Asset Condition Assessment Report

• Client Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Location

• Location

• Steel Wire Ropes "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Chains "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Turnbuckles "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• D or Bow Shackles "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• U Bolt Clamps "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Anchor Trench Cables & Fixings "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Concrete Anchor Block and Embedded Steelwork "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Wire Rope Eyelet Crimps "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Galvanised Paint Coatings on Steel Components etc "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Suspension Posts including top attachment points "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• Centre Connection Points "SCORE"

  Select 1: Excellent 2: Good 3: Average 4: Poor 5: Unservicable N/A

  • 1: Excellent
  • 2: Good
  • 3: Average
  • 4: Poor
  • 5: Unservicable
  • N/A

• General Notes on this location

• Comments

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• Signed by assessor

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