BFM Audit for a Non-Complex Facility

• Audit number

• Name of facility

• Address

• SUBURB

  Select AEROGLEN ALOOMBA BABINDA BARRON BARRON GORGE BARTLE FRERE BAYVIEW HEIGHTS BELLENDEN KER BENTLEY PARK BRAMSTON BEACH BRINSMEAD BUNGALOW CAIRNS CITY CAIRNS NORTH CARAVONICA CLIFTON BEACH DEERAL EAST RUSSELL EDGE HILL EDMONTON ELLIS BEACH EUBENANGEE FISHERY FALLS FITZROY ISLAND FRESHWATER GLEN BOUGHTON GOLDSBOROUGH GORDONVALE GREEN HILL HOLLOWAYS BEACH KAMERUNGA KANIMBLA KEWARRA BEACH LAMBS RANGE LITTLE MULGRAVE MACALISTER RANGE MACHANS BEACH MANOORA MANUNDA MIRRIWINNI MOOROOBOOL MOUNT PETER MOUNT SHERIDAN NGATJAN PACKERS CAMP PALM COVE PARRAMATTA PARK PORTSMITH REDLYNCH SMITHFIELD STRATFORD TRINITY BEACH TRINITY PARK WAUGH POCKET WESTCOURT WHITEROCK WHITFIELD WOOPEN CREEK WOOROONOORAN WOREE WRIGHTS CREEK YORKEYS KNOB

  • AEROGLEN
  • ALOOMBA
  • BABINDA
  • BARRON
  • BARRON GORGE
  • BARTLE FRERE
  • BAYVIEW HEIGHTS
  • BELLENDEN KER
  • BENTLEY PARK
  • BRAMSTON BEACH
  • BRINSMEAD
  • BUNGALOW
  • CAIRNS CITY
  • CAIRNS NORTH
  • CARAVONICA
  • CLIFTON BEACH
  • DEERAL
  • EAST RUSSELL
  • EDGE HILL
  • EDMONTON
  • ELLIS BEACH
  • EUBENANGEE
  • FISHERY FALLS
  • FITZROY ISLAND
  • FRESHWATER
  • GLEN BOUGHTON
  • GOLDSBOROUGH
  • GORDONVALE
  • GREEN HILL
  • HOLLOWAYS BEACH
  • KAMERUNGA
  • KANIMBLA
  • KEWARRA BEACH
  • LAMBS RANGE
  • LITTLE MULGRAVE
  • MACALISTER RANGE
  • MACHANS BEACH
  • MANOORA
  • MANUNDA
  • MIRRIWINNI
  • MOOROOBOOL
  • MOUNT PETER
  • MOUNT SHERIDAN
  • NGATJAN
  • PACKERS CAMP
  • PALM COVE
  • PARRAMATTA PARK
  • PORTSMITH
  • REDLYNCH
  • SMITHFIELD
  • STRATFORD
  • TRINITY BEACH
  • TRINITY PARK
  • WAUGH POCKET
  • WESTCOURT
  • WHITEROCK
  • WHITFIELD
  • WOOPEN CREEK
  • WOOROONOORAN
  • WOREE
  • WRIGHTS CREEK
  • YORKEYS KNOB

• COUNCIL DIVISION

• GIS reference
  Address

• Name of client representative during the audit ( if applicable )

• Report prepared by:

BACKGROUND INFORMATION

• FAR number

• AUTHORITY number

• Date placed in service

  Date

• KEY HOLDER DETAILS :

• Is asbestos known to be present ? Note: Do not rely on warning stickers to be present. If in doubt, DO NOT go into ceiling cavities or remove cladding. Check councils asbestos register dm5#3608856

  YES

  NO

  UNKNOWN

• Input ID number in Council's asbestos register dm5#3608856

• Are there warning stickers in place ?

  YES

  NO

• Raise as high priority defect

• High priority defect

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• LEGACY INFORMATION / COMMENTS

LAND & SURROUNDS - External elements

• Date and time of audit

  Date

• Weather conditions at time of audit

• EXTERNAL PHOTO (S) OF FACILITY - taken at time of audit

  Media

• Note : External elements that are shared with other facilities on the site need to be captured separately and must not be associated with individual assets e.g. Communal car parking areas etc.

• Are external elements shared with other facilities on the site ?

  YES

  NO

• Is there a formed access road ?

  YES

  NO

• IS THERE A DEFECT ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF ROADS (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF ROADS IS APPROXIMATELY (years)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Is there a formed car parking area ?

  YES

  NO

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF CAR PARK (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF CAR PARKING AREA IS APPROXIMATELY (years)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Is there a formed footpath ?

  YES

  NO

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF FOOTPATHS (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF FOOTPATHS IS APPROXIMATELY (years)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Does facility have fencing or gates ?

  YES

  NO

• Is there a defect with the fencing, gates ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF FENCES or GATES ? (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF FENCES & GATES IS APPROXIMATELY

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Are there any retaining structures on the site which relate to protecting this building ?

  YES

  NO

• Is there a defect with the retaining structure ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF RETAINING STRUCTURES ? (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF RETAINING STRUCTURES IS APPROXIMATELY

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Does it have stand alone lighting towers to illuminate the land and building ?

  YES

  NO

• Is there a defect with lighting towers ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF LIGHTING TOWERS ? (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF LIGHTING TOWERS IS APPROXIMATELY

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Are there any external lights attached to the building ?

  YES

  NO

• Is there a defect with external lighting ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF EXTERNAL LIGHTS ? (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF EXTERNAL LIGHTING IS APPROXIMATELY

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Are there any trees nearby that are touching the facility or are likely to cause damage if left unchanged ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• Is there any bridging of the d.p.c. Or is the exterior surface level above vulnerable exterior finishes or slab level ?

  YES

  NO

  UNKNOWN

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• General comments on EXTERNAL elements

STRUCTURAL COMPONENTS FOR WHOLE FACILITY

• ROOF STRUCTURE (Material) - (NOT roof covering - e.g. timber trusses)

  Select TIMBER TRUSSES CONCRETE BEAMS COMPOSITE METAL MASONARY OTHER UNKNOWN

  • TIMBER TRUSSES
  • CONCRETE BEAMS
  • COMPOSITE
  • METAL
  • MASONARY
  • OTHER
  • UNKNOWN

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A VISIBLE DEFECT ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF ROOF STRUCTURE (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF ROOF STRUCTURE (E.G. TRUSSES) IS APPROXIMATELY

  Select RUL bulding structure if ave or less 10 - 20+ YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20+ YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• WALLS / FRAME (Material) - (NOT FINISHES - e.g. Steel Frame)

  Select CLAY BRICK TIMBER COMPOSITE POLYCARBONATE OTHER UNKNOWN CONCRETE BLOCK METAL CONCRETE PANEL

  • CLAY BRICK
  • TIMBER
  • COMPOSITE
  • POLYCARBONATE
  • OTHER
  • UNKNOWN
  • CONCRETE BLOCK
  • METAL
  • CONCRETE PANEL

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A VISIBLE DEFECT ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF WALLS / FRAME (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF WALL FRAME (E.G. BLOCKWORK) IS APPROXIMATELY

  Select RUL bulding structure if ave or less 10 - 20+ YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20+ YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• FLOOR (Material) - (NOT COVERINGS e.g. reinforced concrete)

  Select REINFORCED CONCRETE TIMBER - SOLID PLY BOARD COMPRESSED FIBRES STONE NATURAL SURFACE BRICK UNKNOWN OTHER

  • REINFORCED CONCRETE
  • TIMBER - SOLID
  • PLY BOARD
  • COMPRESSED FIBRES
  • STONE
  • NATURAL SURFACE
  • BRICK
  • UNKNOWN
  • OTHER

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A VISIBLE DEFECT ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF FLOORS - not coverings (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF FLOOR (E.G. SLAB) IS APPROXIMATELY

  Select RUL bulding structure if ave or less 10 - 20+ YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20+ YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• IS IT POSSIBLE TO SEE THE FOOTINGS / STUMPS THAT FORM PART OF THE FOUNDATION ?

  YES

  NO

• FOUNDATION (Material) - (NOT COVERINGS e.g. timber stumps)

  Select CONC SLAB ON GROUND CONCRETE PILES/FOOTINGS WOODEN PILES/SUPPORTS OTHER UNKNOWN

  • CONC SLAB ON GROUND
  • CONCRETE PILES/FOOTINGS
  • WOODEN PILES/SUPPORTS
  • OTHER
  • UNKNOWN

• PROVIDE DETAILS OF MATERIAL

• IS THERE A VISIBLE DEFECT ?

  YES

  NO

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE ANY STRUCTURALLY SIGNIFICANT CRACKS, DEFORMATIONS IN THE FLOOR THAT WOULD INDICATE A FAILURE IN THE FLOOR / FOUNDATIONS ?

  YES

  NO

• PROVIDE DETAILS OF THE DEFECT TO ASSIST IN FOLLOW UP INSPECTION ...

• CONDITION RATING OF FOUNDATION (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF FOUNDATION (E.G. STUMPS / PILES) IF VISIBLE

  Select RUL bulding structure if ave or less 10 - 20+ YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20+ YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Is there any evidence of current/active pest infestation e.g. Termites ?

  No activity

  Minor activity

  Major activity

• Provide details of the infestation and potential works required

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• STRUCTURAL COMPONENTS - GENERAL COMMENTS

ROOF COVERING & DRAINAGE FOR WHOLE FACILITY

• Roof length (m)

• Roof width (m)

• ROOF COVERING (Material)

  Select ZINC ALUM COLOURBOND PVC CONCRETE TILES STAINLESS STEEL CHAINS UNKNOWN OTHER CLAY TILES REINFORCED CONCRETE COMP FIBRE WITH COVERING POLYCARBONATE Not applicable

  • ZINC ALUM
  • COLOURBOND
  • PVC
  • CONCRETE TILES
  • STAINLESS STEEL
  • CHAINS
  • UNKNOWN
  • OTHER
  • CLAY TILES
  • REINFORCED CONCRETE
  • COMP FIBRE WITH COVERING
  • POLYCARBONATE
  • Not applicable

• PROVIDE DETAILS OF MATERIAL

• IS THERE A DEFECT ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE GUTTERS ?

  YES

  NO

• Is gutter guard installed ?

• IS THERE A DEFECT WITH GUTTER or GUTTER GAURD ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF GUTTERS (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF GUTTERS IS APPROXIMATELY

  Select 5 years MAX 2 - 5 years less than 2 years facility is potentially dangerous

  • 5 years MAX
  • 2 - 5 years
  • less than 2 years
  • facility is potentially dangerous

• ARE THERE DOWNPIPES ?

  YES

  NO

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF DOWNPIPES (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF DOWN PIPES IS APPROXIMATELY

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• ROOF AND DRAINAGE - GENERAL COMMENTS - also include any info on roof screw condition

EXTERNAL FIXTURES, FITTINGS & FINISHES FOR WHOLE FACILITY

• BUILDING EXTERNAL Wall Finishes (Material) e.g. painted render

  Select BLOCKS/BRICKS - UNPAINTED BLOCKS/BRICKS - PAINTED BLOCKS - RENDERED - UNPAINTED BLOCKS - RENDERED - PAINTED TIMBER CLAD - UNPAINTED TIMBER CLAD - PAINTED METAL COVERED COMPOSITE FIBRO UNKNOWN OTHER

  • BLOCKS/BRICKS - UNPAINTED
  • BLOCKS/BRICKS - PAINTED
  • BLOCKS - RENDERED - UNPAINTED
  • BLOCKS - RENDERED - PAINTED
  • TIMBER CLAD - UNPAINTED
  • TIMBER CLAD - PAINTED
  • METAL COVERED
  • COMPOSITE
  • FIBRO
  • UNKNOWN
  • OTHER

• PROVIDE DETAILS OF MATERIAL

• If the exterior walls have a painted finish, condition is ...

  Good

  Ave

  Poor

  V. Poor

  N/a

• Total Length of walls

• Height of wall

• APPROX COST TO REPAINT ($)

• Remaining Useful Life of Painted surfaces (YEARS)

  Select 1-2 Years 2-4 Years

  • 1-2 Years
  • 2-4 Years

• Is there a defect with the fabric of the wall (not paint condition) ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• Condition rating of External Wall finishes: (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of External finishes (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Are doors or windows security screened ?

• IS THERE A DEFECT WITH EXTERNAL DOORS, LOUVRES, WINDOWS, SCREENS, SHUTTERS OR BARS ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• Condition rating of Windows, doors, screens & Louvres (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of doors, windows, louvres and screens (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Comments on external finishes, doors, windows etc.

- INTERIOR ELEMENTS - Room by room

• Rooms (press 'add room' button to add more rooms)

Room

• Provide details on room location and current use

• Draw a sketch of the room in relation to the facility

  Drawing

• Optional photo of room

  Media

Fittings and finishes

• If the interior walls have a painted finish, condition is ...

  Good

  Ave

  Poor

  V. Poor

  N/a

• Length of room

• Width of room

• Height of ceiling

• APPROX COST TO REPAINT ($)

• Remaining Useful Life of Painted surfaces (YEARS)

  Select 1-2 Years 2-4 Years

  • 1-2 Years
  • 2-4 Years

• Is there a defect with the wall finishes ( excluding painting ) ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• IS THERE A DEFECT WITH CEILING ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• FLOOR COVERING (Material) e.g. finished concrete

  Select FINISHED CONCRETE TILED CARPET LINO FLOATING TIMBER RUBBER PAINTED CONCRETE STONES NONE - NATURAL UNKNOWN OTHER

  • FINISHED CONCRETE
  • TILED
  • CARPET
  • LINO
  • FLOATING TIMBER
  • RUBBER
  • PAINTED CONCRETE
  • STONES
  • NONE - NATURAL
  • UNKNOWN
  • OTHER

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT WITH FLOOR COVERING ?

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• If defect requires the replacement of the floor covering e.g. Carpet, identify approximate area that is require (m2)

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• Remaining Useful Life of Floor covering (YEARS)

  Select 1-2 Years 2-4 Years

  • 1-2 Years
  • 2-4 Years

• IS THERE A DEFECT WITH INTERNAL DOORS ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• Condition rating of INTERNAL finishes : Walls, Ceilings, Floors, internal doors (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Condition rating of Walls (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of Walls (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Condition rating of Ceilings (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of Ceilings (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Condition rating of Floor coverings (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of Floor coverings (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Condition rating of Internal doors (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of Internal doors (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Are there kitchen facilities present ?

  YES

  NO

• Provide details of fixed appliances, sinks, benches etc.

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• Condition rating of Kitchen (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of Kitchen (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

- MECHANICAL SERVICES - room by room

• NUMBER OF CEILING FANS

• NUMBER OF EXHAUST FANS

• NUMBER OF SPLIT AIRCONS

• NUMBER OF BOX / WINDOW AIRCONS

• NUMBER OF EXTRACT FANS

• IS THERE A DEFECT WITH ANY MECHANICAL EQUIPMENT (exclude any major plant items which follow below..)

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• Are there any items of MECHANICAL Major plant such as very large fans, compressors etc.

  YES

  NO

• Provide details of plant: serial numbers, size etc.

• IS THERE AN OBVIOUS DEFECT ?

  YES

  NO

  UNKNOWN

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF MECHANICAL SERVICES and Major plant (NOTE: 'EXCELLENT' or 'AVERAGE' assumed 10+ years RUL)

  Select GOOD AVERAGE POOR - NEEDS WORK Needs further investigation

  • GOOD
  • AVERAGE
  • POOR - NEEDS WORK
  • Needs further investigation

• REMAINING USEFUL LIFE OF EQUIMENT IS...

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

- FIRE & SAFETY SYSTEMS - room by room

• Are fire exit signs in place and clearly visible ?

  Yes

  No

  Not applicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• APPROX COST TO RECTIFY DEFECT ($)

• Fire extinguishers (No.)

• Fire blankets (No.)

• Fire hose reels (No.)

• Are there any defects with extinguishers , blankets or hoses ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• APPROX COST TO RECTIFY DEFECT ($)

• Are there any heat / smoke detectors present ?

  YES

  NO

• If possible, test detectors to ensure operating as designed

• Are they working properly ?

  Yes

  No

  Unable to test

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• APPROX COST TO RECTIFY DEFECT ($)

• Provide details

• Condition rating of Fire appliances and systems (NOTE: 'EXCELLENT' or 'GOOD' assumed 5+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Remaining Useful Life of Fire services equipment (YEARS)

  Select 5 years MAX 2 - 5 years less than 2 years facility is potentially dangerous

  • 5 years MAX
  • 2 - 5 years
  • less than 2 years
  • facility is potentially dangerous

• General comments on fire services equipment

- ELECTRICAL SERVICES - room by room

• NUMBER OF INTERNAL LIGHTS

• Is there a distribution board in this room ?

  YES

  NO

• CONDITION OF THE DISTRIBUTION BOARD CABINET AND CONDUITS

  Select GOOD AVERAGE POOR - NEEDS WORK Needs further investigation

  • GOOD
  • AVERAGE
  • POOR - NEEDS WORK
  • Needs further investigation

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• ARE ALL CIRCUITS PROTECTED BY RCDS ETC.?

  Yes

  No

  Not applicable

• HAS THE RCD BEEN TESTED WITHIN THE LAST 12 MONTHS ?

  Yes

  No

  Not applicable

• REPORT AS HIGH PRIORITY WORKS:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• REPORT AS HIGH PRIORITY WORKS:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• APPROX COST TO RECTIFY DEFECT ($)

• Has facility got emergency power (generators or UPS) or large items of electrical Major plant ?

  YES

  NO

• Provide details of plant: location within facility, if it is under cover, serial numbers, output etc.

• IS THERE AN OBVIOUS DEFECT ?

  YES

  NO

  UNKNOWN

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• General comments on Major Plant item ..

• IS THERE A DEFECT WITH ANY ELECTRICAL SUPPLY OR EQUIPMENT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• CONDITION RATING OF ELECTRICAL SERVICES (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL

  Select GOOD AVERAGE POOR - NEEDS WORK Needs further investigation

  • GOOD
  • AVERAGE
  • POOR - NEEDS WORK
  • Needs further investigation

• PROVIDE DETAILS OF THE ASSET

• REMAINING USEFUL LIFE OF ASSET

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• Electrical Services - GENERAL COMMENTS

- TOILETS & SHOWERS

• Is the room a toilet or shower ?

  YES

  NO

• ARE DISABLED TOILETS PRESENT ?

  YES

  NO

• NUMBER OF DISABLED TOILETS

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• DOES THE FACILITY MEET CURRENT DAY ACCESS REQUIREMENTS ?

  YES

  NO

  UNKNOWN

• PROVIDE DETAILS OF WHAT IS REQUIRED TO BRING UP TO CURRENT STANDARD INCLUDING EXTERNAL ACCESS

• TAKE PHOTO

  Media

• APPROX COST TO MAKE UP TO TODAYS STANDARDS ($)

• IS THERE A DEFECT WITH EXISTING DISABLED FACILITIES ? (EXCLUDE ANY UPGRADES REQ.)

  YES

  NO

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF FEMALE CUBICLES

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF MALE CUBICLES

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE URINALS PRESENT ?

  YES

  NO

• NO. OF URINALS

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• IS THERE A TROUGH PRESENT ?

  YES

  NO

• NO. OF PEOPLE IT CAN ACCOMMODATE

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF UNISEX CUBICLES

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• IS THERE A SEPTIC TANK ?

  YES

  NO

  UNKNOWN

• IS IT A BIO SYSTEM?

  YES

  NO

• CONDITION RATING OF SANITARY WARE (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Provide details of poor condition asset ...

• REMAINING USEFUL LIFE (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• IS THERE HOT WATER AVAILABLE ?

  YES

  NO

• PROVIDE DETAILS OF HEATING SOURCE ...

• WHAT IS THE GENERAL CONDITION OF THE HEATER ?

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Provide details of poor condition asset ...

• TAKE PHOTO

  Media

• APPROX COST TO PROVIDE REPLACEMENT HEATER or UNDERTAKE REPAIRS

• IS THERE A DEFECT IN THE HOT WATER SYSTEM ?

  YES

  NO

  UNKNOWN

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE SHOWERS PRESENT ?

  YES

  NO

• NUMBER OF SHOWERS

• IS THERE A DEFECT WITH THE SHOWERS ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF HAND BASINS

• IS THERE A DEFECT WITH THE BASINS or TAPS ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select IMMEDIATE HIGH - WITHIN 1 MONTH MEDIUM - 3 - 6 MONTHS MED/LOW - WITHIN 1 YR LOW - 2 -3 YRS LOW - WITHIN 5 YEARS LOW - 10+ YRS Follow up insp. required

  • IMMEDIATE
  • HIGH - WITHIN 1 MONTH
  • MEDIUM - 3 - 6 MONTHS
  • MED/LOW - WITHIN 1 YR
  • LOW - 2 -3 YRS
  • LOW - WITHIN 5 YEARS
  • LOW - 10+ YRS
  • Follow up insp. required

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING SHOWERS, BASINS, PLUMBING & TAPS - (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• Enter details of the defective asset

• REMAINING USEFUL LIFE (YEARS)

  Select 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• TOILETS and SHOWERS - GENERAL COMMENTS

DISASTER MANAGEMENT OVERVIEW

• Storm surge colour for this facility

  Select RED ORANGE YELLOW Not applicable Unknown

  • RED
  • ORANGE
  • YELLOW
  • Not applicable
  • Unknown

• Cylone rating of facility if known

  Select 1 2 3 4 5 unknown

  • 1
  • 2
  • 3
  • 4
  • 5
  • unknown

• Disaster Facility Designation

  Select Major SES facility Minor SES facility Evacuation Centre Disaster Coord Centre Not classified unknown

  • Major SES facility
  • Minor SES facility
  • Evacuation Centre
  • Disaster Coord Centre
  • Not classified
  • unknown

• Is there space to land a helicopter nearby ? i.e. greater than 40m radius clear space

• Facility to directly plug in portable generators ?

FACILITY OVERVIEW

• Electricity supply ?

• Gas supplied to facility ?

  YES

  NO

• Is it bottled or reticulated ?

  Bottled

  Reticulated

• Cold water supply ?

• Hot water supply ?

• Toilet Facilities ?

• Shower facilities ?

• Air conditioning ?

• Ability to be accessed by disabled

  Select None Partial access Full access

  • None
  • Partial access
  • Full access

• CONDITION RATING OF FACILITY AS A WHOLE

  Select Not applicable EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• RUL OF FACILITY AS A WHOLE

  Select RUL = 20+ YEARS 10 - 20 YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL = 20+ YEARS
  • 10 - 20 YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• GENERAL COMMENTS AS A WHOLE

• IF ANY COMPONENT OF THIS FACILITY HAS AN R.U.L. OF 2 YEARS OR LESS, OR REQUIRES REFERRAL OR FURTHER INSPECTION, IDENTIFY BY CHECKING THIS BOX AND ENSURE DETAILS PROVIDED SOMEWHERE IN THIS AUDIT