Information

  • Tenant

  • Unit

  • Operation

  • Building Address

  • Client

  • Conducted on

  • Consultant

Tenant Questionnaire

  • Storage Tanks

  • Mould

  • Asbestos

  • Chemicals

  • Air Emissions

  • Hazardous Waste

  • Refrigerants

  • Oil Reservoirs

  • Tenant Inspection Required

Asbestos

  • Is there asbestos on site?

  • Friable material

  • Materials
  • Materials

  • Other

  • Present on site

  • Notes

  • Non-friable materials

  • Materials
  • Materials

  • Other

  • Present on site

  • Notes

PCB

  • Is there PCB in the tenant space?

  • Equipment
  • Material

  • Ownership

  • Notes

ODS

  • Is there ODS in tenant space?

  • Equipment
  • Equipment

  • Ownership

  • Refrigerant Type

  • Notes

Mould

  • Is there mould or water damage on site?

Visible suspected mould

    Material
  • Material

  • Notes

Water staining or Damage

    Material
  • Material

  • Notes

Storage Tanks

  • Are there storage tanks in the tenant space?

  • Tank
  • Tank Type

  • Ownership

  • Location Onsite

  • Volume (L)

  • Material

  • Construction

  • Other

  • Contents

  • Other

  • Year Manufactured

  • Usage

  • Other

  • Notes

Air Emissions

  • Are there air emissions coming from the tenant space?

  • Equipment
  • Equipment

  • Other

  • Ownership

  • Size (BTU or kW)

  • Location

  • Notes

Chemicals

  • Are there any chemicals in the tenant space?

  • Small Quantities ( > 20L )

  • Notes

  • Large Quantities ( > 40 L )

  • Notes

  • Spill control measures

  • Spill response measures

  • Chemical storage room

  • Chemical storage cabinet

  • Notes

Waste management

  • Are there hazardous wastes generated in the tenant space?

  • Hazardous wastes on site

  • List hazardous wastes and locations

  • Non-hazardous wastes on site

  • Types

  • Other

  • Notes

Oil Reservoirs

  • Does the tenant have oil reservoirs?

  • Reservoir
  • Type of reservoir

  • Location of reservoir

  • Spill response

  • Spill containment

  • Floor drains?

  • Leaking?

  • Visible staining?

  • Notes

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.