Monthly Maintenance Checklist for

Electrical, plumbing and A/c

WMA SITE OFFICE AND WELFARE FACILITY
FACILITIES
DATE

INSPECTOR

SIGN

This form is a reminder of general areas and items to be inspected. Check each item acceptable or not acceptable. All not acceptable items shall include the location, the date
corrected on-site, the person making the correction.

Electrical
Area to be Inspected
Interior Electrical
Switches and cover plates
Lights and Light fixtures
Smoke detectors
Exposed wiring
Unapproved wiring practices
Inside DBs
Exterior Electrical
Exterior lighting
Power connections to
portacabins.
Exposed wiring

Plumbing
Interior Plumbing
Toilets
Hand wash basins
Sinks/fixtures
Drains
Showers & fixtures
Exterior Plumbing
Drains (cleared and open)
Sewage connections
Inlet water connections

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Acceptable

Not Acceptable

Location(s) Room/Area

Corrected on Site By

Sign and Date

Monthly Maintenance Checklist for

Electrical, plumbing and A/c
WMA SITE OFFICE AND WELFARE FACILITY
FACILITIES
A/c Units
Indoor units
Power connections
Temperature and cooling
Outdoor unit
Copper tubing
Drains
Refrigerant

COMMENTS: