Title Page
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Conducted on
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Name of Representative completing the report
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Location
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Have you signed in at the Entry and met with the Manager on Duty to inform them of the visit and time you will be at site
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Manager Name and Title
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If at any stage you get stuck using this report or have any questions throughout please call *
Pre Inspection Notes
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<br>Have safe work practices been adopted for the visit & at all times in accordance with Australian standards and in alignment with * SWMS & * JSERA
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Are you wearing all required PPE; Safety Vest, Fully Enclosed Works Boots, and have access to a hard hat if required by *
1st Elevation & Orientation
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1st Elevation Viewed
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This Elevation is;
- Front Elevation (Entrance)
- Rear Elevation
- Right Elevation (when facing front of building, this elevation is right)
- Left Elevation (When facing front of building this elevation is left)
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This substrate is;
- Colorbond / Precoated Steel
- Painted Colorbond / Precoated Steel
- Painted Concrete / Tilt Up
- Glazing / Glass
- Other
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Please list the substrate
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Colour Comparison (take photo of colour A4 against current substrate/coating if possible)
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Is there any concerns with the current colour of the coating;
- High level of Fading / Chalking
- Orientation of Elevation for future fade
- Colour different from A4
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Are there any concerns with access to for this elevation;
- Road Access (permit)
- May not fit scissor lift or boom
- May require canopy removal (i.e Shade sails)
- Requires Additional consideration
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Please List any concerns with the current coating noticed during inspection;
- Effloresence
- Flaking/Peeling Paint/Cracking
- Major Paint Fade / Chalking
- Water damage
- Other
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Take photo of areas of concern selected above
2nd Elevation and Orientation
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2nd Elevation Viewed
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This Elevation is;
- Front Elevation (Entrance)
- Rear Elevation
- Right Elevation (when facing front of building, this elevation is right)
- Left Elevation (When facing front of building this elevation is left)
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This substrate is;
- Colorbond / Precoated Steel
- Painted Colorbond / Precoated Steel
- Painted Concrete / Tilt Up
- Glazing / Glass
- Other
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Please list the substrate
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Colour Comparison (take photo of colour A4 against current substrate/coating if possible)
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Is there any concerns with the current colour of the coating;
- High level of Fading / Chalking
- Orientation of Elevation for future fade
- Colour different from A4
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Are there any concerns with access to for this elevation;
- Road Access (permit)
- May not fit scissor lift or boom
- May require canopy removal (i.e Shade sails)
- Requires Additional consideration
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Please List any concerns with the current coating noticed during inspection;
- Effloresence
- Flaking/Peeling Paint/Cracking
- Major Paint Fade / Chalking
- Water damage
- Other
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Take photo of areas of concern selected above
3rd Elevation & Orientation
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3rd Elevation Viewed
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This Elevation is;
- Front Elevation (Entrance)
- Rear Elevation
- Right Elevation (when facing front of building, this elevation is right)
- Left Elevation (When facing front of building this elevation is left)
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This substrate is;
- Colorbond / Precoated Steel
- Painted Colorbond / Precoated Steel
- Painted Concrete / Tilt Up
- Glazing / Glass
- Other
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Please list the substrate
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Colour Comparison (take photo of colour A4 against current substrate/coating if possible)
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Is there any concerns with the current colour of the coating;
- High level of Fading / Chalking
- Orientation of Elevation for future fade
- Colour different from A4
-
Are there any concerns with access to for this elevation;
- Road Access (permit)
- May not fit scissor lift or boom
- May require canopy removal (i.e Shade sails)
- Requires Additional consideration
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Please List any concerns with the current coating noticed during inspection;
- Effloresence
- Flaking/Peeling Paint/Cracking
- Major Paint Fade / Chalking
- Water damage
- Other
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Take photo of areas of concern selected above
4th Elevation & Orientation
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4th Elevation Viewed
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This Elevation is;
- Front Elevation (Entrance)
- Rear Elevation
- Right Elevation (when facing front of building, this elevation is right)
- Left Elevation (When facing front of building this elevation is left)
-
This substrate is;
- Colorbond / Precoated Steel
- Painted Colorbond / Precoated Steel
- Painted Concrete / Tilt Up
- Glazing / Glass
- Other
-
Please list the substrate
-
Colour Comparison (take photo of colour A4 against current substrate/coating if possible)
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Is there any concerns with the current colour of the coating;
- High level of Fading / Chalking
- Orientation of Elevation for future fade
- Colour different from A4
-
Are there any concerns with access to for this elevation;
- Road Access (permit)
- May not fit scissor lift or boom
- May require canopy removal (i.e Shade sails)
- Requires Additional consideration
-
Please List any concerns with the current coating noticed during inspection;
- Effloresence
- Flaking/Peeling Paint/Cracking
- Major Paint Fade / Chalking
- Water damage
- Other
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Take photo of areas of concern selected above
Completion
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Please call *
