Title Page

  • Conducted on

  • Please select and move forward

  • Prepared by

  • Location
  • VUE Work Order Number

Building Exterior

  • Assess general condition of the site, look for a well maintained exterior, with no safety hazards or graffiti. Pick up any stray litter/debris. Did find any deficiencies?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Are Shrubs, trees, planting beds, and lawn in good condition and appear well maintained. Note any obvious defects, and send photos to property manager

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes and photos as appropriate on all actions taken.

  • Are there any signs of Building intrusion.(Broken Windows, Damaged Doors, Etc.)?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Is there a flat Roof at this site?

  • Clear roof drains, gutters and scuppers. Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Are all exterior doors secure with no signs of tampering?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

Building Interior

  • Inspect plumbing system for leaks in bathrooms and break rooms including condition of water heaters. Did you find any deficiencies?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Pour water in all drains to fill "P" traps. (bathroom, stairwells, floor, all sinks and toilets etc..) Create action items for all deficiency's and provide detailed notes as to actions taken.

  • Do All toilets and urinal bowels have water? and water is not constantly running. Create action items for all deficiency's and provide detailed notes as to actions taken.

  • Ensure toilets and urinals have water in bowls. Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Is water at toilets and urinals constantly running?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Does the building have signs of any water intrusion. Check around windows, doors and ceiling.

  • Notify Property Manager of any possible/suspect leaks. Create an action item and Self Generate work order and repair deficiencies, escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Are there any signs of pest activity (signs of rodents, insects etc..)in interior of building?

  • Notify Property Manager if any signs of infestation. Create action items for all deficiency's and provide detailed notes as to actions taken.

HVAC

  • Check HVAC system set points. Ensure units are in auto and operational. Did you find any deficiencies?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • The units general condition should be visually inspected twice year and filters changed if necessary. Did you find any deficiencies?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

Fire Life Safety

  • Total number of fire extinguishers on site

  • Inspect all fire extinguishers for charge and proper tags. Ensure compliance requirements and initial tags with month and year. Did you find any deficiencies?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Last Annual Inspection date (This date is hole punched on the fire extinguisher tag)

  • Last Maintenance Inspection date (Typically every 5 or 6 years - this date is located on the side of the extinguisher)

  • TEST All smoke detectors. Did you find any deficiencies?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Are there any visible alarms on Fire Alarm panel?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Are all Emergency Exit Signs present and operational?

  • Create an action item and Self Generate work order adjust light beam and repair deficiencies, escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Press test button on Emergency Lighting units, did all lights come "ON"?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Is there any physical damage to the lights?

  • Create an action item and Self Generate work order repair deficiencies and escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Is the light beam aligned so that it illuminates the egress path properly?

  • Create an action item and Self Generate work order adjust light beam and repair deficiencies, escalate any out of scope items to property manager provide detailed notes on all actions taken.

  • Is this an Annual - Emergency Light Test?

  • Did the Emergency Lights remain "ON" during the entire 90 Minutes?

  • Check battery and lens for corrosion

  • Clean unit and lens

  • Adjust beam for proper alignment

  • Check charging system voltage

  • Check battery voltage output

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.