Title Page
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Document No.
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Audit Title
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Site Name:
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Address ID:
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Location
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Inspection Date
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Performed by
Grounds and Car Parks
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Capture photo's of the Site Access Road and the Site Entrance
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Capture photographs of the site grounds
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Capture photographs of the site fences and gate(s)
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Where applicable, capture an external view of the Site Hoist monorail / access doors
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Where applicable, capture photographs of the MEPP inlet socket
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Site carpark / paving free from cracks or other defects that could pose an OHS hazard?
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Condition of external steps, stairs or ladders: free from defects that could pose an OHS hazard?
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Condition of external drains: Free from debris / blockage and are any drainage pit grates / covers secure?
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Condition of Grounds: Free from overgrown vegetation, accumulated rubbish or trees / branches that could pose a hazard?
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Site Fences and Gates: Free from cracks or other defects that could pose an OHS hazard?
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Site Fences and Gates: Serviceable and, where applicable, locked to prevent unauthorized access?
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Condition of any External Lighting: Intact and operational (to the extent assessable)?
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Is there any offensive graffiti that warrants action?
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Where fitted, is the MEPP inlet socket (or link box) protected against water ingress?
Buildings and Structures
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Number of buildings on site (excluding Cabinets & Towers)?
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Photograph each Building and any Towers on the Site
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Condition of any Towers on site: Free from visual structural defects or items that could be at risk of falling (inspection from ground level)?
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Condition of external windows and doors: Weatherproof and adequately secured?
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Condition of Gutters and downpipes: Secure and appear free from signs of blockage / leakage that could enter the buildings?(inspection from ground level)?
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Condition of Roofing material, cladding and any external signage (assessed from ground / walkways): Appears secure and free from physical defects?
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Are the structures free from apparent White Ant activity (photograph any damaged structures)?
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Are site Sign-In books or QR Code Sign-In Stickers present at all applicable entry points?
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Do QR Code / Sign In stickers access the correct Asbestos Register for the site?
Add Section for Each Level Inspected
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Level
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Condition of other internal doors, walls, ceilings, stairs and floor surfaces: Free from damage or deterioration that could pose a hazard?
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Are there signs of any new damage to Asbestos materials (ACM), or any ACM deterioration that could pose a hazard?
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Are their sufficient operating lights and are light switches free from damage that could pose a hazard?
Toilets And Plumbing
- Add a section for each Level inspected
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Level:
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Photograph each washroom area
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Condition of site toilets and bathrooms: Free from water leaks and clean?
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Sink wastes run freely?
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Are there sufficient toilets operational for the site occupancy?
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Hot Water services operating and free from leaks?
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Condition of kitchen and other visible internal plumbing: Free from water leaks?
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Condition and capacity of internal floor drains: Clear with no signs of water accumulation?
Site AC Power
- Add Section for each Level inspected
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Level:
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Photograph each Switchboard
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Condition of switch rooms, switchboards and visible wiring: Free from damage that could pose a hazard?
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Are switch rooms and switchboards designed or adequately secured to prevent access to any internal exposed live parts?
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Are switchboards and accessible switch rooms free from abnormal noises or smells indicative of electrical discharge?
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Condition of GPO's and visible wiring: Free from damage that could pose a hazard?
DC Power Systems
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Are battery rooms free from battery fumes and visually failed batteries that could pose an OHS hazard?
Fire Control Equipment And Gas Detection Systems
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Photograph the site Fire Indication Panel (FIP) / Building Alarm Collector (BAC) panel
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Is there an up to date Log Book recording Fire Panel maintenance and any Zone isolations (impairments)?
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Is the Fire Indication Panel free from isolated zones and/or active warning lights?
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Have any active impairments been registered with FM Global in accordance with Telstra requirements?
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Where applicable, are VESDA systems operating and free from warning lights?
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Condition of Fire Pumps & associated valves: Ready for operation (no control panel warning lights, diesel fuel supplies full, etc.)
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Is there an up to date Log Book recording Fire Pump maintenance?
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Condition of Fire Water Tanks: Full and free from corrosion or leaks?
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Any Cable Chamber and other Gas Detection systems operating and free from warning lights (0% LEL, Oxygen = 19.5 - 23.5%, CO < 35 ppm)
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Is there an up to date Log Book recording gas detector system calibration and maintenance activities?
Add a Section for each Level inspected
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Level:
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Are Fire Extinguishers, hose reels and hose equipped hydrants tagged and within inspection date (sample check only)?
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Illuminated Exit Signs and Emergency Lighting visible from areas inspected and are operational (sample check only)?
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Condition of visible Fire System pipes and sprinkler heads: Free from corrosion or signs of leakage
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Condition of Fire Exits and Stairways; Clear of rubbish and other obstacles?
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Condition of Fire Doors: Closed and in serviceable condition?
Hoists
- Add a section for each Hoist inspected
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Hoist:
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Photograph the lower level Call Panel, interior and Hoist Motor for each lift
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Passenger and Goods lifts / dumb waiters and control buttons operating and free from visible damage that could pose an OHS risk?
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Are Emergency Phones in Passenger Lifts operational?
Passenger And Goods Lifts
- Add a section for each Lift inspected
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Lift:
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Photograph the lower level Call Panel, Lift Car interior and Hoist Motor for each lift
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Condition of passenger and Goods lifts / dumb waiters: Control buttons operating and free from visible damage that could pose an OHS risk?
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Is the Emergency Phone in the Lift operational?
Emergency Power Plant
- Add a section for each EPP
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EPP no.
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Photograph each EPP Genset
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EPP Condition: Engine and visible piping free from coolant and diesel leakage. Drip trays empty?
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EPP control panel(s) indicting Generator(s) are in Auto mode, Ready to Run with no active alarms?
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Condition of EPP Starter Battery and charging systems?
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Condition of EPP Compressed Air starter systems: Receiver pressure within marked pressure level and Receivers with pV > 150 Mpa.l stamped to indicate they are within internal inspection date?
Add a section for each Day Tank
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Day Tank no.
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Photograph each Day Tank
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Day Tank Condition: Tank and connections free from visible corrosion / degradation and leakage. Day Tank level within range?
Add a section for each Diesel Transfer Pump
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Diesel Transfer Pump no.
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Photograph the Diesel Transfer pump(s)
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Diesel Transfer Pump Condition: Transfer pumps free from leakage, drip tray / bund clean. Pump not running continuously?
EPP Bulk Fuel Storage
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Photograph each Bulk Tank and associated Fill Points
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Bulk Tank condition: Tanks surfaces and visible piping free from corrosion or signs of leakage?
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Bulk Tank Fill Point condition: Caps securely fitted and locked to prevent unauthorized access?
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Bulk Tank area clear from vegetation and free from accumulated debris / rubbish and signs of diesel leakage?
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Bulk Fuel level within expected range?
Other Material Storage
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Are flammable liquid or other Dangerous Goods containers kept in designated, signposted Dangerous Goods storage areas / Flammable Liquid cupboards?
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Condition of Dangerous Goods storage areas: Is there adequate secondary containment / bunding for other packaged liquid containers (e.g. equipment oils)?
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Are chemical product containers adequately labelled to indicate their contents ( initiate action to label or dispose of unlabeled items )?
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Are up to date MSDS available for chemical products in the site register (sample check only)?
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Are Plant, Equipment and Battery Rooms free from accumulation of combustible packaging materials and other items that could pose a fire, dust or access hazard?
Sump Pumps
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Photograph accessible sump pumps
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Condition of accessible sump pumps and piping: free from leaks and/or significant corrosion?
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Are accessible sumps controlling to correct level?
HVAC Equipment
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Capture photographs of HVAC Plant: Each RAC, Split System Compressor / Condenser Units, Packaged A/C Plant, Air Handling Units, Process Cooling Systems, Chillers and registered standalone Filter Units and Fans.
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Condition of Room Air Conditions (RAC): Switched on and maintaining room temperature?
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Condition of Split Systems, Packaged Units and Process Coolers: Operating, heat exchangers free from accumulated debris and drip trays and drains clear (not overflowing)?
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Are there up to Plant Log books recording maintenance activities for large / packaged HVAC systems?
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Condition of Air handling units; operating normally; belts not squealing and drip trays and drains clear (not overflowing)?
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Economy cycle damper positions consistent and appropriate for internal / external air temperatures?
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Condition of Indoor Fan Coil Units: Clean and operating normally?
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Condition of Chillers: Operating normally with no visible leaks. Control panels free from active alarms?
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Condition of chilled water pumps: Pumps, valves and visible piping free from corrosion and water leaks?
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Chiller Plant operating instructions and an up to date Plant Log book recording Chiller maintenance activities present on site?
Cooling Towers
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Add a section for each Cooling Tower
Cooling Tower
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Photograph each Cooling Tower and associated Chemical Dosing Equipment
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Cooling tower condition: Cooling tower fans operating and free from abnormal sounds, leaks or excess spray drift?
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Cooling tower basin inlet valve controlling the water level; Overflow not running continuously (if visible)?
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Condition of the Cooling tower dosing system: Dosing equipment operating, dosing chemical tank levels normal and dosing equipment / lines free from leakage?
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Are there current Cooling Tower Risk Management / Instruction manual(s), and up to date Plant Log Books on site?
Compressed Air Systems
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Site and/or cable duct air compressor condition: Switched on, maintaining required pressure and free from audible compressed air leaks?
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Air receivers greater than 200 litres (pV> 150 MPa.l) and associated Relief Valves stamped / labelled to indicate they are within internal inspection / test date?
Project Works
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Are any Project Works being conducted in accordance with approved WINS and endorsed MOPs / SWMS?
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Are any current Project Works being conducted safely and in a manner that is not posing a risk to other personnel on site and/or Network Services?
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Project work site condition: Is there appropriate housekeeping / storage of items associated with any active Projects?
Energy Management
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Can you identify any opportunities for significant Energy Saving at the site?
Waste Management
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Is any waste on site contained in appropriate bins / containers?
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Are wastes appropriately separated; in particular collection of Asbestos or any other Prescribed Wastes in purpose specific, labelled / secured bins and containers?
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Is the site free from unauthorized waste dumped at the site?
Site Special Conditions
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Capture any additional temporary hazards or access conditions that need to be added to Site Special Conditions?
Additional Information
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Capture any additional information:
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Capture any additional photographs: