Title Page

  • Client/Brand

  • Store Name

  • Mall

  • Location
  • Conducted on

  • Prepared by

HVAC

  • Provide images of the HVAC system

  • Type (1)

  • Producer (1)

  • Year (1)

  • Type (2)

  • Producer (2)

  • Year (2)

  • Maintenance

Air Curtain

  • Provide images of the air curtain system

  • Type

  • Producer

  • Year

  • Maintenance

Intruder Alarm

  • Provide images of the intruder alarm system

  • Type

  • Producer

  • Year

  • Maintenance

EAS Antenas

  • Provide images of the EAS Antenas

  • Type

  • Producer

  • Year

  • Maintenance

Shutters

  • Provide images of the shutter system

  • Type

  • Producer

  • Year

  • Maintenance

Access Control

  • Provide images of the access control system

  • Type

  • Producer

  • Year

  • Maintenance

Fire System - Smoke Head

  • Provide images of the Fire System - Smoke Head

  • Type

  • Producer

  • Year

  • Maintenance

Fire Sysyem - Alarm Panel

  • Provice images of Fire System - Alarm Panel

  • Type

  • Producer

  • Year

  • Maintenance

Fire System - Sprinklers

  • Provide images of Fire System - Sprinklers

  • Type

  • Producer

  • Year

  • Maintenance

Fire System - Fire Extinguishers

  • Provide images of Fire System - Fire Extinguishers

  • Type

  • Producer

  • Year

  • Maintenance

Fire System - Emergency Lighting

  • Provide images of Fire System - Emergency Lighting

  • Type

  • Producer

  • Year

  • Maintenance

Fire System - Fire Dampers

  • Provide images of Fire System - Fire Dampers

  • Type

  • Producer

  • Year

  • Maintenance

CCTV

  • CCTV

  • Type

  • Producer

  • Year

  • Maintenance

Electrical - Lighting

  • Electrical - Lighting

  • Type

  • Producer

  • Year

  • Maintenance

Electrical - Testing

  • Electrical - Testing

  • Fixed Wire

  • PAT

Electrical - Boiler Test

  • Electrical - Boiler Test

  • Type

  • Producer

  • Year

  • Maintenance

Furniture - Sales Area

  • Furniture - Sales Area

  • Type

  • Producer

  • Year

  • Maintenance

Furniture - BOH/Rolling Racks

  • Furniture - BOH/Rolling Racks

  • Type

  • Producer

  • Year

  • Maintenance

Store Specifics - Automatic Doors

  • Store Specifics - Automatic Doors

  • Type

  • Producer

  • Year

  • Maintenance

Store Specifics - Lifts/Escalators

  • Store Specifics - Lifts/Escalators

  • Type

  • Producer

  • Year

  • Maintenance

Store Specifics - Pest Control

  • Store Specifics - Pest Control

  • Type

  • Producer

  • Year

  • Maintenance

Store Specifics - Various (Y/N)

  • Store Specifics - Various (Y/N)

  • Panic Bar

  • Day Alarm

  • Evacuation Plan

  • Last Man Switch

Declaration

  • Any further observations or comments relating to concerns on site

  • Auditor Signature

  • Select date

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.