Title Page

  • Site ID No

  • Site

  • AM Responsible

  • Date Inspected

  • Inspected by

  • Role / Position

QOS Inspection

Last Service Information

  • Last Service Date

  • Performed by (Company)

  • Work Order / NSLog Reference

  • Work Instruction / Form:

Last Reactive Maintenance Information

  • Last RM Date

  • Performed by (Company)

  • Work Order / NSLog Reference

  • Work Performed

Inspection Checklist

  • Is evidence of the last PM attendance registered in the Site Entry Log?

  • Upload photographic evidence (where applicable)

  • Is evidence of the last RM attendance registered in the Site Entry Log?

  • Upload photographic evidence (where applicable)

  • Are service log books on-site for each on-site Lift?

  • Upload photographic evidence (where applicable)

  • Are log book entries consistent with the current expected PM program?

  • Upload photographic evidence (where applicable)

  • Are any significant visible/audible plant defects recorded in the log book?

  • Upload photographic evidence (where applicable)

  • Have Work Orders / SWIM entries been registered to capture & trigger follow up of any significant visible/audible plant defects?

  • Upload photographic evidence (where applicable)

  • After reviewing the equipment service logs/history is the plant history clear and traceable (including records of any known entrapments)?

  • Upload photographic evidence (where applicable)

  • 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?

  • Upload photographic evidence (where applicable)

  • For Passenger Lifts, are the Lift Names, Site Address and Emergency Contact names clearly displayed in each Lift Car?

  • Upload photographic evidence (where applicable)

  • Is the Lift Name, Serial Number and Comcare Plant Registration Number clearly displayed on or adjacent to each Lift (may be in the Motor room)?

  • Upload photographic evidence (where applicable)

  • Has Maximo been updated to capture any apparent new / changed Passenger or Goods Lifts at the site?

  • Upload photographic evidence (where applicable)

  • Have changes to PM routines been recommended / adopted to reflect any apparent new / changed Passenger or Goods Lifts?

  • Upload photographic evidence (where applicable)

  • Are Lift Motor Rooms free from maintenance waste and are any spare parts / materials present labelled and stored correctly?

  • Upload photographic evidence (where applicable)

  • General Comments / Issues

  • 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-conformance's, maintenance requirements and any other potential problems observed have been reported.

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.