Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Plumbing

  • Plumbing is there any leaks, what's the bathroom shape like, is there a water fountain, hot water heater, sinks, toilets, water shut off access doors, and drains.

Electrical

  • Electrical looking for outlets, switches, G.F.C.I outlets, lighting inside and outside, breakers, electrical panel, building generator, where the power serves comes in.

Fire and Safety

  • Fire and safety is there any fire extinguishers, exit signs, Sprinkler system , employee awareness of location of first aid cabinet, A.E.D. Stations, pull stations, smoke detectors, and back up emergency lights

Mechanical

  • It's there a Elevator pump & motors, I.T rooms

H-VAC

  • Is there a A/C Controller,Air handler ,filters, Air ducts, check air flow in buildings, moister, Chilled water infrastructure, and roof exhaust fans.

Energy

  • Is there any photo cells, and motion detectors for lights to save energy.

Exterior Structure

  • Is the lawn in good shape,trees,plant ,soil, pathways, sidewalks, pot holes, roof, and any Bugs or pest ect.

Interior finishes

  • How is the carpet, paint, doors, walls, windows, blinds, cove base, tile, vinyl floor, ceiling tiles, furniture , and stairways.

Handicapped Accessibility

  • Is there any ramps ,handicapped access to Elevator, wide hallways,easy to use sidewalks, and handicapped access to bathrooms, sinks, toilets, showers, and water fountains

Life & Safety

  • Is there adequate pathways to exit doors,body and eye wash station, and emergency management to do list.

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.