Title Page
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Site conducted
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Conducted on:
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Workorder Number:
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Report Designation:
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Conducted By:
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Conducting Company:
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Location
Inspection Documentation
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Conformance Documentation
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Landlord name and contact details
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Landlord name and contact details
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Retailer name and contact details
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Retailer name and contact details
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Proof of Insurance
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Proof of Insurance
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Electrical COC
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Electrical COC
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LP Gas COC
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LP Gas COC
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HVAC Latest Service Records
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HVAC Latest Service Records
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Refrigeration Latest Service Records
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Refrigeration Latest Service Records
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Fire Detection latest service records
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Fire Detection latest service records
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Fire Protection latest service records
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Fire Protection latest service records
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Extraction canopy cleaning and latest service records
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Extraction canopy cleaning and latest service records
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Generator latest service records
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Generator latest service records
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Goods Hoist latest service records
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Goods Hoist latest service records
Landlord and Retailer Details
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Contact Details:
Landlord Details
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Landlord Name
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Landlord E-mail and Contact Numbers
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Head Lease
Retailer Details
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Retailer Name
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Retailer E-mail and Contact Number
Detailed Report
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Detailed Report
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Retailer Responsibility
Retailer Responsibility
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Areas of Responsibility:
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All Interior Building Fabrication and Equipment
Retailer Report
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Detailed Report
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Detailed in Retailer Report
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Detailed description of findings:
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Landlord Responsibility
Landlord Responsibility
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Areas of Responsibility:
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All Exterior Building Fabrication
Landlord Report
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Detailed Report
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Detailed in Landlord Report
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Detailed description of findings:
Report Priority Rating Legend
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P1 - Critical - Replacement
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P2 - Severe - Rehabilitation
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P3 - Bad - Repairs Required
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P4 - Fair Condition Based Maintenance
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P5 - Good - Preventative Maintenance
Building Interior (Retailer)
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Retailer Responsibility
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Admin Offices
Admin Offices
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Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
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Non-Compliance Issues:
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
-
Ablutions
Ablutions
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Protection and Detection:
-
Fire Protection
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
-
Canteen
Canteen
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Protection and Detection:
-
Fire Protection
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
-
Butchery
Butchery
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
-
HMR
HMR
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
-
Bakery
Bakery
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
-
Trade Floor
Trade Floor
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Flammable Refrigerants
-
R290
-
Please take note that the refrigerant used within these refrigerators is highly flammable. Please
make sure to maintain these units on a regular basis to prevent any incidents from occurring. -
R600
-
Please take note that the refrigerant used within these refrigerators is highly flammable. Please
make sure to maintain these units on a regular basis to prevent any incidents from occurring. -
Are there any OHS concerns?
-
OHS Concerns:
-
Shop Fronts
Shop Fronts
-
Are all shop fronts in good operation condition?
-
Priority Level:
-
Remedial Action Required:
-
Is all glazing in good order?
-
Priority Level:
-
Remedial Action Required:
-
Are all night latches in good working order?
-
Priority Level:
-
Remedial Action Required:
-
Are all bulkheads in good order?
-
Priority Level:
-
Remedial Action Required:
-
Are all guides, rails and rollers in good operating order and free of obstruction?
-
Priority Level:
-
Remedial Action Required:
-
Coffee Shop
Coffee Shop
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
-
Back Of House
Back of House
-
Is the electrical installation in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the electrical installation compliant with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Plumbing
-
Is the plumbing in good order and good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the plumbing compliant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire Detection
-
Are there fire detection sensors installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does all fire protection equipment comply with SANS codes?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1
-
Non-Compliance Issues:
-
is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Extraction
-
Is all extraction/fresh air in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any OHS concerns?
-
OHS Concerns:
Building Equipment & Disciplines (Retailer)
-
Retailer Responsibility
Building Infrastructure
Internal structures
-
Is the building structurally sound?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the building free of any concrete spalling or structural cracks?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the steel structures sound and free of rust or distortion?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the buildings paint coverings in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the building free of any structural hazards or notices?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there currently any construction or alterations in progress?
Aesthetics & Appearance
-
Is all signage in good working order, inclusive of general signage?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Electrical Reticulation
Electrical Distribution
-
Are the LV/LT boards secure and safe?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all distribution boards marked and have updated legend cards displayed?
-
Are all cable ways correctly installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Do all electrical reticulated installations comply with SANS10142?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non - Compliance Issues:
-
Power Factor Correction
-
Is the power factor correction in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all electrical installations and distribution boards free of obstruction?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Metering
-
Are all meters and sub-meters working correctly?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any signs of visible tampering?
Generator
-
Is the generator secure from tampering and unauthorized personnel?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all safety signage installed warning of moving parts, electrical shock and correct PPE required?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection Installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the generator free of leaks, obstructions and any visible concerns?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has the generator been serviced in the specified hours or date?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Service Hours
-
Last Service Date
Fire, Security & Access
Fire Detection
-
Is there fire detection installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has all the relevant fire detection equipment been inspected?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all the fire detection equipment in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has all the fire detection equipment been serviced within the specified service dates?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Next Service Date:
-
Non-Conformity Concerns:
-
Square Meterage:
-
Any building containing an occupancy classified as:
-
In accordance with SANS 10400-T:
shall be equipped with a fire detection system and alarm system that is designed, installed and maintained by competent persons in accordance with SANS 10139.
Fire Protection
-
Has all the relevant fire protection been inspected?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all fire protection equipment in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has all the fire protection equipment been serviced within the specified service dates?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire equipment next service date:
-
Fire Sprinkler System
-
Has the fire sprinkler valve been serviced within the 3 year window and are there spare gaskets attached to the valve?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Fire sprinkler valve next service date:
-
Non-Conformance concerns:
-
Non-Conformance concerns:
Security
-
Is the store fitted with an alarm system?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Mechanical & Plant Equipment
-
HVAC
HVAC
-
Has all HVAC been inspected?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the HVAC systems operating as designed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has the HVAC been serviced as per manufacturer specifications?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Refrigeration
-
Is the refrigeration plant room secure from tampering and unauthorized personnel?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all safety signage installed warning of moving parts, electrical shock and correct PPE required?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire protection installed within the plant room?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there fire detection installed within the plant room?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any points of concern within the refrigeration plant?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has the refrigeration been serviced as per manufacturer specifications?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Vertical Transport-Lifts/Hoists/Conveyors/Dock Levellers
Vertical Transport-Lifts/Hoists/Conveyors/Dock Levellers
-
Are there lifts, conveyors, dock levellers or hoists installed in the shop?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all lifts, conveyors, dock levellers and hoists in good working order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all lifts, conveyors, dock levellers and hoists free of obstruction and hazards?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Have all lifts, conveyors, dock levellers and hoists been serviced?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Last Service Date:
-
Are all dock levellers safe and access restricted during operation?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Water Reticulation
Plumbing
-
Is all reticulated plumbing in good working order and compliant with SANS code?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all Drainage clear and free of obstruction?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all water supplies functioning correctly?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Hazardous Substances
Hazardous Substances
-
LP Gas Storage
LP Gas Storage
-
Are all cylinders secured from tampering by unauthorized personnel?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is area clear of all combustible materials?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all Cylinders located on a firm, clean, well drained and level base?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all safety signage installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all change over valves and isolation valves functional?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are regulators and manifolds in good working condition?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all copper piping in good order and protect through walls?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is there a fire protection device installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Does the LPG installation comply with SANS 10087-1:2008?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Non-Compliance Issues:
-
Fuel Storage
Fuel Storage
-
Is the Fuel storage area secure from tampering and unauthorized personnel?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the area free of debris and other materials?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the ground clean and dry, free from spills or leaks?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all of the containers in good condition?(free of dents and corrosion, not bulging, or otherwise deteriorating?)
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all containers properly sealed closed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are containers hazardous labels legible and facing forward?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the containers compatible with their contents?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there spill kits readily available?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there fire protection devices installed?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all safety signage installed warning of hazard, its effects and correct PPE required?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Building Exterior (Landlord)
-
Landlord Responsibility
Building Exterior
Plumbing
External Drainage
-
Are all manhole covers in place?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all drains and manholes visibly clear?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all run-offs and open drainage systems clear of obstruction and damage?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Perimeter Fences & Walls
-
Inspect condition of all perimeter fencing and walls?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
List perimeter wall or fencing type:
-
Access Control
-
Are there booms or controlled access?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Condition of the booms/Controlled Access:
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Building Infrastructure
Roofing & Gutters
-
Have all visible and accessible roofs/gutters been inspected?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any signs of roof damage?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any signs of gutter damage?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all down pipes intact and secure?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all overhangs and canopies in good order and free of damage and rust?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
External Structures
-
Is the building structurally sound?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the building free of any concrete spalling or structural cracks?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the steel structures sound and free of rust or distortion?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the building free of any structural hazards?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there currently any construction or alterations in progress?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Car Park and Pavings
-
Car Park
Car Park
-
Is the car park in good order - Paving and tarred surfaces?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are all the parking bays painted?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there sufficient parking bays for disabled persons?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the car park clean?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has the car park got lighting, and are the lights in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Rear Paving
Rear Paving Areas
-
Is the rear paving in good order - Paving and tarred surfaces?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the rear paving clean?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Has the rear paving area got lighting, and are the lights in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Cleaning & Hygiene
-
Is the building perimeter clean and hygienic?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Public Ablutions
-
Are there public ablutions?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the public ablutions clean and secure?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the general areas/entrance to spar clean and hygienic?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any cleaning and hygiene hazards visible?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Aesthetics & Appearance
-
Building Paint Work
-
Is the building paint work in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are the tiled/floor coverings in good order?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
Operational Health and Safety
-
Retailer
Retailer
-
Are all fire escape routes clearly marked and free of obstruction?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all fire protection equipment clearly marked and designated for ease of access?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the fire escape plan visible to all employees and patrons and marked with assembly points?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Landlord
Landlord
-
Are all fire escape routes clearly marked and free of obstruction?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is all fire protection equipment clearly marked and designated for ease of access?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Is the fire escape plan visible to all employees and patrons and marked with assembly points?
- YES
- NO
- GOOD
- FAIR
- POOR
- P1 - CRITICAL
- P2 -SEVERE
- P3 - BAD
- P4 - FAIR
- P5 - GOOD
- REPLACE
- REPAIR
- SERVICE
- UPDATE
- CLEANING REQUIRED
- BLOCKAGE REMOVAL
- COMPLIANT
- NON - COMPLIANT
- YES
- NO
-
Are there any General Operational Health and Safety concerns?
-
OHS Concerns:
Signatures & Comments
Retailer Signature
-
Add signature
Inspector Signature
-
Add signature
Retailer Comments
-
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