Information

  • Audit Title

  • Site Name

  • Location
  • Conducted on

  • Prepared by

  • CONDITION RATING: 1-Excellent, 2-Good, 3-Fair, 4-Poor, 5-Very Poor

Divestment Opportunities

  • Does this site have divestment opportunities?

  • Divestment location on property

  • Divestment opportunity location photo

General building Information

  • Address ID

  • Power ID

  • Hut/Building construction type?

  • Condition

  • Number of buildings and structures on site

  • External building photos

  • Stumps

  • Condition

  • Stumps Photo

  • Door Key type

  • Key number

  • Vehicle access

  • 4WD distance to site

  • Condition

  • Car Park surface

  • Car Park spaces

  • Condition

  • Tower structures

  • Condition

  • Structure photos

Fences and Gates

  • Fence Type

  • Condition

  • Fence Height

  • Photos

  • Gate
  • Gate type

  • If gate is locked EACS/ Key number

  • Gate Condition

  • Photo

Building Structure and Grounds

  • Steps and landing

  • Condition

  • Photos

  • White Ant activity ?<br>

  • White Ant Location

  • White Ant Photo

  • Can Roof be inspected ?

  • Roof

  • Condition

  • Roof photos

  • Does the building have gutters ?

  • Condition

  • Gutter photos

  • Does the building have a sump pump ?

  • Is the sump pump accessible ?

  • Sump Pump Make, Model

  • Sump Pump Photo

  • Asbestos register barcode sticker on site.

  • Building structure clean

  • Building Structure Photos

  • Site grounds clean and tidy

  • Site Grounds Photo

Toilets

    Toilet
  • Toilets

  • Condition

  • Toilet Photos

Site power information

  • Normal Supply type (Choose more than one if applicable)

  • Main Switchboard location

  • Main Switchboard Photo

  • Surge Protection %

  • Surge Protection Photo

  • AC Power Distribution Boards

  • AC Power Distribution Board
  • Location

  • AC Distribution to (Equipment)

  • Condition

  • AC Distribution Board Photo

  • Can the power authorities meter box be accessed ?

  • Meter Number

  • Meter Photo

  • MEPP Inlet

  • MEPP Inlet type?

  • Condition

  • MEPP inlet Photo

  • Number of phase's

Fire Control Equipment

  • Fire Indication Panel on site

  • Is Fire Indication Panel Operational

  • Last Date Serviced

  • Condition

  • FIP Photo

  • Are there zones isolated on Fire Operation Panel ?

  • Zones isolated

  • VESDA System Operational ?

  • Fault Type

  • Emergency and exit lighting on site

  • Latest service date

  • Fire Extinguisher and Hose Reel on site?

  • Fire Extinguishers and Hose Reel within service Date?

  • Latest service date

  • All Building penetrations sealed ?

  • Location

  • Photo

Hoists

  • Are there Hoist/s on site ?

  • Hoists

  • Hoist
  • Make, Model

  • Condition

  • Hoist Photo

Emergency Power Plant

  • Permanent Emergency Power Plant on site ?

  • Emergency Power Plant

  • Generator
  • Make, Model, KVA rating

  • Condition

  • EPP Photo

Fuel Tanks

  • Fuel Tank types ?

  • Day Tank Size, Location, Current fuel level

  • Day Tanks Photo

  • Day Tank Size, Location, Current fuel level

  • Bulk Tank Size, Location, Current fuel level

  • Day Tanks Photo

  • Bulk Tanks Photo

Air Conditioners

Package Units

    Package Unit
  • Name (AHU-1, CU-1) Make, Model, Serial No

  • Condition

  • Photo AC

  • Are there HVAC Controls for this unit

  • Location

  • Photo

Other Air Conditioning Units

    Other Air Conditioning Units
  • Type of Air Conditioning Unit

  • Name,Make, Model, Serial No

  • Condition

  • Photo

Additional Comments/Observations

  • Additional Comments/Observations

  • Additional Comment/Observation
  • Additional Comments/Observations

Site Defect List

  • Defect List

  • Defect
  • Defect List

  • Defect photos

  • Auditor signature

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.