Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • CONDITION RATING: 1-Excellent, 2-Good, 3-Fair, 4-Below Standard, 5-Poor, 6-Very Poor

General building Information

  • Address ID

  • Power ID

  • Phone Number

  • Number of buildings and structures on site

  • External building photos

  • Mobile phone reception

  • Gate Key type

  • Door Key type

  • Padlock Key type

  • Number of padlocks

  • Vehicle access

  • Condition

  • Other

  • Water tank ?

  • Condition

  • Toilets

  • Condition

  • Toilet Photos

  • Communications Structures

  • Condition

  • Structure photos

  • Car park

  • Condition

  • Number of parking bays

  • Car park photos

FENCES

  • Fence material north

  • Condition

  • Fence material south

  • Condition

  • Fence material east

  • Condition

  • Fence material west

  • Condition

  • Fence material gate

  • Condition

  • Fence photos

Building Structure

  • Walls

  • Condition

  • Wall photos

  • Roof

  • Condition

  • Roof photos

  • Gutters

  • Condition

  • Downpipes

  • Condition

  • Asbestos register on site? Dated?

  • Building structure clean

  • Site grounds clean and tidy

Site power information

  • Type of supply

  • Meter Number

  • MEPP Inlet

  • Condition

  • Switchboard, location and make

  • Condition

  • Number of phase's

  • Mains size

  • Main switch rating

  • Surge diverter, make, model

  • Number of surge diverters

  • Condition

  • Number of unprotected circuit breakers in use

  • Number of unprotected circuit breakers spare

  • Number of protected circuit breakers in use

  • Number of protected circuit breakers spare

  • RCD, model, rating

  • Number of RCD's

  • Condition

  • Light fitting, Type

  • Number of Light fittings

  • Condition

FIRE CONTROL EQUIPMENT

  • Fire Indication Panel: Make, Model, Serial Number, Operational ?

  • Condition

  • VESDA System: Make, Model, Serial Number, Operational ?

  • Condition

  • Fire Extinguishers Make, Type

  • Number of fire extinguishers

AIR CONDITIONERS

  • Air Conditioner 1 Make, Model, Serial Number

  • Condition

  • Air Conditioner 2 Make, Model, Serial Number

  • Condition

  • Air Conditioner 3 Make, Model, Serial Number

  • Condition

  • Air conditioner control system: Type

  • Fan/Ventilation System Make, Model, Serial Number

  • Condition

  • High Temperature Alarm: Make, Model

  • Condition

  • Cable Air Compressor: Make, Model

  • Condition

  • White Ant activity ?

  • Any defects on site? List

  • Auditor 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.