Title Page

  • Office

  • Customer

  • Contract No.

  • Audit No.

  • Engineer

  • F.L.M.

  • Auditor

  • Audit Date:

  • Location

Revision Information

  • This form is equivalent to Q2235 issue 0 and Q2234 issue 1 combined. This form is electronic issue 1.0 - 15/08/2016

General Engineer Information

  • Has the engineer informed the Customer that the system is being worked on?

  • Please provide details / reasons

  • Has the engineer informed the ARC that the system is being worked on?

  • Please provide details / reasons

  • Has the engineer a valid company ID card and lanyard?

  • Please provide details / reasons

  • Has the engineer used the correct issue docket?

  • Please provide details / reasons

  • Has the engineer sufficient dockets?

  • Please provide details / reasons

  • Has the engineer placed any faulty stock into their quarantine area?

  • Please provide details / reasons

  • Has the engineer sufficient faulty stock labels?

  • Please provide details / reasons

  • Has the engineer a full car stock?

  • Please provide details / reasons

  • Has the engineer a calibrated meter?

  • Please provide details / reasons

  • Has the engineer a hard hat and eye protection?

  • Please provide details / reasons

  • Has the engineer secured ladders adequately to the vehicle?

  • Please provide details / reasons

  • Has the engineer looked after company supplied tools and equipment?

  • Please provide details / reasons

  • Has the engineer sufficient tools to do the job adequately?

  • Please provide details / reasons

  • Has the engineer checked signals with the ARC when the work is completed?

  • Please provide details / reasons

  • Has the engineer adhered to the company Health and Safety policy?

  • Please provide details / reasons

  • Is the engineer carrying out an inspection visit or a repair visit?

Repairers

  • Has the engineer gathered all relevant information to help in finding the fault(s) (including the log)?

  • Please provide details / reasons

  • Has the engineer used all the appropriate diagnostic techniques to locate the fault(s)?

  • Please provide details / reasons

  • Has the engineer located the fault(s) in reasonable time?

  • Please provide details / reasons

  • Has the engineer Informed the customer of system limitations during the period of repair?

  • Please provide details / reasons

  • Has the engineer Informed the customer of all faults found?

  • Please provide details / reasons

  • Has the engineer Installed any replacement parts to relevant standards / policies?

  • Please provide details / reasons

  • Has the engineer fully tested any replacement parts installed?

  • Please provide details / reasons

  • Has the engineer made the system safe and operational pending a follow up?

  • Please provide details / reasons

  • Has the engineer arranged a follow up, where applicable?

  • Please provide details / reasons

  • Has the engineer arranged an estimated follow up date for temporary disconnection's?

  • Please provide details / reasons

  • Has the engineer made sure that any permanent disconnection's are endorsed by the customer?

  • Please provide details / reasons

  • Has the engineer described the fault accurately on the Service Docket?

  • Please provide details / reasons

  • Has the engineer used the correct clear codes at Service Bureau?

  • Please provide details / reasons

  • Has the engineer completed the System History Card correctly?

  • Please provide details / reasons

  • Has the engineer completed the BSIA/Fire alarm Logbook?

  • Please provide details / reasons

  • Has the engineer offered training If the fault was due to customer error?

  • Please provide details / reasons

  • Has the engineer returned system to a fully operational state?

  • Please provide details / reasons

  • What discipline is being inspected?

Inspectors General

  • Has the engineer checked the system against the Schedule of Protection?

  • Please provide details / reasons

  • Has the engineer highlighted any faults found?

  • Please provide details / reasons

  • Has the engineer used the correct test equipment?

  • Please provide details / reasons

  • Has the engineer arranged a follow up where required?

  • Please provide details / reasons

  • Has the engineer completed the System History Card?

  • Please provide details / reasons

  • Has the engineer completed the BSIA/Fire alarm Logbook?

  • Please provide details / reasons

  • Has the engineer informed the customer of limitations during test?

  • Please provide details / reasons

  • Has the engineer used the correct clear codes at Service Bureau?

  • Please provide details / reasons

  • Has the engineer informed the customer that the test is complete?

  • Please provide details / reasons

  • Has the engineer informed the ARC that test is complete?

  • Please provide details / reasons

  • Has the engineer checked that the customer is familiar with the operation of the system?

  • Please provide details / reasons

  • Has the engineer completed the Inspection Docket adequately and ensured the customer has endorsed it?

  • Please provide details / reasons

  • Has the engineer returned the system to a fully operational state?

  • Please provide details / reasons

CCTV Inspectors

  • Has the engineer checked with the customer to identify any problems since last visit?

  • Please provide details / reasons

  • Has the engineer visually inspected all components of the system for physical damage?

  • Please provide details / reasons

  • Has the engineer carried out repairs and informed customer and documented where repairs cannot be completed?

  • Please provide details / reasons

  • Has the engineer checked the field of view of cameras against as installed specification and/or drawing?

  • Please provide details / reasons

  • Please provide details / reasons

  • Has the engineer checked camera bracket and housings are secure?

  • Please provide details / reasons

  • Has the engineer checked that all lenses are correctly focused?

  • Please provide details / reasons

  • Has the engineer cleaned lenses and housing windows where necessary?

  • Please provide details / reasons

  • Has the engineer refilled washer bottles where fitted?

  • Please provide details / reasons

  • Has the engineer checked operation of wiper units where fitted?

  • Please provide details / reasons

  • Has the engineer checked operation of pan and tilt units where installed?

  • Please provide details / reasons

  • Has the engineer checked operation of Infra-Red units where installed?

  • Please provide details / reasons

  • Has the engineer checked playback quality of day and night images and made adjustments where necessary?

  • Please provide details / reasons

  • Has the engineer checked the condition of connections to all equipment and repaired if necessary?

  • Please provide details / reasons

  • Has the engineer ensured that all cables at control equipment/psu's are labelled?

  • Please provide details / reasons

  • Has the engineer ensured time and date settings are correct and adjusted where required?

  • Please provide details / reasons

  • Has the engineer cleaned all monitors and adjust where necessary?

  • Please provide details / reasons

  • Has the engineer checked the operation of Power supplies against Record of Operational Checks?

  • Please provide details / reasons

  • Has the engineer checked back up batteries where installed, that they are dated, in date and in good condition?

  • Please provide details / reasons

  • Has the engineer tested the signalling through to the RVRC where applicable?

  • Please provide details / reasons

  • Has the engineer ensured that the recording duration is still as per customer requirements?

  • Please provide details / reasons

  • Has the engineer checked system is ok at RVRC where applicable before leaving site?

  • Please provide details / reasons

Inspectors General

  • Has the engineer checked the system against the Schedule of Protection?

  • Please provide details / reasons

  • Has the engineer highlighted any faults found?

  • Please provide details / reasons

  • Has the engineer used the correct test equipment?

  • Please provide details / reasons

  • Has the engineer arranged a follow up where required?

  • Please provide details / reasons

  • Has the engineer completed the System History Card?

  • Please provide details / reasons

  • Has the engineer completed the BSIA/Fire alarm Logbook?

  • Please provide details / reasons

  • Has the engineer informed the customer of limitations during test?

  • Please provide details / reasons

  • Has the engineer used the correct clear codes at Service Bureau?

  • Please provide details / reasons

  • Has the engineer informed the customer that the test is complete?

  • Please provide details / reasons

  • Has the engineer informed the ARC that test is complete?

  • Please provide details / reasons

  • Has the engineer checked that the customer is familiar with the operation of the system?

  • Please provide details / reasons

  • Has the engineer completed the Inspection Docket adequately and ensured the customer has endorsed it?

  • Please provide details / reasons

  • Has the engineer returned the system to a fully operational state?

  • Please provide details / reasons

Intruder Inspection

  • Has the engineer checked with the customer to identify any problems since last visit?

  • Please provide details / reasons

  • Has the engineer checked programming of CIE to ensure that it complies with the requirements of PD6662 & DD243 where applicable?

  • Please provide details / reasons

  • Has the engineer checked reset levels ?

  • Please provide details / reasons

  • Has the engineer checked the method of unsetting are correct with requirements?

  • Please provide details / reasons

  • Has the engineer checked customer authorisation for engineer log on?

  • Please provide details / reasons

  • Has the engineer checked that the Exit/Entry times compliant with requirements?

  • Please provide details / reasons

  • Has the engineer checked that all equipment tampers are operational and indicate at control equipment?

  • Please provide details / reasons

  • Has the engineer checked that all PSU's and signalling devices indicate fault correctly at CIE?

  • Please provide details / reasons

  • Has the engineer checked that all detection devices indicate correctly at CIE (Full walk test)?

  • Please provide details / reasons

  • Has the engineer checked that anti masking is operational on sensors where installed?

  • Please provide details / reasons

  • Has the engineer checked the contract number in banner and checked that there is a telephone label affixed to CIE?

  • Please provide details / reasons

  • Has the engineer checked and amended where necessary, date and time?

  • Please provide details / reasons

  • Has the engineer checked the operation of SAB on both bell test and battery by removing 12v supply to unit?

  • Please provide details / reasons

  • Has the engineer checked all installed batteries with IBT and ensured that they are dated and in date?

  • Please provide details / reasons

  • Has the engineer checked that all equipment and cables are clean and free from damage?

  • Please provide details / reasons

  • Has the engineer checked for any equipment made inaccessible, informed customer and documented?

  • Please provide details / reasons

  • Has the engineer checked as installed document is still correct and amended where necessary with customer agreement?

  • Please provide details / reasons

  • Has the engineer checked current readings of CIE and PSU's against those recorded on Record of Operational Checks?

  • Please provide details / reasons

  • Has the engineer checked that all signals have been sent to the ARC?

  • Please provide details / reasons

  • Has the engineer checked that all signals have been received by the ARC on both signalling paths where dual signalling is installed?

  • Please provide details / reasons

Inspectors General

  • Has the engineer checked the system against the Schedule of Protection?

  • Please provide details / reasons

  • Has the engineer highlighted any faults found?

  • Please provide details / reasons

  • Has the engineer used the correct test equipment?

  • Please provide details / reasons

  • Has the engineer arranged a follow up where required?

  • Please provide details / reasons

  • Has the engineer completed the System History Card?

  • Please provide details / reasons

  • Has the engineer completed the BSIA/Fire alarm Logbook?

  • Please provide details / reasons

  • Has the engineer informed the customer of limitations during test?

  • Please provide details / reasons

  • Has the engineer used the correct clear codes at Service Bureau?

  • Please provide details / reasons

  • Has the engineer informed the customer that the test is complete?

  • Please provide details / reasons

  • Has the engineer informed the ARC that test is complete?

  • Please provide details / reasons

  • Has the engineer checked that the customer is familiar with the operation of the system?

  • Please provide details / reasons

  • Has the engineer completed the Inspection Docket adequately and ensured the customer has endorsed it?

  • Please provide details / reasons

  • Has the engineer returned the system to a fully operational state?

  • Please provide details / reasons

Fire Inspectors

  • Has the engineer checked with customer and in log book to identify any problems since last visit have been recorded and rectified?

  • Please provide details / reasons

  • Has the engineer ensured that all cause and effect is isolated unless it forms part of the test process?

  • Please provide details / reasons

  • Please provide details / reasons

  • Has the engineer carried out a visual check of system to ensure that there are no changes to building structure which could affect the operating effectiveness of system?

  • Please provide details / reasons

  • Has the engineer carried out a visual check of the installed equipment to ensure no damage, paint etc is adversely affecting operation?

  • Please provide details / reasons

  • Has the engineer checked operation of the CIE by operating a detection device?

  • Please provide details / reasons

  • Has the engineer tested battery operation of CIE and power supplies to ensure under load test that system can function without mains for the required duration?

  • Please provide details / reasons

  • Has the engineer ensured that batteries are in date and marked accordingly?

  • Please provide details / reasons

  • Has the engineer checked the operation of all signals to ARC where connected?

  • Please provide details / reasons

  • Has the engineer tested the cause and effect where possible OR documented on a docket where this cannot be carried out?

  • Please provide details / reasons

  • Has the engineer tested all detection devices and call points over a 12 month period, documenting which zones and what % tested on each visit.

  • Please provide details / reasons

  • Has the engineer checked that the devices tested report on correct zone and correct text descriptor ?

  • Please provide details / reasons

  • Has the engineer ensured that all unmonitored, permanent lit filament lamps have been replaced?

  • Please provide details / reasons

  • Has the engineer checked and recorded the annual false alarm rate per 100 detectors on ADT488 / Service docket?

  • Please provide details / reasons

  • Has the engineer tested all Fire Alarm devices (sounders, beacons etc) OR documented on docket where this cannot be carried out?

  • Please provide details / reasons

  • Has the engineer ensured that time and date are correct on the CIE where applicable?

  • Please provide details / reasons

  • Has the engineer entered the visit in the customers log book with test results?

  • Please provide details / reasons

Inspectors General

  • Has the engineer checked the system against the Schedule of Protection?

  • Please provide details / reasons

  • Has the engineer highlighted any faults found?

  • Please provide details / reasons

  • Has the engineer used the correct test equipment?

  • Please provide details / reasons

  • Has the engineer arranged a follow up where required?

  • Please provide details / reasons

  • Has the engineer completed the System History Card?

  • Please provide details / reasons

  • Has the engineer completed the BSIA/Fire alarm Logbook?

  • Please provide details / reasons

  • Has the engineer informed the customer of limitations during test?

  • Please provide details / reasons

  • Has the engineer used the correct clear codes at Service Bureau?

  • Please provide details / reasons

  • Has the engineer informed the customer that the test is complete?

  • Please provide details / reasons

  • Has the engineer informed the ARC that test is complete?

  • Please provide details / reasons

  • Has the engineer checked that the customer is familiar with the operation of the system?

  • Please provide details / reasons

  • Has the engineer completed the Inspection Docket adequately and ensured the customer has endorsed it?

  • Please provide details / reasons

  • Has the engineer returned the system to a fully operational state?

  • Please provide details / reasons

Access Control Inspectors

  • Has the engineer checked with the customer to identify any problems since last visit?

  • Please provide details / reasons

  • Has the engineer checked the installed equipment against the specification and made any amendments where necessary with customer authorisation?

  • Please provide details / reasons

  • Has the engineer ensured that all installed batteries are in date and are marked accordingly?

  • Please provide details / reasons

  • Has the engineer checked mains and standby supplies to ensure correct operation?

  • Please provide details / reasons

  • Has the engineer checked operation of locks ?

  • Please provide details / reasons

  • Has the engineer checked operation of door closers?

  • Please provide details / reasons

  • Has the engineer ensured that all armature plates are secure ?

  • Please provide details / reasons

  • Has the engineer checked the operation of Break glass units?

  • Please provide details / reasons

  • Has the engineer checked operation of readers and/or Keypads?

  • Please provide details / reasons

  • Has the engineer ensured that the PC is communicating with controller boxes?

  • Please provide details / reasons

  • Has the engineer backed up the database and any historic data?

  • Please provide details / reasons

  • Has the engineer verified operation of the system for fire or any other alarm inputs?

  • Please provide details / reasons

  • Has the engineer carried out adjustments where necessary and documented any outstanding issues which require further attention?

  • Please provide details / reasons

  • Has the engineer ensured that all cables at control equipment / psu's are labelled?

  • Please provide details / reasons

  • Has the engineer ensured time and date settings are correct and adjusted where required?

  • Please provide details / reasons

Product Audit Score

  • Is this audit a Fire Audit?

  • Please select your Fire Audit Score

  • Please ensure a copy of this audit is sent to your QEHS specialist for review

  • Please select your Security Audit Score

  • Please ensure a copy of this audit is sent to your QEHS specialist for review

Environmental, Health and Safety Summary

  • Does the engineer require any EHS refresher training? ( if Yes, please state requirement)

  • Please provide details / reasons

  • Does the engineer dispose of ADT waste as per company requirements?

  • Please provide details / reasons

  • Is the engineer trained in all aspects of work related Health and Safety?

  • Please provide details / reasons

  • Has the engineer been issued with up to date risk assessments?

  • Please provide details / reasons

  • In the opinion of the auditor does the engineer work and act in a safe manner?

  • Please provide details / reasons

  • Did the engineer spot any near miss, unsafe acts or conditions during the audit?

  • Please provide details of the near miss or unsafe acts and if they have been correctly reported.

  • Training requirements (if any)

  • Please provide details / reasons

Sign Off

  • Engineers Signature

  • Auditor's signature

Post Audit

  • The following items are for post audit use should they be required.

  • Any Notes & Observations

  • Preventative Actions (i.e. Training):

  • Proposed Preventative Action Close Out Date:

  • Corrective Actions:

  • Proposed Corrective Action Close Out Date:

  • I confirm that the preventative action have been completed.

  • Add signature

  • I confirm that the corrective action have been completed.

  • Add signature

Audit Checklist Summary

  • Environmental, Health and Safety Summary

  • In the opinion of the auditor does the Engineer/Sub Contractor work and act in a safe manner?

  • Does the Engineer/Sub Contractor require any EHS refresher training? (if Yes, please state requirement in the section below)

  • Is the Engineer/Sub Contractor trained in all aspects of work related Health and Safety?

  • Has the Engineer/Sub Contractor been issued with up to date Risk Assessments?

  • Did the Engineer/Sub Contractor spot any near Miss, unsafe Acts or Conditions during the Audit?

  • Does the Engineer/Sub Contractor dispose of ADT waste as per company requirements?

  • Please indicate training requirements (if any)

  • Auditors Signature

  • The following items are for post audit use should they be required.

  • Preventative Actions (i.e. Training):

  • Proposed Close Out Date:

  • Corrective Actions:

  • Proposed Close Out Date:

  • Any Notes & Observations

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.