M&E-TECHNICAL DOCUMEN

Identification
SNO Document Description Rev.No Rev-Date
Reference
1 Transformer checklist 01
2 DG checklist 01
3 Common area lighting checklist 01
4 Plumbing checklist 01
5 Fire pump room checklist 01
6 LT room checklist 01
7 History card 01
8 UPS checklist 01
9 WTP monitoring checklist 01
10 STP monitoring checklist 01
11 Work permit 01
12 Electrical DB checklist 01
13 Equipment asset list 01
14 Daily report 01
15 HSD record 01
16 Wash rooms checklist 01
17 APFCR Weekly checklist 01
18 PA System Daily checklist 01
19 Fire Alarm System Daily Checklist 01
20 Split A/C Monthly Check list 01
21 Fire Extinguisher - Monthly 01
22 Sprinkler - Monthly 01
23 Emergency Preparedness 01
24 Cafeteria checklist 01
-TECHNICAL DOCUMENTS LIST
Issue No Issue Date Approver Remarks
 TRANSFORMER DAILY CHECK LIST

Name of the Equipment : Transformer Make: Capacity: Location : MONTH :

Sl.
Activity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
No
Check the Transformer yard for
1
Cleaning

2 Check the oil & Temperature gauges

3 Check the Tap Position of Transformer
4 Check the winding temperature
5 Check the oil temperature
6 Check for any oil leakages
7 Check for any abnormal noise
8 Check Silicagel colour it should be pale
blue
9 Record the load of the Transformer
10 Check the VCB charging condition
11 Check the Fire Extinguisher
Sign. of Technician

Sign. of Engineer

DATE ABNORMALITY ACTION TAKEN STATUS DONE BY

 DG Daily Check List
Location: KVA: Month&Year:
Engine s.no: Engine Modle no: Alternator s.no: Alternator Type:
S.N
o ACTIVITIES ACCEPTABLE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 Lube Oil Level 100%

2 Radiator Water Level 100%

3 Fan Belt Condition Tight

4 Battery Voltage 24V

Clean & Apply

Check Battery contacts for petrolium jelly if
5 dust accumulation required

6 Fuel Level 90%

Check the cleanliness of all
7 Filters Clean
Check the DG in
8 AUTO/MANUAL Mode
Check for the proper Auto
working of Emergrncy
9 switch Working
Check for theEmergrncy
10 switch in open condition Open

Any Leakafes of
11 Oil,Water,Diesel No Leakage
Start engine and run for
12 5Mins Test run
13 Check the RPM 1500RPM
Check the voltage at
14 alternator Terminals 415V

15 Cleanliness of Equipment Clean

16 Cleanliness of Surroundings Clean

Check the Abnormal noise

17 during running condition Smooth Noise

18 Running hours of the day

Technician Signature:

*NOTE:'B' Check will be due every 300hrs of operation or 06months whichever is earlier.

Technician Signature: Engineer Signature: General Manager Signature:

 Version:JLL/11-2010

LIGHTING CHECKLIST
PHYSICAL CHECKLIST FOR CORRIDOR'S & STAIRCASE LIGHTING'S

CORRIDOR LIGHTING (LED) Date : Block:

Light-01 Light-08
Light-02 Light-03 Light-04 Light-05 Light-06 Light-07
Floor No (Flat no- (Flat no- Staircase - 01 Staircase - 02
(Flat no-01) (Communication Duct) (Flat no-03) (Passenger lift) (Flat no-04) (Electrical Duct)
02) 06)
14
13
12
11
10
9
8
7
6
5
4
3
2
1
0
-1
-2
-3
CORRIDOR
LIGHTS STAIRCASE LIGHTS
TOTAL WORKING
Signature of the Tech: Signature of the Engineer:
TOTAL NOT WORKING

TOTAL LIGHTS
REMARKS:
 Plumbing Daily Check Sheet
Name of the Equipment:
Equipment No: Monitored By:
Location: Frequency: Daily
Month & Year:
S.no Description 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Check water level in the
1 underground , overhead
tanks
Check for overflow /
2 stagnation in terrace /
underground tanks
Working of all pneumatic /
3
submersible pumps
Check Rest rooms at Club
4 house & Basements(wash
basins,taps,urinals,sinks)
Visible defect of sanitary
5
fittings
Note down the water meter
6
reading
Leakage of any external
7
drainage lines / water lines
Ensure internal & external
8
sewage lines are clear
Check jockey / hydrant / fire
9
DG pumps for leakages
Check rain water outlets &
10 storm drain (especially
during monsoons)

Done By

Checked By
 Fire pump room checklist
Equipment : Location:
Site: Month:
Sno Activities 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 All fire pumps are in Auto mode
2 Hydrant pump suction pressure
3 Hydrant pump discharge
pressure
4 Fire tank water level
5 Jockey pump suction pressure
6 Jockey pump discharge pressure
7 DG Oil pressure
8 DG Fuel tank % or KL
9 condition of battery charger
10 Battery electrolyte level
11 Cooling system stainer level
12 All fire lines valves condition
13 Room ventilation or exhaust
working condition
Sign of Technician
Sign of Supervisor
Remarks : Engineer / Manager Signature:
 Electrical Room Daily inspection checklist
Equipment : Electrical Power panels Location: Electrical Room
Site Name : Month :
SN Activities Status 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 All DB panels & boxes are labeled Yes
2 All panels cabinets doors are locked properly Yes
3 Electrical Room floor is clean and dry Yes
4 No sign of deterioration of cabinets Yes
5 No storage in electrical Room Yes
6
Rubber mats are in place and in good
Yes
condition
7 Emergency lighting is working Yes
8 Smoke detector is blinking healthy green LED Yes
9 Electrical Room temperature is optimum Yes
10 check for undue noise or over heat of panels No
11 No sparks/burn signs over panels/breakers Yes
12 All digital record meters are functioning Yes
13
Panel earthing conductor connection bolt
Yes
tightness checked
14 All Power flow individual SLDs are in place Yes
15 Fire exinguisher available in place Yes
16 First Aid box available in place Yes
17
All Very critical and critical Power supply
Yes
breakers are LOTO tagged
18 All Loto tag Locks are properly locked Yes
19 All panel supply phase fuse indicators are ON Yes
20 Any breakdown/tripping of Breaker observed No
21 Rodent repellent machine is working Yes
Signature of the Technician:
Signature of the Supervisor:
Remarks:

Exe / Manager signature

 HISTORY CARD
Name of the Equipment: Make: Equipment Supplier Name & Address:
Building: Model:
Location: Serial number:
Equipment number: Year of Mfg:
Asset number: Year of Installation:
Equipment priority class: Warranty expiration:
Installation / M&E Contractor Name & Address: Equipment purchasing price:
Capacity/Rating :
Expected life period of the equipment :
Maintenance Contractor Name & Address:
Detailing of the Equipment

Total Break-down hours: 0.00

Total Cost Spent on Maintenance (YTD): INR 0.00

Type of maintenance:

Note: Please enter the "DETAILS" of break down maintaince,quaterly,half yearly,and annual maintaince.
TOTAL DOWN TIME
DATE DETAILS REMARKS
TO EFF. HRS Supervisor sign
 UPS inspection Daily checklist
Equipment Make : Equipment Model : Equipment Name :
Equipment Rating & serial : AMC vendor : Location: Month :
Sno Activities Status 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1
check all UPS units input power supply breaker is LOTO
Yes
tagged properly
2
Check all UPS units output load power supply breaker is
Yes
LOTTO tagged properly
3 Check all UPS unit BYPASS breaker is in OFF position Yes
4
Check all UPS unit BYPASS breaker is LOTO tagged
Yes
properly.
Check serviced Fire Extinguishers are available in UPS
5 Yes
Room.
6 First Aid box available in UPS Room Yes
7
Check for any abnormal noise from the UPS/Battery
No
Units.
8 check UPS is running on Mains power supply yes
9 Any alarms present on local UPS panel display No
10 Check UPS unit running on Battery mode LED-ON No
11 check UPS unit running on scheduled load % yes
12 check UPS unit bypass LED-ON No
13 Check UPS units inverter LED-ON Yes
14 check UPS units load output LED-ON Yes
15
Check All UPS units Hot air Exhuast fans are running
YEs
normally
16
Check AC temperature near UPS units is as per standard
Yes
23oC±1
17 Check battery charging current ( ≤ 10 %of Battery AH ) Yes
18
Check if any Battery is bulged/ over heated/leaking
No
battery
19 Rodent repellent machines are working Yes
Signature of the Technician:
Signature of the Supervisor:

Executive signature
Remarks:
 WTP DAILY CHECK LIST

Capacity: Month :
S No Description Specifications 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Before operating
Main Panel
1 Check for the cleanliness of the panel C - Clean, D - Dirty
2 Check the voltage in the main panel (Three Phase ) in the voltmeter 390V to 420V
3 Check for three phase indication lights R Y B - Lights to be on
4 Check and ensure the feeders doors are closed always C - closed, O - Open
5 Check for the discolouration of the cables and burnt smell in each feeder N - Normal, A - Abnormal
6 Check system are in Auto, Manual, Off position A - Auto, M - Manual, O - Off

Equipments
1 Carry out visiual inspection for Raw water transfer pumps N- Normal, A- Abnormal
2 Carry out visiual inspection for over head tank water transfer pumps N- Normal, A- Abnormal
3 Carry out visiual inspection for Filtration Plant area N- Normal, A- Abnormal
5 Check for dosing pump operation w- working, NW - Not working
7 Check illumination lights are working w- working, NW - Not working

8 Check for water leakage for all the Pumps (Gland) L - Leakage, NL- Non leakage
9 Check for pumps are changed over as per schedule D - Done, N - No

Treatment tanks
1 Check for the Chlorine tank level L- Low, M-Middle, H- High
2 Check for the water level in raw water tank L- Low, M-Middle, H- High
3 Check for the water level in treated water and over head tank L- Low, M-Middle, H- High
Check the operating pressure in header line, required do the Back wash operation for the PSF &
4 N- Normal, A- Abnormal
Resin cast filters.
5 Check for PPM (PPM= 50 to 100) in treated tank N- Normal, A- Abnormal
6 Check for PPM (PPM= 0 to 5) at Out let of the softener N- Normal, A- Abnormal
7 Carry out Regeneration of Resin tank if required N- Normal, A- Abnormal
8 Check for the salt stock available L- Low, M-Middle, H- full
9 Ensure there is no air deposited in side the Pump succession line N- Normal, A- Abnormal

Neatness
1 Check for the cleanliness of Salt Mixing tank and its surroundings C - Clean, D - Dirty
2 Check for the cleanliness surrounding the ground level water tanks C - Clean, D - Dirty
3 Check for the cleanliness surrounding overhead level water tanks R - Removed, F - Floating
4 Check for the cleanliness of floor, pipes and other equipment inside the pump room C - Clean, D - Dirty
5 Check for the cleanliness of drain sump C - Clean, D - Dirty
6 Check the pest control is done surrounding the plant D - Done, N - No

Logs
Enter the Water meter reading D - Done, N - No

Sign Of Operator
Sign Of Engineer
Date Abnormality Action taken Status Done by
 Permit to Work
Type of work permit : Confined space/ general /electrical/height at work/PPM

Building Name Permit Number

Address Work area

Site lead Name Contact number
Date approved Requested work window To
Impairment notice
Requested start date & Time
required? Yes / No
Completion date & Time Hot works required? Yes / No
Scope of work

Potential impact to client & contingency plans

Potential impact to plant and/or equipment

Clients or parties exposed to impact

Approval
Site lead Signature Contact No
Facilities Head Signature Contact No
Contractor Information
I / We accept our responsibilities as explained in the Permit To Work conditions and will not deviate from the authorised scope of works
contained within
Contractor Signature Contact No
Sub-Contractor Signature Contact No
Security (If Applicable)
Security Name Signature Contact No
 Distribution Box daily inspection checklist
Equipment : Electrical power distribution boxes Location: Month :
Load feeding To:
SN Activities Status 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 All DB boxes are labeled Yes
2 DB doors are locked Yes
3 No sign of deterioration of cabinets Yes
4 Emergency lighting is working near DB box Yes
5 Smoke detector is blinking healthy green Yes
LED
6 No sparks/burn signs of MCB,ELCB,RCB Yes
7 All DB's earthing conductor connection bolt
Yes
tightness checked.
8 All Power flow individual SLDs are in place Yes
9 Fire exinguisher available in place Yes
10 Any damage /tripping of power supply No
Breakers observed
11 All spare MCB's are in OFF position Yes
12 check for loose contacts of conductors with Yes
MCB's
13 Check for heating of MCB,RCB,ELCB's Yes
14 check all Emergency Lighting and UPS
Yes
MCBs open/close status are as per SLD
15 No tripping or short circuit impact found in Yes
DBS
Signature of the Technician:
Signature of the Supervisor:

Executive signature
Remarks:
Asset No Asset Name Category
52 Fire Pump House Panel - C Fire

53 Fire Pump House Panel - D Fire

54 Fire Pump House Panel - E Fire

55 Fire Pump House Panel - F Fire

56 DG Set HT yard

57 DG Set HT yard

58 DG Set HT yard
221

222

223

224

225
 Goldenstar facilities
List Of Assets @ Avenues Date : 31.
Asset Code Asset Location
A Sub Cellar Pump House

A Sub Cellar Pump House

E Block Cellar

F Block Cellar

F Block Switch yard

A Block Switch yard

F Block Switch yard

cilities
Date : 31.05.2018
Asset DOC Asset Specifications Warranty
22.05.2014 Sree industries No

22.05.2014 Sree industries No

22.05.2014 Sree industries No

22.05.2014 Sree industries No

22.05.2014 Kirloskar, 250 KVA No

22.05.2014 Kirloskar, 250 KVA No

22.05.2014 Kirloskar, 250 KVA No

Qty Status Remarks
1 Working

1 Working

1 Working

1 Working

1 Working

1 Working

1 Working
 Daily Operation Re
Reports Tracker
Type of Complaints
Recd
Helpdesk Report

Plumbing complaints
A/C complaints
Electrical power
Carpentry
Breakdowns
Others
Previous day report
Description of report
Process Tracker Report

Todays Report
Description of report

Consumption report
En

previous Reading Present Reading

Description
Raising
Raising Main-1
Main-1
EB Readings 14th-B6

EB Readings 15th-B6

EB Readings 15th-B7

DG Reading 14th-B6

DG Reading 15th-B6

DG Reading 15th-B7
g
rin
 Description Power Failure Time (Hrs)

Building
Power Failure / Load
Testing

Building
Power Failure / Load
Testing

Ga
Description
Previous Consumption

Source Name Difference

Meter Name

Total consumption
KWH
Equipment Followups

BMS

Electrical

Chiller

DG

LT

Transformers

PO Work status Followup

Decsription of Work
 Daily Activities
Orion B6

Technical

ty
 ty

Follow ups

Technical

Admin

Servicing reports
Equipment
Name Details of servicing carried our

Vendor works Bills

Electricity bill/PO work details
Expected issue/Risk
Engineering

Techncian:

Plumber:

Supervisor:
 Daily Operation Report

Date:
Closed Pending Remarks

scription of report Responsibilty

scription of report Responsibilty

Energy Meter Readings

Present Reading MF Today Consumption Cummulative

Raising Main
Received Time Duration in
Diesel consumption (Ltrs)
(Hrs) (Hrs)

Gas/ Water consumption

Today Consumption

Source Name Difference

Remarks

Responsibilty
Daily Activities
Orion B7

Technical
of servicing carried our Done by

Golden star inhouse bill submitted

 Carpenter:

HVAC Technician:
Date:
Remarks

Status

Status

Cummulative
onsumption (Ltrs)

Remarks

Status
Service report
 HSD RECORD (Diesel stock)
INWARD TOTAL
OPENING Purpose of Site lead
DATE STOCK STOCK QTY Verified by HSD CONSUMPTION ( KL) TOTAL
STOCK ( KL) consumption signature
( KL) (KL)
SECURIT ENGINEE CONSUMPTION
DG-1 DG-2 DG-3 DG-4
Y R ( LTR)

Remarks If any:

Note:

(1) This format is as per GSFS Operational Procedure / Standard which states continuous monitoring & recording of Energy consumed for Energy conservation & Site Audit Purpose.
(2) All Parameters to be noted as per format without any deviation, any malfunction/abnormality noticed with the instruments should be brought to the notice of the Supervisor immediately.
 Wash Room Daily inspection checklist
Wash Room Name: Gents/Ladies Location: Month :
observati
Sno inspection parameter on 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
1 Check for any bad smell in the room No
2
Check exhuast working in gents/Ladies/PWD
Yes
wash Room
Wash basin taps working & fresh water is
3 Yes
available
4 drain water leakage from bottle traps No
5 urinal sensors working status Yes
6 check urinal flush water mechanism working Yes
7
check NO urinal basin bottle trap
Yes
leakages/scaling
check Urinal drainformed
line floor trap air vent cap
8 Yes
availability
9 check WC water flush lever is working properly Yes
10 No foul smell from WC water No
11 Seat cover hinges are tight and in good condition Yes
12 Tissue paper holder stand is in good condition Yes
13 WC basin look pale coloured / cracked No
14 Any Water leakage from WC bottom No
15 Health facet stand is in good condition Yes
16 Health facet angle cock valve freely moving Yes
17
while hands under Hand drier, it is turning on
Yes
automatic
18 heat from hand drier is optimum Yes
19 Mirrors shining are not faded/broken Yes
20 Mirrors edges are not sharp Yes
21 All ceiling tiles are in good condition Yes
22 All smoke detectors are blinking healthy-green Yes
23 Emergency lighting is available & working Yes
24 PWD panic button is working Yes
Signature of the Technician:
Signature of the Supervisor:

Remarks: Executive signature

 Equipment Weekly Check Sheet

Name of the Equipment : APFCR Panel Month & Year:

Equipment No. :
Location :

Sl.No Description 1 st Week 2 nd Week 3 rd Week 4 th Week Remarks

Date
1 Check for the Abnormal Heat of Panels & Cables
2 Ensure the Cleanliness of Panels.
3 Check for the Ammeter & Voltmeter Functioning.
4 Check visually for the Tightness of Earth Flats.
5 Check for any Abnormal Sound at Circuit Breakers.
6 Check for capacitor banks working condition
7 Check panel in Auto / Manual
8 Check for fuses condition
9 Chek the condition of controller unit
Check the condition of control wiring and power
10
cables
11 Done By
12 Checked By
.
Remarks
 PA System Daily Check Sheet

Name of the Equipment : Public Address System

Monitored By:-

Equipment No. : Frequency:- Daily

Location : Month & Year:-

S.No Description 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Visually checking of PA for any

1
damage / false alarm
Power supply to be checked for PA
2
System
Checking of the Mikes Physical
3
condition
Check the operation of display
4
screen

5 Check the Amplifier condition

6 Check for cleanliness of the panel

7 Signature of the Technician

8 Signature of the Engineer

Remarks:
 Preventive Maintenance Check Sheet

Scope:-
Name of the Equipment : Fire Alarm system Monitored By:-
Equipment No. : Frequency:- Monthly
Location : Year:-

S.No. Description Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov
Date
1 Test & visual inspection of panel functionality, LED's, fuses

2 Test panel battery charger

3 Test & visual inspection of horns and strobes

4 Test & visual inspection of smoke detectors

5 Test & visual inspection of heat detectors

6 Test & visual inspection of duct smoke detectors

7 Test & visual inspection of Electromechanical Releasing Devices (Solenoid)

8 Done By

9 Checked By

Remarks:
Dec
 Preventive Maintenance Check Sheet

Name of the Equipment : Split A/C

Equipment No. : Monitored By:-
Location : Frequency:- Monthly
Year:-

S.No. Description Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Date
1 Check for any abnormal Noise/Vibration.
2 Check the Compressor Starting & Running Current.
Check Electrical Wiring and Electrical Components
3 Condition.
Check Mounting Integrity of all Safety and Temperature
4 Controls.
5 Apply Greese to Condenser Fan & Motor Bearings.
Apply Greese to the Exposed Valve Spindles to Avoid
6 Rusting.
Clean the Surface of Condenser Coils to Remove
7 Debris.
8 Comb and Align the Fins of the Condenser Coils.
Check all Set Points of Controls,Time Delays and
Safety Devices for any Malfunction,Reset Incorrect
9 Parameters if Required.
10 Check and Retighten all Fasteners.
11 Clean the Air Filter.
12 Clean the Supply & Return air Louvers.
13 Check the Condensate Drain Pipe for Choking.

Done By

Checked By

Remarks:
 Preventive Maintenance Check Sheet

Scope:-
Name of the Equipment : Fire Extinguisher system Monitored By:-
Equipment No. : Frequency:- Monthly
Location : Year:-

S.No. Description Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Date
1 Fire extinguisher present in its designated location

Fully charged (pressure gauge indicator is in the operable range and it

2
“feels” full)

3 Shows no sign of tampering

4 Shows no sign of physical damage, leakage or clogging

5 Positioned so that instructions on name plate face the user

6 Fairly accessible, nothing is blocking access to it (visible)

7 Sign/sticker indicating location is posted

8 Inspection tags are current

9 Done By

10 Checked By

Remarks:
 Preventive Maintenance Check Sheet

Scope:-
Name of the Equipment : Sprinkler system Monitored By:-
Equipment No. : Frequency:- Monthly
Location : Year:-

S.No. Description Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Date
1 Check for sprinkler valves are in good condition

2 Check for any leakages in pipeline

3 Check for healthy condition of flexible hose reels

4 Check for sprinklers are fixed in good condition

5 Check for easy access to valves on ceiling

6 Done By

7 Checked By

Remarks:
 Emergency preparedness checklist

check Date: Month:

Technician: All parameters check:

Supervisor: Signature:
Executive: Signature:
Security SO: Signature:

Preparedness Type: □ Emergency Lighting □ Evacuation system □ FHR □ Fire Extinguisher

Emergency Lighting
Working staus
All EL are in working condition □ Yes □ No
All EL of Electrical /UPS Room □ Yes □ No
All Emergency Exit route signage lighting □ Yes □ No
All panic bar doors Exit signage lighting □ Yes □ No
All EL of common Area working □ Yes □ No
Emergency chargable spot lights condition □ Yes □ No
Evacuation system

□ Yes □ No
All Evacuation/ Exit Route Maps are in location & Updated

ERT Members list are in location & Updated □ Yes □ No

Emergency Contact List in location & Updated □ Yes □ No

Fire Fighting system [Fire Hose Rack]

Working status
FHR key glass □ Yes □ No
Condition of FHR cabinet □ Yes □ No
cabinet door opens 180deg □ Yes □ No
Any material not related to fire protection □ Yes □ No
All folds of hose correctly placed □ Yes □ No
Nozzle clip is correctly mounted □ Yes □ No
Angle hose valve freely opening □ Yes □ No
No water leakage from angle valve □ Yes □ No
No damged to Coupling/hose section □ Yes □ No
No damgae of threads on swivel&male coupling.
□ Yes □ No
Hose rack nipple is in good condition □ Yes □ No
Fire nozzle is in good condition □ Yes □ No

All Fire extinguishers pressure is as per rated □ Yes □ No

Fire Fighting system [ sprinkler& wet raiser]
Working status
Floor sprinkler Water supply valve is working in good contion and
in open □ Yes □ No
Drain line valve is in good working condition and in open
□ Yes □ No

Wet raiser valve is available & in good condition

□ Yes □ No

Dry raiser valve is available & in good condition

□ Yes □ No
Fire Alert system
Working status

No: of False Alarms recorded during the month & rectified

□ Yes □ No

No: of Fire alarm raised during the month

□ Yes □ No

RCA Raised for the fire alarm recorded in FAS panel

□ Yes □ No

All Heat detectors are indicating healthy

□ Yes □ No

Floor-All smoke detectors are indicating healthy (Above/below)

□ Yes □ No
All security controlled doors found access deactivated when
alarm raised during PM □ Yes □ No

All MCP's are found in good condition

□ Yes □ No

All doors emergency access release is working fine

□ Yes □ No

All PA speakers & Hooters sound level is finely audible when

alarm raised (PM)
□ Yes □ No

When fire alarm raised, after 120sec Hooter alarm started along
with Public Addressing Announcement.
□ Yes □ No
Other Emergency Equipment

Wheel chair availability in good condition □ Yes □ No

Stretcher availability in good condition □ Yes □ No
PWD wash rooms help alarm working □ Yes □ No
 Cafeteria Daily inspection checklist
Equipment : cafeteria/kitchen/live counter Location: Month :
observati
SN inspection parameter on 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

1 In kitchen, rodent repellents available & functioning. No

2 Kitchen air exhuast is working in good
Yes
condition
Kitchen floor is free from water/oil/food
3 Yes
spillage.
Emergency lighting is available & working in
4 No
kitchen
serviced Fire extinguisher is available in
5 Yes
kitchen
6 Heat detector is available in kitchen and
Yes
glowing healthy-green
7 Sufficient lighting is available in kitchen Yes
8 First aid box is available in kitchen. Yes
9 Kitchen has no frayed or broken electrical
Yes
chords
10 No water arround plugged sockets/Equipemnt Yes
11 RCD is available for Kitchen DB Yes
12 Kitchen DB earthing is available and in good
Yes
condition
13 Kitchen/dish wash area equipment connected
No
DB is not overloaded
14 Exhuast at food counter/live counter is working No
15 near bain marries floor trap is not
Yes
blocked/scale
Crockraoch formed
jolly is available over all drain holes
16 Yes
in cafeteria
17 Emergency lighting is available at food
Yes
counter/live counter/dinning area
18 serviced Fire extinguisher is available in
Yes
cafeteria dining area
19 All smoke detectors are blinking healthy-green
Yes
in cafeteria dining area
20 updated Emergency exit plan is available in
Yes
cafeteria
21 NO power cables of equipement is found
No
frayed or damaged.
Signature of the Technician:
Signature of the Supervisor:

Executive signature
Remarks: