Title Page

  • Document No.

  • Audit Title

  • Site Name:

  • Address ID:

  • Location
  • Inspection Date

  • Performed by

Grounds and Car Parks

  • Capture photo's of the Site Access Road and the Site Entrance

  • Capture photographs of the site grounds

  • Capture photographs of the site fences and gate(s)

  • Where applicable, capture an external view of the Site Hoist monorail / access doors

  • Where applicable, capture photographs of the MEPP inlet socket

  • Site carpark / paving free from cracks or other defects that could pose an OHS hazard?

  • Condition of external steps, stairs or ladders: free from defects that could pose an OHS hazard?

  • Condition of external drains: Free from debris / blockage and are any drainage pit grates / covers secure?

  • Condition of Grounds: Free from overgrown vegetation, accumulated rubbish or trees / branches that could pose a hazard?

  • Site Fences and Gates: Free from cracks or other defects that could pose an OHS hazard?

  • Site Fences and Gates: Serviceable and, where applicable, locked to prevent unauthorized access?

  • Condition of any External Lighting: Intact and operational (to the extent assessable)?

  • Is there any offensive graffiti that warrants action?

  • Where fitted, is the MEPP inlet socket (or link box) protected against water ingress?

Buildings and Structures

  • Number of buildings on site (excluding Cabinets & Towers)?

  • Photograph each Building and any Towers on the Site

  • Condition of any Towers on site: Free from visual structural defects or items that could be at risk of falling (inspection from ground level)?

  • Condition of external windows and doors: Weatherproof and adequately secured?

  • Condition of Gutters and downpipes: Secure and appear free from signs of blockage / leakage that could enter the buildings?(inspection from ground level)?

  • Condition of Roofing material, cladding and any external signage (assessed from ground / walkways): Appears secure and free from physical defects?

  • Are the structures free from apparent White Ant activity (photograph any damaged structures)?

  • Are site Sign-In books or QR Code Sign-In Stickers present at all applicable entry points?

  • Do QR Code / Sign In stickers access the correct Asbestos Register for the site?

  • Add Section for Each Level Inspected
  • Level

  • Condition of other internal doors, walls, ceilings, stairs and floor surfaces: Free from damage or deterioration that could pose a hazard?

  • Are there signs of any new damage to Asbestos materials (ACM), or any ACM deterioration that could pose a hazard?

  • 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
  • Level:

  • Photograph each washroom area

  • Condition of site toilets and bathrooms: Free from water leaks and clean?

  • Sink wastes run freely?

  • Are there sufficient toilets operational for the site occupancy?

  • Hot Water services operating and free from leaks?

  • Condition of kitchen and other visible internal plumbing: Free from water leaks?

  • Condition and capacity of internal floor drains: Clear with no signs of water accumulation?

Site AC Power

    Add Section for each Level inspected
  • Level:

  • Photograph each Switchboard

  • Condition of switch rooms, switchboards and visible wiring: Free from damage that could pose a hazard?

  • Are switch rooms and switchboards designed or adequately secured to prevent access to any internal exposed live parts?

  • Are switchboards and accessible switch rooms free from abnormal noises or smells indicative of electrical discharge?

  • Condition of GPO's and visible wiring: Free from damage that could pose a hazard?

DC Power Systems

  • Are battery rooms free from battery fumes and visually failed batteries that could pose an OHS hazard?

Fire Control Equipment And Gas Detection Systems

  • Photograph the site Fire Indication Panel (FIP) / Building Alarm Collector (BAC) panel

  • Is there an up to date Log Book recording Fire Panel maintenance and any Zone isolations (impairments)?

  • Is the Fire Indication Panel free from isolated zones and/or active warning lights?

  • Have any active impairments been registered with FM Global in accordance with Telstra requirements?

  • Where applicable, are VESDA systems operating and free from warning lights?

  • Condition of Fire Pumps & associated valves: Ready for operation (no control panel warning lights, diesel fuel supplies full, etc.)

  • Is there an up to date Log Book recording Fire Pump maintenance?

  • Condition of Fire Water Tanks: Full and free from corrosion or leaks?

  • Any Cable Chamber and other Gas Detection systems operating and free from warning lights (0% LEL, Oxygen = 19.5 - 23.5%, CO < 35 ppm)

  • Is there an up to date Log Book recording gas detector system calibration and maintenance activities?

  • Add a Section for each Level inspected
  • Level:

  • Are Fire Extinguishers, hose reels and hose equipped hydrants tagged and within inspection date (sample check only)?

  • Illuminated Exit Signs and Emergency Lighting visible from areas inspected and are operational (sample check only)?

  • Condition of visible Fire System pipes and sprinkler heads: Free from corrosion or signs of leakage

  • Condition of Fire Exits and Stairways; Clear of rubbish and other obstacles?

  • Condition of Fire Doors: Closed and in serviceable condition?

Hoists

    Add a section for each Hoist inspected
  • Hoist:

  • Photograph the lower level Call Panel, interior and Hoist Motor for each lift

  • Passenger and Goods lifts / dumb waiters and control buttons operating and free from visible damage that could pose an OHS risk?

  • Are Emergency Phones in Passenger Lifts operational?

Passenger And Goods Lifts

    Add a section for each Lift inspected
  • Lift:

  • Photograph the lower level Call Panel, Lift Car interior and Hoist Motor for each lift

  • Condition of passenger and Goods lifts / dumb waiters: Control buttons operating and free from visible damage that could pose an OHS risk?

  • Is the Emergency Phone in the Lift operational?

Emergency Power Plant

    Add a section for each EPP
  • EPP no.

  • Photograph each EPP Genset

  • EPP Condition: Engine and visible piping free from coolant and diesel leakage. Drip trays empty?

  • EPP control panel(s) indicting Generator(s) are in Auto mode, Ready to Run with no active alarms?

  • Condition of EPP Starter Battery and charging systems?

  • 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
  • Day Tank no.

  • Photograph each Day Tank

  • 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
  • Diesel Transfer Pump no.

  • Photograph the Diesel Transfer pump(s)

  • Diesel Transfer Pump Condition: Transfer pumps free from leakage, drip tray / bund clean. Pump not running continuously?

EPP Bulk Fuel Storage

  • Photograph each Bulk Tank and associated Fill Points

  • Bulk Tank condition: Tanks surfaces and visible piping free from corrosion or signs of leakage?

  • Bulk Tank Fill Point condition: Caps securely fitted and locked to prevent unauthorized access?

  • Bulk Tank area clear from vegetation and free from accumulated debris / rubbish and signs of diesel leakage?

  • Bulk Fuel level within expected range?

Other Material Storage

  • Are flammable liquid or other Dangerous Goods containers kept in designated, signposted Dangerous Goods storage areas / Flammable Liquid cupboards?

  • Condition of Dangerous Goods storage areas: Is there adequate secondary containment / bunding for other packaged liquid containers (e.g. equipment oils)?

  • Are chemical product containers adequately labelled to indicate their contents ( initiate action to label or dispose of unlabeled items )?

  • Are up to date MSDS available for chemical products in the site register (sample check only)?

  • 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

  • Photograph accessible sump pumps

  • Condition of accessible sump pumps and piping: free from leaks and/or significant corrosion?

  • Are accessible sumps controlling to correct level?

HVAC Equipment

  • 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.

  • Condition of Room Air Conditions (RAC): Switched on and maintaining room temperature?

  • Condition of Split Systems, Packaged Units and Process Coolers: Operating, heat exchangers free from accumulated debris and drip trays and drains clear (not overflowing)?

  • Are there up to Plant Log books recording maintenance activities for large / packaged HVAC systems?

  • Condition of Air handling units; operating normally; belts not squealing and drip trays and drains clear (not overflowing)?

  • Economy cycle damper positions consistent and appropriate for internal / external air temperatures?

  • Condition of Indoor Fan Coil Units: Clean and operating normally?

  • Condition of Chillers: Operating normally with no visible leaks. Control panels free from active alarms?

  • Condition of chilled water pumps: Pumps, valves and visible piping free from corrosion and water leaks?

  • Chiller Plant operating instructions and an up to date Plant Log book recording Chiller maintenance activities present on site?

Cooling Towers

  • Add a section for each Cooling Tower

  • Cooling Tower
  • Photograph each Cooling Tower and associated Chemical Dosing Equipment

  • Cooling tower condition: Cooling tower fans operating and free from abnormal sounds, leaks or excess spray drift?

  • Cooling tower basin inlet valve controlling the water level; Overflow not running continuously (if visible)?

  • Condition of the Cooling tower dosing system: Dosing equipment operating, dosing chemical tank levels normal and dosing equipment / lines free from leakage?

  • Are there current Cooling Tower Risk Management / Instruction manual(s), and up to date Plant Log Books on site?

Compressed Air Systems

  • Site and/or cable duct air compressor condition: Switched on, maintaining required pressure and free from audible compressed air leaks?

  • 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

  • Are any Project Works being conducted in accordance with approved WINS and endorsed MOPs / SWMS?

  • 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?

  • Project work site condition: Is there appropriate housekeeping / storage of items associated with any active Projects?

Energy Management

  • Can you identify any opportunities for significant Energy Saving at the site?

Waste Management

  • Is any waste on site contained in appropriate bins / containers?

  • Are wastes appropriately separated; in particular collection of Asbestos or any other Prescribed Wastes in purpose specific, labelled / secured bins and containers?

  • Is the site free from unauthorized waste dumped at the site?

Site Special Conditions

  • Capture any additional temporary hazards or access conditions that need to be added to Site Special Conditions?

Additional Information

  • Capture any additional information:

  • Capture any additional photographs:

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.