Title Page
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Site ID No
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Site
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AM Responsible
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Date Inspected
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Inspected by
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Role/Position
Last Service Information
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Last Service Date
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Performed by (Company)
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Work Order
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Work Instruction / Form
Last Routine Maintenance Information
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Last RM Date
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Performed by (Company)
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Work Order
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Work Performed
Inspection Check
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Is evidence of the last PM attendance registered in the Site Entry Log?
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Is evidence of the last RM attendance registered in the Site Entry Log?
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Is the site Cooling Tower Risk Management Plan (RMP) available?
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Are there tower clean certificates in the folder for the last twelve months in accordance with the RMP?
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Is the operation manual for the dosing equipment available?
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Are Treatment System service log books on-site?
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Are log book entries consistent with the current expected PM program?
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Are any significant visible/audible plant / equipment room defects recorded in the log records?
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Have Work Orders / SWIM entries been registered to capture & trigger follow up of any significant visible/audible plant defects?
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After reviewing the equipment service logs/history is the plant history clear and traceable?
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Are any Plant Auto / Manual and Lead / Lag controls set for normal operation ( or tagged and noted in the log book where abnormal operation has been deemed necessary )?
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Where equipment is currently tagged out of service or shut down do “Out of Service” tags (or Warning Tags) clearly indicate the date, reason and contact point for information regarding the shut down?
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Has Maximo been updated to capture any apparent new / changed Cooling Towers / Dosing Equipment at the site?
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Have changes to PM routines been recommended / adopted to reflect any apparent new / changed Cooling Towers / Dosing Equipment?
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Are dosing lines in a good state of repair with no kinks or damage?
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Does all “plug in” electrical equipment have current Test & Tag status?
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Is there sufficient quantity of Treatment Chemicals in online storage tanks / containers to last until the next scheduled service?
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Are MSDS provided on site/accessible for all Treatment Chemicals?
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Are the Cooling Towers free of uncontrolled water losses such as, excess drift, splashing, overflowing, etc??
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Are the plant/equipment rooms free from maintenance waste and are any spare parts / materials present labelled and stored correctly?
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Are the plant / equipment room drain points clear from visible debris and/or signs of over flow?
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General Comments / Issues
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Auditor: Register the completed audit in the Issues, Incidents and Audits SharePoint register. Enter any actions that warrant capture and/or follow up in the Actions register.
Issue Escalation
• Report on any urgent defects or safety hazards to Telstra P&FM: 1300 652 235.
• If the contractor performs work in a way that there is an immediate threat to people’s safety, the network or the environment the contractor must be advised to stop work and the Area Manager and nominated Contract Coordinator must be informed.
• Incidents and hazards must also be escalated to Visionstream / Client contacts and, where applicable, Incident Reports / Hazard Alerts created and distributed in accordance with the Incident Actions Ready Reckoner (VS(NIFM)-FO-PIN-095). -
Inspector sign off: This is a true and accurate reflection of the state of the above site. All contractor non-conformances, maintenance requirements and any other potential problems observed have been reported.
