Workplace Building Preventive Maintenance Checklist

• Building / Client site

• Conducted on

  Date

• Prepared by

• Location
  Address

Lighting

• All lights/bulbs/lamps checked and none needs replacement?

  Yes

  No

  N/A

• Checked any luminaires that have transformers, control gear or accessories, such as spread lenses, glare baffles or color filters?

  Yes

  No

  N/A

• Exterior lights and cables aren’t torn; all screws and hardware in place and working?

  Yes

  No

  N/A

• All exit lighting are properly installed and functioning?

  Yes

  No

  N/A

• All interior lighting are properly installed and functioning?

  Yes

  No

  N/A

• All exterior lighting are properly installed and functioning?

  Yes

  No

  N/A

Electrical

• Have you changed batteries in smoke and carbon monoxide detectors, flashlights and test instruments?

  Yes

  No

  N/A

• Timers and photocells are functioning correctly?

  Yes

  No

  N/A

• Cover plates have no cracks and have proper tightness?

  Yes

  No

  N/A

• All exhaust fans are clean?

  Yes

  No

  N/A

Safety

• Checked inventory and restocked all first aid kits?

  Yes

  No

  N/A

• Checked eyewash bottles and stations?

  Yes

  No

  N/A

• Safety signs and equipment labels are in good condition?

  Yes

  No

  N/A

• Respirators inspected and cleaned?

  Yes

  No

  N/A

• Fall protection harnesses and kits inspected?

  Yes

  No

  N/A

HVAC

• Air intake cleaned (as needed)?

  Yes

  No

  N/A

• Changed all air filters (as needed)?

  Yes

  No

  N/A

• Blower motors in operation have no excessive noise or vibration?

  Yes

  No

  N/A

• Cleaned motors and ductwork (as needed)?

  Yes

  No

  N/A

• Condensate drain pan has proper drainage?

  Yes

  No

  N/A

• Checked the flexible duct connectors?

  Yes

  No

  N/A

• Guards and panels are secured and not loose?

  Yes

  No

  N/A

• All electrical hardware and connections are in good condition?

  Yes

  No

  N/A

• Controls and equipment tested and safe?

  Yes

  No

  N/A

• Interior unit operating properly?

  Yes

  No

  N/A

• Condenser motor bearings have no excessive noise or vibration?

  Yes

  No

  N/A

• Inspected the condenser air intake, discharge, and coil?

  Yes

  No

  N/A

• All refrigerant piping and insulation in good condition?

  Yes

  No

  N/A

• Guards or access panels secured and not loose?

  Yes

  No

  N/A

• Exterior unit in good operation?

  Yes

  No

  N/A

• Inspected compressed air lines regularly? No leaks in piping, tubing or fittings?

  Yes

  No

  N/A

• Replaced or cleaned air filter elements at least quarterly, or as necessary depending on the application?

  Yes

  No

  N/A

• Oil levels on air compressor pumps monitored and replaced (as necessary depending on usage)?

  Yes

  No

  N/A

Building Interior

• Floors, ceilings, and walls show no evidence of deterioration?

  Yes

  No

  N/A

• REFERENCE: Floors, ceilings, and walls show no evidence of deterioration
  [This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections]

  

• No visible signs of leaks?

  Yes

  No

  N/A

• Inspected and found no hazards (electrical, mechanical, structural, physical, tripping, etc.)?

  Yes

  No

  N/A

• Faucets, toilets, and showers are operational and in good working condition?

  Yes

  No

  N/A

• Smoke and carbon monoxide detectors tested and working?

  Yes

  No

  N/A

• Fire alarm system tested and working?

  Yes

  No

  N/A

• Firefighting equipment in good condition?

  Yes

  No

  N/A

• All doors in proper operation; exits are not obstructed?

  Yes

  No

  N/A

• Door locks and closures in good condition?

  Yes

  No

  N/A

• Work areas and walkways are properly marked?

  Yes

  No

  N/A

• No accumulation of trash in storage areas?

  Yes

  No

  N/A

• No evidence of insect infestation?

  Yes

  No

  N/A

• Cart casters show no wear and that shelving is properly labeled, organized, and secured?

  Yes

  No

  N/A

Building Exterior

• Paint and walls in good condition?

  Yes

  No

  N/A

• No broken windows or doors?

  Yes

  No

  N/A

• All railings in good condition?

  Yes

  No

  N/A

• No plants growing on the building or its foundation?

  Yes

  No

  N/A

• Roof is cleaned (as needed)? Be careful when working in high places; employ adequate fall protection.

  Yes

  No

  N/A

• Cleaned roof drains and gutters (as needed)? Tested drains and downspouts by flushing them with water?

  Yes

  No

  N/A

• Roof in good condition?

  Yes

  No

  N/A

• Gutters have adequate anchoring and tightened if necessary?

  Yes

  No

  N/A

• Inspected the stack and all roof penetrations?

  Yes

  No

  N/A

• No plant life growing on the roof? (remove if any)

  Yes

  No

  N/A

• No debris found? (clean if any)

  Yes

  No

  N/A

• No broken glass and debris on the grounds?

  Yes

  No

  N/A

• Sidewalk in good condition?

  Yes

  No

  N/A

• Driveway and parking area in good condition?

  Yes

  No

  N/A

• Storm water drains in good condition?

  Yes

  No

  N/A

• Plants and lawns in good condition?

  Yes

  No

  N/A

• Trees in good condition; no branches are about to fall?

  Yes

  No

  N/A

• Area around the dumpsters are clean?

  Yes

  No

  N/A

• Fencing in good condition?

  Yes

  No

  N/A

Plumbing

• Plumbing inspected at least annually? No leaks or unusual noises?

  Yes

  No

  N/A

• Domestic water booster and circulation pump systems require bearing lubrication at least annually; no leaks on couplings?

  Yes

  No

  N/A

• Are domestic water heaters and boilers fire-tested periodically? Used flue-gas analysis to adjust the flue draft and combustion air input to help optimize efficiency?

  Yes

  No

  N/A

• Remote drinking water chillers need condenser fan motor bearings lubricated annually. All contacts show no wear and pitting? Ran system control tests?

  Yes

  No

  N/A

• Pumped down the system and removed the refrigerant according to manufacturer instructions? Drained and replaced oil in the compressor oil reservoir, including filters, strainers and traps?

  Yes

  No

  N/A

• Sump and sewage ejection pumps are functioning properly (and replaced on an as-needed basis)? Exposed pumps lubricated (annually)?

  Yes

  No

  N/A

Completion

• Name and signature:

  Sign