Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
MPB
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1.0 Walkways and staircases clear? Handrails secure?
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2.0 Internal and external lighting working properly? (Including emergency lighting)
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3.0 No overhead hazard present (leaks, loose ceiling tiles)?
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4.0 Heaters and vents clean and unobstructed?
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5.0 Doors and door handles working properly?
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6.0 Mechanical room housekeeping?
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7.0 General observations
FIC (1,2 and 3)
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1.0 Walkways and staircases clear? Handrails secure?
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2.0 Internal and external lighting working properly? (Including emergency lighting)
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3.0 No overhead hazard present (leaks, loose ceiling tiles)?
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4.0 Heaters and vents clean and unobstructed?
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5.0 Doors and door handles working properly?
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6.0 Mechanical room housekeeping?
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7.0 General observations
S1 Administrative building
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1.0 Walkways and staircases clear? Handrails secure?
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2.0 Internal and external lighting working properly? (Including emergency lighting)
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3.0 No overhead hazard present (leaks, loose ceiling tiles)?
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4.0 Heaters and vents clean and unobstructed?
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5.0 Doors and door handles working properly?
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6.0 Mechanical room housekeeping?
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7.0 General observations
CPC Administrative buildings
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1.0 Walkways and staircases clear? Handrails secure?
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2.0 Internal and external lighting working properly? (Including emergency lighting)
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3.0 No overhead hazard present (leaks, loose ceiling tiles)?
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4.0 Heaters and vents clean and unobstructed?
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5.0 Doors and door handles working properly?
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6.0 Mechanical room housekeeping?
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7.0 General observations
Washcars
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1.0 Walkways and staircases clear? Handrails secure?
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2.0 Internal and external lighting working properly? (Including emergency lighting)
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3.0 No overhead hazard present (leaks, loose ceiling tiles)?
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4.0 Heaters and vents clean and unobstructed?
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5.0 Doors and door handles working properly?
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6.0 Mechanical room housekeeping?
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7.0 General observations?
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8.0 Check sewer and potable water levels?
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9.0 Heat tracing functions on external piping. Adequate propane levels?
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10.0 Radiant heaters working and wash car internal temp above 15 degrees?
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Hand sanitizer, water and hand towels available?
Corrective Actions
Sign-Offs
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Maintenance Manager
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HSE
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Guest
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