State Group

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Daily Task

• A) Daily Rounds Complete

  Yes

  No

  N/A

• B) Check All Equipment

  Yes

  No

  N/A

• C) Monitor Utility Power per Contract

  Yes

  No

  N/A

• D) General Cleanup Complete

  Yes

  No

  N/A

2. Operations

• A) Continue to monitor power supply and electrical systems per contract.

  Yes

  No

  N/A

• B) Assist TGGT per Request

  Yes

  No

  N/A

3. Maintenance

• A) General Cleanup

  Yes

  No

  N/A

• B) Inspect and Change Filters for UPS and A/C as needed.

  Yes

  No

  N/A

• C) Inspect All Fire Extinguishers for Discharge or Tampering on a Monthly Basis

  Yes

  No

  N/A

• D) Inspect Smoke and Gas Detectors in the Generator Building and MCC Room.

  Yes

  No

  N/A

• E) G1/G2 Pre-Lube and Barring

  Yes

  No

  N/A

4. Incident Reporting

• A) Any Incidents to Report?

  Yes

  No

  N/A

5. Inspections and Visits

• A) Inspections?

  Yes

  No

  N/A

• B) Visits?

  Yes

  No

  N/A

6. Scheduled Events

• A) Monitor Electrical Systems

  Yes

  No

  N/A

• B) Shipment For Surplus Material

  Yes

  No

  N/A

• C) Other

  Yes

  No

  N/A

Additional Comments

• Signature - State Group Representative

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• Signature - Buttcon Energy Representative

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