Information

  • Site

  • Building No.

  • Conducted on

  • Prepared by

  • Location

SITE OBSERVATIONS

  • Power

  • Main switchboard and DBs

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Power distribution

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Standby generator and UPS

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Other

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Lighting

  • General indoor lighting

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • External lighting

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Emergency lighting and exit signs

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Communications

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Access systems

  • Access controls

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Automatic doors

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Boom gates

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

  • Other

  • Have any condition, compliance or safety issues been noted? Are there any discrepancies with DEMS data?

  • Element description

  • Non-conformance

  • Photos

WORK REQUEST

    Works
  • WR Description

  • Total cost

  • WR Intended Year

  • WR Priority

  • Trade type

  • Photos

OTHER

  • Areas not accessed

  • Area
  • Any issues to be forwarded to specialist?

  • Select discipline

  • Element description

  • Details

  • Photos

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.