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MONTHLY INSPECTION CHECKLIST
 Instructions (For more information, see Excavation Safety: Excavation Buildings Maitenance Procedures)
 The excavation competent person must complete this or a comparable inspection form at least once per monthly while the excavation
 is open. This checklist can also be used to record conditions and observations at other times. A record of the monthly inspection must
 be maintained for the duration of the excavation.

BUILDING MAINTENANCE UNIT           Inspection Certification        I am an excavation competent person and I completed the
                                                                    following inspection
Operator’s name:                                                   Date of inspection:

INSTRUCTIONS: Check all items indicated. Inspect and indicate as satisfactory = Yes, Unsatisfactory = No, or write
comments

Buildings                   YES       NO          COMMENT          Economic Climate              YES       NO         COMMENT
inspection                                                         Inspection
Interior walls                                                     Command panel
Windows                                                            Supply voltage
Doors                                                              Control fans
Automatic doors                                                    Compressor
Industrial door                                                    The progress bar tempe.
Floors                                                             Gas pipes
Exterial walls                                                     Gas flow
Roof and water drops                                               Air filters
Chiller Climate         YES           NO          COMMENT          Baggage System          YES             NO         COMMENT
inspection                                                         inspecion
Commands panel                                                     Baggage straps
Compressors                                                        Electro motors
Filters                                                            Circular ribbon
AHU1 and AHU2                                                      Reducers
Bar pressure                                                       Lubrication
Valves insurer                                                     Sensors
Water pumps                                                        Veils
Fans / Radiators                                                   Mechanism of bolts
Heating System          YES           NO          COMMENT          Barriers and Perimeter YES              NO         COMMENT
inspection                                                         Fence inspection
Commands panel                                                     Perimeter fence
Drum of water                                                      Fence pillars
Brenner                                                            Fence network
Oil filter                                                         Emergency doors
AHU1 and AHU2                                                      Doors with motors
The progr. bar pressure                                            Mobility barriers
Technical rooms                                                    Mechanism of barriers
Hydraulic System        YES           NO          COMMENT          Drinksing Water Supply YES              NO         COMMENT
inspection                                                         inspection
Water distribut.network                                            Water supply network
Water valves                                                       Water pumps
Water batteries                                                    Water reservoirs
Batteries with sensor                                              Water valves
Water heater                                                       Drafts of air
Flexibile pipes                                                    Pressure indicators
Sinks and shell                                                    Wells at the station


                                                                   This list should be checked by
Operator’s signature:                                              Supervisor’s signature:

 This checklist is based on BM Procedures dated;01 2012. Use of this checklist is optional.

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Monthly cheklist inspection

  • 1. MONTHLY INSPECTION CHECKLIST Instructions (For more information, see Excavation Safety: Excavation Buildings Maitenance Procedures) The excavation competent person must complete this or a comparable inspection form at least once per monthly while the excavation is open. This checklist can also be used to record conditions and observations at other times. A record of the monthly inspection must be maintained for the duration of the excavation. BUILDING MAINTENANCE UNIT Inspection Certification I am an excavation competent person and I completed the following inspection Operator’s name: Date of inspection: INSTRUCTIONS: Check all items indicated. Inspect and indicate as satisfactory = Yes, Unsatisfactory = No, or write comments Buildings YES NO COMMENT Economic Climate YES NO COMMENT inspection Inspection Interior walls Command panel Windows Supply voltage Doors Control fans Automatic doors Compressor Industrial door The progress bar tempe. Floors Gas pipes Exterial walls Gas flow Roof and water drops Air filters Chiller Climate YES NO COMMENT Baggage System YES NO COMMENT inspection inspecion Commands panel Baggage straps Compressors Electro motors Filters Circular ribbon AHU1 and AHU2 Reducers Bar pressure Lubrication Valves insurer Sensors Water pumps Veils Fans / Radiators Mechanism of bolts Heating System YES NO COMMENT Barriers and Perimeter YES NO COMMENT inspection Fence inspection Commands panel Perimeter fence Drum of water Fence pillars Brenner Fence network Oil filter Emergency doors AHU1 and AHU2 Doors with motors The progr. bar pressure Mobility barriers Technical rooms Mechanism of barriers Hydraulic System YES NO COMMENT Drinksing Water Supply YES NO COMMENT inspection inspection Water distribut.network Water supply network Water valves Water pumps Water batteries Water reservoirs Batteries with sensor Water valves Water heater Drafts of air Flexibile pipes Pressure indicators Sinks and shell Wells at the station This list should be checked by Operator’s signature: Supervisor’s signature: This checklist is based on BM Procedures dated;01 2012. Use of this checklist is optional.