Title Page

  • Property Id No.

  • Property Name

  • Conducted on

  • Inspector & Phone No.

Site and Asset details

    Asset Details
  • Property Work Zone Number (Mandatory)

  • Street Address (Mandatory)

  • State (Mandatory)

  • Corrigo Space Name (Mandatory)

  • Asset Physical Location (Mandatory)

  • TagID (Barcode Number P00XXXX) (Mandatory)

  • Asset Type (Mandatory)

  • Asset Description (Mandatory)

  • Asset Status

  • Asset Rank (Mandatory)

  • Asset Condition (Rate 1 > 5 ) (Mandatory) 1. Poor: Reached end of serviceable life | Obsolete | Damaged beyond apparent repair and/or not operable 2. Below Average: Reaching the end of serviceable life - requires immediate corrective/reactive maintenance | Obsolescent | Showing significant damage and/or not operating as required 3. Average: Average condition and/or service – effective PPM is in place | Showing moderate damage but generally operating near specification 4. Good: Good serviceable condition and in maintainable condition | Showing signs of wear and tear but operating satisfactorily 5. Very Good: New or as new condition | Looks new and operating as required

  • Asset Safety Comments (Optional)

  • InService Date (DD/MM/YYYY) (Mandatory)

  • Asset Life (Years) (Mandatory)

  • Manufacturer (Mandatory)

  • Model (Mandatory)

  • Serial Number (Optional)

  • Power /Rating /Capacity/ Duty (Mandatory)

  • Purchase Amount (Mandatory)

  • Entity (WoAG Entity) (Mandatory)

  • Environment (Mandatory)

  • Annual Asset PM Cost ($) (Mandatory)

  • Asset photo # 1 Equipment photo showing it physical location

  • Asset photo # 2 Equipment QEM Label showing specification

  • Asset photo # 3 Equipment after Barcoding showing barcode details

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.