Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
UTH Maintenance Inspection
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Interior lighting<br><br>
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Exterior Lighting
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Mechanical room condition<br>
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Bathroom/kitchen exhaust fans operational<br>
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Exhaust fan and vent cover cleanliness<br>
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Wall mount heaters condition<br>
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Interior staircase clear and stable<br>
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Exterior stairs condition<br>
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Interior wall & flooring condition<br>
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Ceiling tile condition<br>
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Door closures all working properly<br>
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Door handles secure & working<br>
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Boot boys operational<br>
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Exterior grounds and building condition<br>
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Exit signs and emergency lights<br>
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Electrical Room <br>
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Thermostat settings<br>
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Furnace’s<br>
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Visual inspection of janitor room<br>
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Propane levels % full<br>
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Sewer levels<br>
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Lift station check<br>
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Wall mount heaters<br>
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Heaters in potable water tanks<br>
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Water pumps<br>
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Staircase clear and stable<br>
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Rolled roofing on stairs intact<br>
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No signs of roof leaks<br>
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Door closures working properly<br>
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Door handles secure & working<br>
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Physically test boot boys<br>
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Radiant heaters<br>
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Shop exhaust fans<br>
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Heat Trace in working order<br>
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Walk exterior of building/trailer<br>
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Hot water tank visual inspection<br>
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Check for water leaks bathrooms mechanical rooms<br>
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Visual inspection of janitor room<br>
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Maintenance Personnel (who completed the inspection)
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Maintenance Manager/Supervisor
