Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

UTH Maintenance Inspection

  • Interior lighting<br><br>

  • Exterior Lighting

  • Mechanical room condition<br>

  • Bathroom/kitchen exhaust fans operational<br>

  • Exhaust fan and vent cover cleanliness<br>

  • Wall mount heaters condition<br>

  • Interior staircase clear and stable<br>

  • Exterior stairs condition<br>

  • Interior wall & flooring condition<br>

  • Ceiling tile condition<br>

  • Door closures all working properly<br>

  • Door handles secure & working<br>

  • Boot boys operational<br>

  • Exterior grounds and building condition<br>

  • Exit signs and emergency lights<br>

  • Electrical Room <br>

  • Thermostat settings<br>

  • Furnace‚Äôs<br>

  • Visual inspection of janitor room<br>

  • Propane levels % full<br>

  • Sewer levels<br>

  • Lift station check<br>

  • Wall mount heaters<br>

  • Heaters in potable water tanks<br>

  • Water pumps<br>

  • Staircase clear and stable<br>

  • Rolled roofing on stairs intact<br>

  • No signs of roof leaks<br>

  • Door closures working properly<br>

  • Door handles secure & working<br>

  • Physically test boot boys<br>

  • Radiant heaters<br>

  • Shop exhaust fans<br>

  • Heat Trace in working order<br>

  • Walk exterior of building/trailer<br>

  • Hot water tank visual inspection<br>

  • Check for water leaks bathrooms mechanical rooms<br>

  • Visual inspection of janitor room<br>

  • Maintenance Personnel (who completed the inspection)

  • Maintenance Manager/Supervisor

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.