Information

  • Site conducted

  • Audit number

  • Name of facility

  • Address

  • SUBURB

  • COUNCIL DIVISION

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

  • Report prepared by:

1. BACKGROUND INFORMATION

  • Link to CRC website if required
    http://www.cairns.qld.gov.au

  • Date placed in service (DPIS)

  • FAR number (s)

  • AUTHORITY number

  • GIS LOCATION (Note: zoom into actual facility by tapping map several times)
  • Is the facility tenanted ? (i.e. Being operated by someone outside of CRC)

  • Arrange access with Property Team

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

  • Is asbestos known to be present or identified in the register as 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

  • Do any asbestos bearing materials have any damage ?

  • Identify level of damage

  • DEFAULT WORKS PRIORITY: HIGH (within 1 month)

  • Are there sufficient warning stickers in place and are they in acceptable condition ?

  • DEFAULT WORKS PRIORITY: HIGH (within 1 month)

  • LEGACY INFORMATION / COMMENTS

2. AUDIT CONDITIONS

  • Date and time of audit

  • Weather at time of audit

  • EXTERNAL PHOTO OF FACILITY - taken at time of audit

3. LAND & SURROUNDS - External elements

  • NOTE: If shared with others, complete separate insp.

3.1. Roads

  • Is there a formed access road for this facility alone ?

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component: Land & Surrounds

  • Refer defect to :

  • If the road or carpark area have lines and traffic signs, is there a defect?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component: Land & Surrounds

  • Refer defect to :

  • CONDITION RATING ROADS (RUL in brackets)

3.2. Car parking

  • Is there a formed car parking area for this facility alone ?

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Land & Surrounds

  • Refer defect to :

  • CONDITION RATING CAR PARKS (RUL in brackets)

3.3. Footpaths

  • Is there a formed footpath for this facility alone?

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Land & Surrounds

  • Refer defect to :

  • CONDITION RATING of FOOTPATHS (RUL in brackets)

3.4. Fences and Gates

  • Are their fences or gates for this facility alone ?

  • Material

  • Average height (m)

  • Approx length (m)

  • Is there a defect with the fencing, gates ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Land & Surrounds

  • Refer defect to :

  • CONDITION RATING of FENCING/GATES (RUL in brackets)

3.5. Retaining Structures

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

  • Is there a defect with the retaining structure ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Land & Surrounds

  • Refer defect to :

  • CONDITION RATING of RETAINING STRUCTURE (RUL in brackets)

3.6 External Electrical

  • Does it have stand alone lighting towers to specifically illuminate this particular facility (not flood lighting which lights say a whole depot)

  • Complete a separate inspection using the lighting tower template

  • Are there any external lights or power outlets ?

  • Is there a defect with external lighting or power outlets ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Electrical

  • Refer defect to :

  • Is there an external distribution board ?

  • Is there a defect ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Electrical

  • Refer defect to :

  • CONDITION RATING of EXTERNAL LTG, POWER & DISTRIBUTION BOARDS (RUL in brackets)

3.7. External Fire & Safety Equipment

  • Are there any externally mounted fire appliances ?

  • Fire extinguishers (No.)

  • Fire hose reels (No.)

  • Are there any defects with fire equipment ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • DEFAULT WORKS PRIORITY: HIGH

  • Cost to rectify

  • Defect Component - FIXTURE & FITTINGS (Fire & Safety)

  • Refer defect to :

3.8. Trees

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Land & Surrounds

  • Refer defect to :

3.9. Ground / Surface Levels

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - Land & Surrounds

  • Refer defect to :

3.10. External - MAJOR PLANT

  • Has the facility got a stand alone external generator (Major Plant) ?

  • Has the item of generator or housing got a visible defect ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - MAJOR PLANT - Electrical, Mechanical or Hydraulic

  • Refer defect to :

  • General comments on Land and Surround elements

4. ROOF

  • Enter area of roof if a complicated structure

  • If simple structure: Length of roof (m)

  • If simple structure: Width roof (m)

4.1. Roof Covering, Gutters and Downpipes

  • ROOF COVERING (Material)

  • Is gutter guard installed ?

  • IS THERE A DEFECT WITH ROOF COVERING, GUTTER, GUTTER GAURD or DOWNPIPES ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - ROOF

  • Refer defect to :

  • CONDITION RATING of ROOF COVERING, GUTTERS & DOWNPIPES (RUL in brackets)

4.2. Fascias, Soffits, Eaves and Gables

  • ARE THERE FACIAS, SOFFITS,EAVES OR GABLES ?

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - ROOF

  • Refer defect to :

  • CONDITION RATING of FASCIAS, SOFFITS, GABLES etc.

  • ROOF AND DRAINAGE - GENERAL COMMENTS

5. ENVELOPE / STRUCTURAL COMPONENTS FOR WHOLE FACILITY

5.1. Roof Structure

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A VISIBLE DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - STRUCTURE / ENVELOPE

  • Refer defect to :

  • CONDITION RATING of ROOF STRUCTURE (RUL in brackets)

5.2. Supporting Structure / Walls

  • SUPPORTING EXTERNAL WALLS / FRAME (Material)

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A VISIBLE DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - STRUCTURE / ENVELOPE

  • Refer defect to :

  • CONDITION RATING of WALLS / FRAMES (RUL in brackets)

5.3. Floor Structure

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A VISIBLE DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - STRUCTURE / ENVELOPE

  • Refer defect to :

  • CONDITION RATING of FLOOR -not coverings (RUL in brackets)

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

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

  • STRUCTURAL COMPONENTS - GENERAL COMMENTS

5.4. External Doors, Windows etc.

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - STRUCTURE / ENVELOPE

  • Refer defect to :

  • CONDITION RATING of EXTERNAL: DOORS/LOUVRES/SCREENS/SHUTTERS (RUL in brackets)

  • External Doors & Windows - GENERAL COMMENTS

5.5. Decorative Coverings / Paint

  • Is there a defect with any decorative covering or cladding of the EXTERNAL walls, including paint condition ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - STRUCTURE / ENVELOPE

  • Refer defect to :

  • CONDITION RATING of decorative external wall fabric or finishes if applicable (RUL in brackets)

5.6. Pest Activity

  • Is there any sign of current pest activity e.g. Termites ?

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Defect Component - STRUCTURE / ENVELOPE

  • Refer defect to :

  • General comments on Structure/Envelope...

6. INTERIOR - Room by room

  • Number of rooms/spaces within this facility

  • Draw a sketch of the facility showing internal rooms. Orientate with north arrow. Number rooms from 1 to 99 to ref. against the following ...

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

  • ****** ROOM NO.
  • Provide details on room location and current use

  • Optional photo of room if it assists in explaining elements of the room or function

6.1 - FINISHES

  • If the interior walls have a painted finish, do they require a repaint relevant to the use of the facility ?

  • Area (m2)

  • ENTER WORKS PRIORITY:

  • Cost to rectify

  • Defect Component - FINISHES

  • Refer defect to :

  • Is there a defect with the interior WALL finish material, other than any paint issues ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - FINISHES

  • Refer defect to :

  • IS THERE A DEFECT WITH CEILING, other than any paint issues ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - FINISHES

  • Refer defect to :

  • FLOOR COVERING (Material) e.g. Carpet

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT WITH FLOOR COVERING ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • Area of replacement (m2)

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - FINISHES

  • Refer defect to :

  • General comments on Finishes

6.2 - FIXTURES & FITTINGS

6.2.1 - F&F - Internal DOORS and WINDOWS

  • Are there interior doors or windows ?

  • IS THERE A DEFECT WITH INTERNAL DOORS or WINDOWS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - FIXTURES & FITTINGS (General)

  • Refer defect to :

  • General comments on Internal Doors & Windows

6.2.2 - F&F - Kitchen Facilities

  • Are there kitchen facilities present ?

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

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • ENTER WORKS PRIORITY:

  • Cost to rectify

  • Defect Component - FIXTURES & FITTINGS (Kitchen)

  • Refer defect to :

  • General comments on Kitchen facilities

6.2.3 - F&F - Fire & Safety Systems

  • If fire exit signs are in place are they correct and clearly visible ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • Cost to rectify

  • Defect category - FIXTURE & FITTINGS (Fire & Safety)

  • Refer defect to :

  • Fire extinguishers (No.)

  • Fire hose reels (No.)

  • Fire blankets (No.)

  • Heat detectors or smoke alarms (No.)

  • Number of ILLUMINATED emergency exit signs

  • Are there any defects with fire equipment ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • Cost to rectify

  • Defect Component - FIXTURE & FITTINGS (Fire & Safety)

  • Refer defect to :

  • General comments on Fire & Safety

6.2.4 - F&F - Toilets & Showers

  • Is the room a toilet or shower ?

  • No. Of disabled toilets

  • No. Of male cubicles

  • No. Of female cubicles

  • No. Of urinals or troughs

  • No. Of showers

  • IS THERE A DEFECT WITH ANY TOILET or SHOWER EQUIPMENT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - FIXTURES & FITTINGS (Plumbing)

  • Refer defect to :

  • IS THERE A SEPTIC TANK ?

  • IS THERE HOT WATER AVAILABLE ?

  • PROVIDE DETAILS OF HEATING SOURCE ...

  • WHAT IS THE GENERAL CONDITION OF THE HEATER ?

  • Provide details of condition ..

  • TAKE PHOTO

  • APPROX COST TO PROVIDE REPLACEMENT HEATER or UNDERTAKE REPAIRS

  • Defect Component - FIXTURES & FITTINGS (Plumbing)

  • Refer defect to :

  • TOILETS and SHOWERS - GENERAL COMMENTS

  • IS THERE A DEFECT WITH ANY FIXTURES & FITTINGS NOT ALREADY MENTIONED?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - FIXTURES & FITTINGS (General)

  • Refer defect to :

  • General Comments on Fixtures & Fittings

  • General comments on Toilets & Showers

6.3 - MECHANICAL SERVICES

  • Are there aircon or fan units in the facility ?

  • NUMBER OF SPLIT AIRCONS

  • NUMBER OF BOX / WINDOW AIRCONS

  • Number of ceiling cassettes

  • NUMBER OF CEILING FANS

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • ENTER WORKS PRIORITY:

  • Cost to rectify

  • Defect Component - MECHANICAL

  • Refer defect to :

  • General comments - Mechanical services

6.4 - ELECTRICAL SERVICES

  • Is there power or lighting in the facility ?

  • IS THERE AN OBVIOUS DEFECT with Internal LIGHTING or POWER ?

  • ENTER DEFECT DETAILS e.g. Number of lights not working, Or defect with power outlets plus recommendation for repair.

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - ELECTRICAL

  • Refer defect to :

  • Is there a distribution board in this room ?

  • IS THERE AN OBVIOUS DEFECT with DB ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - ELECTRICAL

  • Refer defect to :

  • ARE ALL CIRCUITS PROTECTED BY RCDS ETC.?

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

  • REPORT AS HIGH PRIORITY WORKS within 1 Month

  • Cost to rectify

  • Defect Component - ELECTRICAL

  • Refer defect to :

  • REPORT AS HIGH PRIORITY WORKS within 1 Month

  • Cost to rectify

  • Defect Component - ELECTRICAL

  • Refer defect to :

  • Electrical Services - GENERAL COMMENTS

6.5. MAJOR PLANT

  • Has the room got Major Plant items such as: generators, lifts, chillers, UPS etc. ? - Note: Exclude any identified in the Land and Surrounds Section

  • MAJOR PLANT ITEMS. Press add Major Plant item to add additional plant

  • Major Plant
  • Identify plant item type

  • Provide details

  • Has the item of plant got a visible defect ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Cost to rectify

  • Defect Component - MAJOR PLANT - Electrical, Mechanical or Hydraulic

  • Refer defect to :

  • General comments on Major Plant items in this facility as a whole, in particular and life expectancy issues

7. GENERAL CONDITION RATING FOR ALL ROOMS

  • CR for all interior PAINT finishes

  • CR for all interior WALL & CEILING finishes

  • CR for all interior FLOOR COVERINGS

  • CR for all interior DOORS, Carpentry etc.

  • CR for all AIR CONDITIONING EQUIPMENT

  • CR for all interior LIGHTING and POWER EQUIPMENT

  • CR for all TOILET, SHOWER AND BATH WARE

  • CR for all FIRE & SAFETY Equipment

  • CR for all internal FIXTURES & FITTINGS (Exclude Fire & Safety equipment)

  • CR of all MAJOR PLANT - inside and outside

8. DISASTER MANAGEMENT & SERVICES OVERVIEW

  • Storm surge colour for this facility

  • Cyclone rating of facility if known

  • Disaster Facility Designation

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

  • Is there a facility to directly plug in portable generators to this facility or does it have a generator on site ?

  • Gas supplied to facility ?

  • Is it bottled or reticulated ?

9. FACILITY OVERVIEW

  • What was the actual condition score obtained ?

  • Condition Grade. RUL. SCORE RANGE
    1 - Very Good. 20+years. >210
    2 - Good 10-20 years. 170-195
    3 - Average 5-10 years. 120-150
    4 - Poor 3-5 years. 80-100
    5 - Very poor. <3 years. <70

  • What is the Condition Grade based on the score obtained ? (When between scores make determination either way)

  • Is the condition of the facility appropriate for it's required LoS ?

  • If the facility is below req. LoS provide comments here. Or use this to comment on any other issues you feel are relevant about the facility

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.