • 1. Exit pack in Kitchen close to entrance working and signed off?

  • 2. Exit pack at rear exit, first floor working and signed off?

  • 3. Light pack in stairwell on landing working and signed off?

  • 4. light pack in training room working and signed off?

  • Add signature

HVAC

Fuel

  • Inspect propane levels - record level - is it above 30%

Furnace room

Carrier located in loft in truck bay

  • Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  • Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  • While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  • Is the inside cabinet of the unit free of debris and or water?

  • Check all fittings to ensure that they are secure, is the unit in good working order

Carrier located in loft of truck bay

  • Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  • Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  • While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  • Is the inside cabinet of the unit free of debris and or water?

  • Check all fittings to ensure that they are secure, is the unit in good working order

Fire Extinguishers

  • 1. Basement North side extinguisher charged and signed off?

  • 2. Basement South West side extinguisher charged and signed off?

  • 3. Main entrance exinguisher charged and signed off?

  • 4. Main hall kitchen extinguisher charged and signed off?

  • 5. Hall entrance extinguisher charged and signed off?

  • 6. Craft room (basement) extinguisher charged and signed off?

  • 7. Basement exit extinguisher charged and signed off?

  • Add signature

First Aid

First Aid kit in Kitchen

  • Is Regulations 1101 present

  • Current edition of a standard St John's First Aid Manual

  • 12 adhesive dressings individually wrapped

  • 4 sterile gauze pads 3" square

  • 2 rolls of gauze bandages 2" wide

  • 2 field dressings, 4 inches square or 2 four-inch sterile bandage compresses

  • 1 Triangular Badage

General room by room Assessments

Building exterior/parking lot

  • Are all outside areas safe and accessible?

  • Are walkways clear of snow or obstruction?

  • Are all lights working?

  • Are the entrance ways clean and free of debris (cigarette butts)?

Fire Hall side entrance

  • Are floors clean and free of debris or slip/trip hazards?

  • Are walls clean and smudge free?

  • is there adequate lighting in walking and work areas, record any burnt out bulbs.

  • Are garbage receptacles adequate and clean?

  • If everything passes click Yes/if work required click no and report on additional issues

  • Counters and Sinks clean and free of bacteria?

  • Are the air return/heat vents clean and dust free?

  • If everything passes click Yes/if work required click no and report on additional issues

Women's Washroom

  • Are Sinks, mirrors and toilets clean and in working order?

  • Are the hand dryer/paper towel dispensers clean and in good working order?

  • Are the hand soap pumps clean, full and in good working order?

  • Toilet paper holders stocked and in working condition?

  • Are stall dividers clean and in good working condition?

  • Floors swept/cleaned and free of debris?

  • is there adequate lighting in walking and work areas, record any burnt out bulbs.

  • Are the air return/heat vents clean and dust free?

  • Are Ceiling tiles stain free and in there proper place?

  • If everything passes click Yes/if work required click no and report on additional issues

Men's Washroom

  • Are Sinks, mirrors and toilets clean and in working order?

  • Are the hand dryer/paper towel dispensers clean and in good working order?

  • Are the hand soap pumps clean, full and in good working order?

  • Toilet paper holders stocked and in working condition?

  • Are stall dividers clean and in good working condition?

  • Floors swept/cleaned and free of debris?

  • is there adequate lighting in walking and work areas, record any burnt out bulbs.

  • Are the air return/heat vents clean and dust free?

  • Are Ceiling tiles stain free and in there proper place?

  • If everything passes click Yes/if work required click no and report on additional issues

Offices

  • Are desks in good order - report any damage?

  • Is there adequate storage and shelving? Is the shelving in good condition and safe?

  • Is the floor clean and free of debris or chemicals that may damage ice surface?

  • Are the walls clean and free of mould and smudges?

  • If everything passes click Yes/if work required click no and report on additional issues

Training Area (upstairs)

  • is there adequate lighting in walking and work areas, record any burnt out bulbs or missing lenses.

  • Are the air return/heat vents clean and dust free?

  • Are Ceiling tiles stain free and in there proper place?

  • Is there adequate storage and shelving? Is the shelving in good condition and safe?

  • Are the walls clean and free of mould and smudges?

  • If everything passes click Yes/if work required click no and report on additional issues

  • Add signature

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