Title Page

  • Site Name

  • Conducted on

  • Prepared by

  • Company Name

Untitled Page

SITE'S VISUAL

  • Check the overall site condition?

  • Check condition of Monolith

  • Check the condition of Canopy Ceiling

  • Check condition of Canopy Logo

  • Identify the Specification & Quantity of Canopy Lights

  • Check condition of Canopy Fascia at site

  • Identify the quanitity of red bars at site

  • Check the Quantity/Specification of Pole Ligts

FORECOURT AREA

  • Identify the quantity of islands at site

  • Identify the quantity of MDU at site

  • Identify the Quantity of CSU at site

  • Identify the count of spreader at site

  • Identify the Quantity of U Bars

  • Identify the Specification of Dispenser 1/2

  • Identify the Specification of Dispenser 3/4

  • Identify the Specification of Dispenser 5/6

  • Identify the Specification of Dispenser 7/8

  • Identify the Specification of Dispenser 9/10

  • Identify the Specification of Dispenser 11/12

  • Identify the Specification of Dispenser 13/14

  • Identify the Quantity of FIRE EXTINGUISHER

SIGN BOARDS

  • Check the condition of Safety Sign at VENTILATION Area

  • Check Condition of In Sign Board

  • Check Condition of Out Sign Board

  • Check condition of A2 Poster on Canopy Column

  • Check Condition of Leader Boards

  • Check Condition of Air Sign Board

  • Check condition of Air Inflator

OFFICE ASSET

  • Check & Identify the ATG System at site

  • Check the Brand & Quanity of CCTV Cameras

  • Check the brand and specs of NVR

  • Check the Specification of Fire Alarm System

  • Check the Condition & Brand of Office Airconditioner

  • Check Condition & Specification of Air compressor

BUILDING CONDITION

  • Check the condition of Electrical Room<br>

  • Check the condition of Buidling

  • Check the condition of Male Toilet

  • Check the condition of Female Toilet

TANK INFO

  • Condition of Tank Capacity Plates inside the filling area

  • Idenitify the Capacity of Tank 1

  • Identify the Capacity of Tank 2

  • Identify the capacity of Tank 3

  • Idenitfy the Capacity of Tank 4

  • Idenitfy the Capacity of Tank 5

  • Idenitfy the Capacity of Tank 6

  • Condition of Tank Capacity plate available on Vent Pipes

  • Check condition of Manholes & Type (GI Manhole/UPP/NUPI)

  • Check and Identify the Smart Controller/IQ Box/Mag VFC

  • Check if site is equipped with OPV

SELECT SHOP

  • Identify the Quantity and Brand of Select Aircon

  • Identify the Quantity & Brand of Select Chest Freezer

  • Identify the Quantity and Brand of Select Chillers

CAR WASH

  • Check the condition of Lube Bay/Car wash buidling

  • Identify the quantity of lifts at Lube bays/car wash at site

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.