Information

FACILITY LOCATION

  • Street address

  • Name of facility

  • SUBURB

  • COUNCIL DIVISION

  • Name of accompanying client officer ( if applicable)

  • Report prepared by:

  • Date and time of audit

  • Weather conditions at time of audit

BACKGROUND INFORMATION

  • Fixed Asset Register number

  • Authority number

  • GIS location
  • Photo of facility (at date of audit)

  • Asset owner

  • Tenure type

  • Tenant type

  • Lease commencement date

  • Lease expiry date

  • Revenue account number

  • Key holder details..

  • Legacy documents ...

  • Date placed in service

  • Is it Heritage listed ?

  • Required level of service

EXTERNAL ELEMENTS -

  • Are external elements shared by other facilities on the site e.g. Communal car parking etc?

  • If data has not already been collected for the site, collect it now, taking into account the whole site, not just the area around the audited building itself

- External Access

  • Access Road (Material)

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Access road area (m2)

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

  • REMAINING USEFUL LIFE OF ROADS IS APPROXIMATELY (years)

  • Car park (Material)

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Car parking area (m2)

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

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

  • Footpath (Material)

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Footpath length (m)

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

  • REMAINING USEFUL LIFE OF FOOTPATHS IS APPROXIMATELY (years)

  • Is there any decking ?

  • Decking (Material)

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Decking area (m2)

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

  • REMAINING USEFUL LIFE OF DECKING IS APPROXIMATELY (years)

  • General comments on external access arrangements

- External Drainage

  • Kerb & channel length (m)

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF K&C IS APPROXIMATELY (years)

  • Number of drainage pits

  • If drainage pits exist, are they clear of debris ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • Are there any storm water gross pollutant traps on site ?

  • Are they free of debris ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

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

  • REMAINING USEFUL LIFE OF DRAINAGE IS APPROXIMATELY (years)

  • General comments on external drainage

- External Structures and Fencing

  • Stand alone structures or memorials - describe

  • Does facility have fencing or gates ?

  • Fencing / gate (Material)

  • PROVIDE DETAILS OF MATERIAL ..

  • Length of fencing

  • Height of fencing (0 if not applicable)

  • No. of lockable gates (0 if not applicable)

  • Is there a defect with the fencing, gates ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF FENCES & GATES IS APPROXIMATELY (years)

  • Are there any retaining structures on the site ?

  • Length of retaining structures

  • Provide details of height and material

  • Is there a defect with the retaining structure ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF RETAINING STRUCTURES IS APPROXIMATELY (years)

  • Provide details of any seating or amenity features

  • Is there a defect with any amenity features ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF AMENITY FEATURES IS APPROXIMATELY (years)

  • General comments on external structures and fences

- Landscaping

  • Provide brief details of landscaping ... E.g. Mainly grass - we'll maintained etc.

  • Soft landscape area (m2)

  • Condition of landscaped area

  • Is there an irrigation system ?

  • Are there any trees / shrubs that are impacting on the structure ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • General comments on landscaping

- External Lighting & Power

  • Are there any external lights attached to the building ?

  • NUMBER OF EXTERNAL LIGHTS

  • Identify type

  • Is there a defect with external lighting ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Number of solar panels ( if any)

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

- Lighting towers

  • Number of towers at location

  • What is the tower lighting ? E.g. Car park etc.

  • Main supporting structure (Material) - (NOT FINISHES - e.g. Steel Frame)

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A VISIBLE DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Required lux

  • Actual lux

  • Approx height of tower (m)

  • Description of any special access requirements

  • Footing details if known

  • Tower construction material

  • Location of control gear

  • Main power board - last test date

  • ARE ALL CIRCUITS PROTECTED BY RCDS ETC.?

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

  • REPORT AS HIGH PRIORITY WORKS:

  • REPORT AS HIGH PRIORITY WORKS:

  • APPROX COST TO RECTIFY DEFECT ($)

  • Number of luminaries on each tower

  • Lamp type

  • PROVIDE DETAILS OF LAMP ...

  • Lamp wattage or lumens output is ... (Identify unit of measure)

  • Lamp fitting type

  • Colour range or Kelvin

  • Is there a defect with lighting towers ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF STRUCTURE IS APPROXIMATELY

  • CONDITION RATING OF clipped cables and conduits (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  • REMAINING USEFUL LIFE OF Cables and conduits is APPROXIMATELY

  • CONDITION RATING of luminaries and lamps (NOTE: 'EXCELLENT' oassumed 10+ years RUL)

  • REMAINING USEFUL LIFE OF Luminaire's and lamps is APPROXIMATELY

  • Recommended date for replacement of lamps

  • Recommended lamp replacement frequency (years)

  • General comments on external lighting

BUILDING STRUCTURE / ENVELOPE

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A VISIBLE DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

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

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A VISIBLE DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

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

  • 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

  • APPROX COST TO RECTIFY DEFECT ($)

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

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

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

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

  • PROVIDE DETAILS OF MATERIAL

  • IS THERE A VISIBLE DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • 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 ...

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

  • Provide details and extent of infestation

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

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

  • Structural Elements - General comments

ROOF COVERING, GUTTERS & DOWNPIPES

  • ROOF AREA (approx. m2)

  • ROOF COVERING (Material)

  • PROVIDE DETAILS OF MATERIAL

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF ROOF COVERING IS APPROXIMATELY

  • Is a safety access system in place ?

  • NUMBER OF SKY LIGHTS

  • NUMBER OF ROOF VENTS (Whirlybirds etc.)

  • ARE THERE GUTTERS ?

  • GUTTERS (Material)

  • PROVIDE DETAILS OF MATERIAL

  • TOTAL LENGTH OF GUTTER

  • Is there gutter guard installed ?

  • IS THERE A DEFECT WITH GUTTER or GUTTER GAURD ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF GUTTERS IS APPROXIMATELY

  • ARE THERE DOWNPIPES ?

  • DOWNPIPES (Material)

  • PROVIDE DETAILS OF MATERIAL

  • TOTAL LENGTH OF DOWNPIPES

  • NUMBER OF DOWN-PIPE DROPS

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF DOWN PIPES IS APPROXIMATELY

  • ROOF COVERING & DRAINAGE - GENERAL COMMENTS - also include any info on roof screw condition if applicable

FINISHES (External)

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

  • PROVIDE DETAILS OF MATERIAL

  • If external wall finishes are painted, the condition of the paintwork in general is ...

  • Total Length of walls (m)

  • Height of wall (m)

  • Approx cost to repaint

  • Remaining useful life of existing paintwork

  • Is there a defect with the material of the wall (not paint finish)

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Condition rating of EXTERNAL WALL Finishes excluding painting: (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  • Remaining Useful Life of External WALL finishes (YEARS)

FIXTURES & FITTINGS (External)

  • NUMBER OF EXTERNAL DOORS

  • NUMBER OF LOUVRES (DO NOT INCLUDE LOUVRED BLOCKS)

  • NUMBER OF GLAZED WINDOWS

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE WINDOW or DOOR SECURITY SCREENS, SHUTTERS OR BARS ?

  • IS THERE A DEFECT WITH SCREENS, SHUTTERS OR BARS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • Remaining Useful Life of Windows, doors, screens and Louvres (YEARS)

INTERIOR SPACES

  • Use the 'add room' button to add rooms (exclude toilets and showers which need to be identified below)

  • Room
  • Provide details of current use

  • Draw outline of room if necessary and add details of any important features, include NORTH arrow

  • INTERNAL Wall Finishes (Material) e.g. painted blockwork

  • PROVIDE DETAILS OF MATERIAL

  • If internal wall finishes are painted, the condition is of the paintwork is ..

  • Length of room (m)

  • Width of room (m)

  • Height of room (m)

  • Approx cost to repaint

  • Remaining useful life of existing paintwork

  • IS THERE A DEFECT WITH INTERNAL WALL FINISHES (exclude paintwork) ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Condition rating of INTERNAL WALL Finishes excluding painting: (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  • Remaining Useful Life of INTERNAL WALL finishes : (YEARS)

  • CEILING FINISH (Material) e.g. painted boards

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT WITH CEILING ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • Remaining Useful Life of Ceilings (YEARS)

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT WITH FLOOR COVERING ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • If the defect requires relaying an area of floor covering e.g. A carpet, identify the approx area that needs replacement (m2)

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • Remaining Useful Life of Floor coverings (YEARS)

  • NUMBER OF INTERNAL DOORS

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • Remaining Useful Life of Internal doors (YEARS)

- Fire & Safety Systems

  • Check this box if you are unsure about the requirement for exit signs, evac plans and emergency exit lighting and need further advice

  • Are fire exit signs in place and clearly visible ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • APPROX COST TO RECTIFY DEFECT ($)

  • Fire extinguishers (No.)

  • Fire blankets (No.)

  • Fire hose reels (No.)

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • APPROX COST TO RECTIFY DEFECT ($)

  • Are there any heat / smoke detectors present ?

  • If possible, test detectors to ensure operating as designed

  • Are they working properly ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • Remaining Useful Life of Fire services equipment (YEARS)

  • General comments on fire services equipment

- Electrical Services

  • NUMBER OF INTERNAL LIGHTS

  • Are any lamps the incandescent type ?

  • Number of lamps

  • Is there a distribution board in this room ?

  • CONDITION OF THE DISTRIBUTION BOARD CABINET AND CONDUITS

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • ARE ALL CIRCUITS PROTECTED BY RCDS ETC.?

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

  • REPORT AS HIGH PRIORITY WORKS:

  • REPORT AS HIGH PRIORITY WORKS:

  • APPROX COST TO RECTIFY DEFECT ($)

  • IS THERE A DEFECT WITH ANY ELECTRICAL SUPPLY OR EQUIPMENT -ignore Major plant items ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • CONDITION RATING OF ELECTRICAL SERVICES - exclude Major plant items (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL

  • PROVIDE DETAILS OF THE ASSET

  • REMAINING USEFUL LIFE OF ASSET

  • Are there any items of ELECTRICAL MAJOR PLANT such as generator sets etc.?

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

  • IS THERE AN OBVIOUS DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • Condition rating of ELECTRICAL MAJOR PLANT: (NOTE: 'EXCELLENT' or 'AVERAGE' assumed 10+ years RUL)

  • Identify major plant item (s)

  • REMAINING USEFUL LIFE OF EQUIMENT IS...

  • Electrical Services - GENERAL COMMENTS

- Mechanical Services

  • NUMBER OF CEILING 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..)

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • CONDITION RATING OF MECHANICAL SERVICES (NOTE: 'EXCELLENT' , 'GOOD' or 'AVERAGE' assumed 10+ years RUL)

  • REMAINING USEFUL LIFE OF EQUIMENT IS...

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

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

  • IS THERE AN OBVIOUS DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • Identify major plant item (s)

  • REMAINING USEFUL LIFE OF EQUIMENT IS...

  • Mechanical services - General comments

  • Are there kitchen facilities ?

- Kitchen Facilities

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

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

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

  • Remaining Useful Life of Kitchen (YEARS)

  • Are there toilet or shower facilities ?

- Toilets & Showers

  • ARE DISABLED TOILETS PRESENT ?

  • NUMBER OF DISABLED TOILETS

  • MATERIAL OF PAN AND CISTERN

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • DOES THE FACILITY MEET CURRENT DAY ACCESS REQUIREMENTS ?

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

  • TAKE PHOTO

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

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE FEMALE TOILET FACILITIES ?

  • NUMBER OF FEMALE CUBICLES

  • MATERIAL OF PAN AND CISTERN

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE MALE TOILETS FACILITIES ?

  • NUMBER OF MALE CUBICLES

  • MATERIAL OF PAN AND CISTERN

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE URINALS PRESENT ?

  • NO. OF URINALS

  • IS THERE AN AUTOMATIC FLUSH SYSTEM IN PLACE ?

  • MATERIAL OF URINAL

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • IS THERE A TROUGH PRESENT ?

  • NO. OF PEOPLE IT CAN ACCOMMODATE

  • IS THERE AN AUTOMATIC FLUSH SYSTEM IN PLACE ?

  • MATERIAL OF TROUGH

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE UNISEX FACILITIES ?

  • NUMBER OF UNISEX CUBICLES

  • MATERIAL OF PAN AND CISTERN

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • Provide details of poor condition asset ...

  • REMAINING USEFUL LIFE (YEARS)

  • IS THERE A SEPTIC TANK ?

  • IS IT A BIO SYSTEM?

  • IS THERE HOT WATER AVAILABLE ?

  • PROVIDE DETAILS OF HEATING SOURCE ...

  • WHAT IS THE GENERAL CONDITION OF THE HEATER ?

  • Provide details of poor condition asset ...

  • TAKE PHOTO

  • APPROX COST TO PROVIDE REPLACEMENT HEATER or UNDERTAKE REPAIRS

  • IS THERE A DEFECT IN THE HOT WATER SYSTEM ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE SHOWERS PRESENT ?

  • NUMBER OF SHOWERS

  • FINISH MATERIAL OF SHOWER CUBICLES

  • DETAILS OF MATERIAL ....

  • ARE ALL SHOWER TAPS AUTO SHUT OFF ?

  • NUMBER OF TAPS THAT ARE NOT AUTO SHUT OFF

  • IS THERE A DEFECT WITH THE SHOWERS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE HAND BASINS PRESENT ?

  • NUMBER OF HAND BASINS

  • BASINS (MATERIAL)

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT WITH THE BASINS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • IS THERE AN OUTSIDE TAP ?

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

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

  • Enter details of the defective asset

  • REMAINING USEFUL LIFE (YEARS)

  • TOILETS and SHOWERS - GENERAL COMMENTS

DISASTER MANAGEMENT

  • Storm surge colour for this facility

  • Cylone rating of facility if known

  • Disaster Facility Designation

  • Is there an open space large enough to land a helicopter nearby ( e.g. 40m diameter )

  • Does the facility have its own emergency generator ?

  • Does the facility have the ability to directly plug in portable generators ?

FACILITY SERVICES OVERVIEW

  • Gross floor area of facility (m2)

  • Electricity supply ?

  • Is gas supplied to facility ?

  • Is it bottled or reticulated ?

  • Cold water supply ?

  • Hot water supply ?

  • Toilet facilities ?

  • Air conditioning ?

  • 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

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

  • Ability to be accessed by disabled

FACILITY SUMMARY

  • Actual Level of Service at date of inspection

  • CONDITION RATING OF FACILITY AS A WHOLE

  • REMAINING USEFUL LIFE OF FACILITY AS A WHOLE, AS CONDITION IS POOR OR WORSE ....

  • Provide details to support this conclusion and ensure appropriate photos and defects have been identified previously in this audit

  • TAKE PHOTO OR ADD FROM LIBRARY

  • REMAINING USEFUL LIFE OF THE FACILITY AS A. WHOLE (YEARS)

  • 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

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.