Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Site information

  • Address ID

  • Site phone number?

  • Phone number

  • Mobile Phone Reception Quality Excellent 1-2-3-4-5-6 None

  • Number of buildings/structures on site

  • Door key type

  • Gate key type

  • Padlock key type

  • Number of padlocks on site

  • Car park on site

  • Number of spaces

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Car park photos

Structure information

  • Wall material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Roof material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Building photos

  • Gutters

  • Material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Gutter photos

  • Any down pipes on site

  • Type

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Photos

  • Toilet on site

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Toilet Photos

  • Communication structures on site

  • Structure type

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Structure Photos

  • Any white ant activity

  • Description

  • Photos

  • Is site and building clean and tidy

  • Description

  • Photos

FENCES

  • Fences on site

  • North fence material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • South fence material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • East fence material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • West fence material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Gate material

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Fence Photos

POWER INFORMATION

  • Normal supply type ( choose more than one if applicable)

  • Number of phases

  • Mains size mm2

  • Meter on site

  • Meter number

  • Meter photos

  • Meter box photos

  • Number of panels

  • Voltage and wattage

  • Panel photos

  • Wind generator voltage and wattage

  • Wind generator photos

  • Generator details, Make, model, capacity

  • Fuel capacity

  • Generator photos

  • Generator details, Make, model, capacity

  • Fuel capacity

  • Generator photos

  • Is generator socket on site

  • Type, rating

  • Condition Excellent 1-2-3-4-5-6 Very Poor

Power distribution

  • Is AC switch board on site

  • Main AC switch board, Make, type, location

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Mains switch rating

  • Surge diverter make, model

  • Number of surge diverters

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • RCD make, model

  • Number of RCDs

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Mains fail relay make, model if accessible

  • Number of Unprotected CBs in use

  • Number of Unprotected CBs spare

  • Number of Protected CBs in use

  • Number of protected CBs spare

  • Photos of switch board and equipment

  • Add a DC Power System

  • Power System
  • PID

  • Float Voltage

  • Load Current

  • Rectifier make,model

  • Number of rectifiers

  • Battery make, model

  • Date of manufacture

  • Number of banks

  • Any HOD/LOD's on site

  • HOD/LOD
  • Make, model

  • Number of C/B's

  • Power system photos

FIRE CONTROL EQUIPMENT

  • Fire indication panel on site

  • Indication panel make, model, location,

  • Is panel operational

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Panel photos

  • VESDA SYSTEM ON SITE

  • Indication panel make, model, location,

  • Is panel operational

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Panel photos

  • Are fire extinguishers on site

  • Make, model,

  • Number of extinguishers on site

  • Test date

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Photos

AIR CONDITIONING/VENTILATION

  • Any air conditioners on site

  • Air Conditioner
  • Make, model, serial number

  • Control system

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Photos

  • Any fan units on site

  • Fan unit
  • Make, model, serial number

  • Control system

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Photos

  • Any high temp alarm on site

  • Tem alarm
  • Make, model, serial number

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Photos

  • Any air compressors on site

  • Air Compressor
  • Make, model, serial number

  • Condition Excellent 1-2-3-4-5-6 Very Poor

  • Photos

Lighting

  • Type of lighting

  • Number of fittings

  • Condition Excellent 1-2-3-4-5-6 Very Poor

DEFECTS

  • Any defects on site

  • Defect
  • Defect description

  • Photos

  • Signature

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.