The document is a daily inspection checklist for building maintenance at an excavation site. It includes instructions to complete the form once per day and maintain records. The form collects information on the inspection location, purpose, and competent person. It lists various building systems and components to check such as doors, windows, climate systems, hydraulic systems, baggage systems, fences, and water supply. The inspector marks each item as N/A, OK, or provides comments. The supervisor must sign off on the completed checklist.

1. Daily Inspection Checklist
Date Published: 2012 | Date Effective: 2012
BUILDING MAINTENANCE
Instructions (For more information, see Excavation Safety: Excavation Buildings Maitenance Procedures) Inspectipn
The excavation competent person must complete this or a comparable inspection form at least once per day while the number
excavation is open. This checklist can also be used to record conditions and observations at other times. A record of the
daily inspection must be maintained for the duration of the excavation.
Inspection location: XXXXXXXXXXXX
Inspection Certification
I am an excavation competent person and I completed the following inspection Inspection purpose:
on (date) at (time) Daily required inspection prior to beginning
Name/Surname: Signature: Routine inspection during work
My role for this excavation is that the maintenance of buildings to be in good After rainstorm
condition
After a hazardous condition (describe)
Current Conditions
BUILDINGS N/A OK Description or Comments
Doors, windows
automatic doors, industrial doors
CHILLER CLIMATET
Command panel, compressor, presure
AHU1,AHU2, fans
HEATING SYSTEM
Commands panel, brenner, whoter bar pressure
AHU1,AHU2, tecnican rooms
HYDRAULIC SYSTEM
Water batteries, batteries with sensor
water pipes, sniks, shells
ECONOMIC CLIMATE
Command panel, supply voltage, compressor
Gas pipes, fans, temperature
BAGGAGE SYSTEM
Motors, circular ribbon, baggage straps, sensor, veils
BARRIERS AND PERIMETER FENCE
Fence, motor doors, mobility barriers
DRINKING WATER SUPPLY
Water pumps, reservoirs, pressure
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2. This list should be checked by: Supervisor’s signature _____________
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