Stat Planned Audit

• Site conducted

  Select

• Conducted on

  Date

• Person conducting the audit

• Sites Audited:

• Summary of findings:

• Site + Site Number
  Address

Ansul Service System

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Emergency Light Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (anually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Main System Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Riser Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 15 days?

  Yes

  No

  N/A

• Comments:

Fire Curtain Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire extinguisher Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fixed Wire Test 20%-physical

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

HVAC Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

PAT Testing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Alarm Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Tightness Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

CP42

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Sprinkler Inspection

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Classic Lifts

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Allianze

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Legionella Risk Assessment

• Was the service carried out within the allowed time frame (2 years)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Electric Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

• Site + Site Number
  Address

Ansul Service System

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Emergency Light Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (anually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Main System Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Riser Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Curtain Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire extinguisher Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fixed Wire Test 20%-physical

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

HVAC Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

PAT Testing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Alarm Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Tightness Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

CP42

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Sprinkler Inspection

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Elevator group

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (3months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Allianze

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Legionella Risk Assessment

• Was the service carried out within the allowed time frame (2 years)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Electric Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

• Site + Site Number
  Address

Ansul Service System

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Emergency Light Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (anually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Main System Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Riser Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Curtain Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire extinguisher Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fixed Wire Test 20%-physical

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

HVAC Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

PAT Testing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Alarm Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Tightness Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

CP42

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Sprinkler Inspection

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Elevator group

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (3months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Allianze

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Legionella Risk Assessment

• Was the service carried out within the allowed time frame (2 years)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Electric Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

• Site + Site number
  Address

Ansul Service System

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Emergency Light Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (anually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Main System Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Riser Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Curtain Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire extinguisher Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fixed Wire Test 20%-physical

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

HVAC Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

PAT Testing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Alarm Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Tightness Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

CP42

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Sprinkler Inspection

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Elevator group

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (3months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Allianze

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Legionella Risk Assessment

• Was the service carried out within the allowed time frame (2 years)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Electric Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

• Site + Site number
  Address

Ansul Service System

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Emergency Light Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (anually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Main System Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Extraction Duct-work Riser Clean

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Curtain Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire extinguisher Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fixed Wire Test 20%-physical

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

HVAC Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

PAT Testing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Fire Alarm Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Gas Tightness Service

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

CP42

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Sprinkler Inspection

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (3 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Elevator group

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (3months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Lift Servicing - Allianze

• Is this service applicable to site?

  Yes

  No

• What type of lift is present on site?

  Person Lift

  Goods Lift

  Both

  N/A

• Was the service carried out within the allowed time frame (6 months)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Legionella Risk Assessment

• Was the service carried out within the allowed time frame (2 years)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments:

Electric Boiler Servicing

• Is this service applicable to site?

  Yes

  No

• Was the service carried out within the allowed time frame (annually)?

  Yes

  No

  N/A

• Is the correct certificate uploaded on to the system?

  Yes

  No

  N/A

• If remedial actions were identified, were they closed out within 28 days?

  Yes

  No

  N/A

• Comments: