Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

Previous Audit Review

Historical background

  • Review the previous Site Inspection Report for this site

  • Date last inspection was done

  • Previous concerns/issues reported from last site inspection closed?

Compliance

Emergency preparedness

  • Emergency numbers displayed on walls, phones and guard's areas

  • Evacuation plans displayed?

  • Call tree displayed on walls, phones and guard's areas

  • Call tree updated and tested

Annual permits compliance

  • Mayor's/Business permit

  • Sanitary permit

  • Barangay clearance

  • RPT payments

  • Elevator permit

  • Permit to operate a generator

  • Permit to operate a gondola

Other compliance required

  • Evacuation drill

  • Fire exits

  • Fire exit doors in good condition?

  • Fire exit hallways clear and accessible?

  • Fire exits adequate in number?

Site Security

  • Facility has CCTV? Choose N/A if not required by local ordinance.

CCTV System

  • How many cameras cover the facility?

  • How long is video retained in days?

  • Video retained onsite or offsite

  • Are the following in working condition?

  • Monitor?

  • Digital video recorder

  • Cameras

  • Internet connection?

  • How many people know the wifi password?

Building access

  • Does building access require...

  • ...signing in?

  • ...signing out?

  • ...a valid ID?

  • Is a temporary guest badge issued?

Aesthetics

Interior

  • Are the following clean and in good condition?

  • Doors

  • Floors

  • Walls

  • Ceilings

  • Stairs

  • Roofdeck

Exterior

  • Are the following clean and in good condition?

  • Windows

  • Floors

  • Walls

  • Ceilings

  • Landscaping

Hardware

Furniture

  • Are the following in good condition?

  • Chairs

  • Tables

  • Cabinets

  • Pedestal cabinets

Office equipment

  • Are the following in good condition?

  • PC's

  • Phones

  • Pedestal cabinets

  • Cash vault

Electrical system

Lighting

  • Any busted lamps?

  • Details

  • Area
  • Location

  • Qty

  • Wattage

  • Type of lamp

  • Under warranty?

  • Warranty expiration

Wiring devices

  • Are the following in good condition?

  • Switches

  • Outlets

Thermal scanning

  • Thermal scan normal for the following

  • Main breakers?

  • Branch circuit breakers?

  • Motor controls?

  • Feeders?

  • Branch circuit cables

  • Note: For any abnormal findings in the thermal scanning, a separate report is generated

Mechanical system

Generator

  • Is a preventive maintenance contract in place?

  • Preventive maintenance contractor

  • Date of last preventive maintenance check

  • Generator capacity in kVa

  • Is there adequate fuel?

  • Date of last purchase of fuel

  • Quantity of fuel purchased in liters

  • Supplier contract in place?

  • Tested at no load?

  • Frequency of no load testing

  • Date of last no load test

HVAC system

Airconditioning

  • Is a preventive maintenance contract in place?

  • Preventive maintenance contractor

  • Maintenance frequency

  • Date of last preventive maintenance check

  • Airconditioning working?

  • Air filters cleaned regularly?

  • Frequency of cleaning

  • Date last cleaned

Ventilation

  • Exhaust fans working?

  • Maintenance frequency

  • Date of last maintenance check

  • Cleaned regularly?

  • Frequency of cleaning

  • Date last cleaned

  • Pressurization fans in working condition?

  • Maintenance frequency

  • Date of last maintenance check

  • Cleaned regularly?

  • Frequency of cleaning

  • Date last cleaned

  • Turbo fans in working condition?

  • Maintenance frequency

  • Date of last maintenance check

  • Cleaned regularly?

  • Frequency of cleaning

  • Date last cleaned

Sanitary/ Plumbing system

Pumps

  • Are any of the following in working condition?

  • Water pumps

  • Booster pump

  • Sewage pumps

Plumbing fixtures

  • Are any of the following in working condition

  • Faucets

  • Flush valves

  • Water closets

  • Sinks

  • Urinals

  • Bidets

  • Shower heads

  • Water heater

Drains and piping

  • No clogged drains?

  • No leaks in the piping system?

Cistern

  • Cleaned regularly?

  • Frequency of cleaning

  • Date last cleaned

Septic tank

  • Evacuated regularly?

  • Frequency of evacuation

  • Date last evacuated

Leaks

  • No reported or signs of water leaks?

Fire Protection, Detection & Alarm system

FDAS

  • Is a preventive maintenance contract in place?

  • Preventive maintenance contractor

  • Date of last preventive maintenance check

  • Are the following in working condition?

  • Fire Alarm Control Panel

  • Smoke/heat detectors

  • Bell

  • Pull station

Fire Protection

  • Qty of fire extinguishers

  • Checked monthly?

  • Date of last check

  • Sprinkler system in place?

  • Are the following in working condition?

  • Fire pump

  • Jockey pump

  • Fire hose

  • No leaks in the piping system?

  • Regular maintenance done?

  • Maintenance frequency

  • Date of last check

Findings and confirmation

  • Summary of findings

  • Concern/Issue
  • Finding

  • Photo

  • Responsibility

  • Prepared by

  • Acknowledged by

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.