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BFM Audit For Complex Facilities
BFM Audit For Complex Facilities
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BFM Audit for Complex Facilities

Template for asset life cycle planning

Use this Digital Checklist
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Free BFM Audit For Complex Facilities Checklist

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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
  • 1 High
  • 2
  • 3
  • 4
  • 5 Low
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)
  • Concrete
  • Ashphalt
  • Chip/spray seal
  • Blocks / pavers
  • Gravel
  • Grass / earth / natural surface
  • OTHER

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQUIRED:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Access road area (m2)
CONDITION RATING OF ROADS (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF ROADS IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
Car park (Material)
  • Concrete
  • Ashphalt
  • Chip/spray seal
  • Blocks / pavers
  • Gravel
  • Grass / earth / natural surface
  • OTHER

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQUIRED:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Car parking area (m2)
CONDITION RATING OF CAR PARK (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF CAR PARKING AREA IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
Footpath (Material)
  • Concrete
  • Ashphalt
  • Chip/spray seal
  • Blocks / pavers
  • Gravel
  • Grass / earth / natural surface
  • OTHER

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQUIRED:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Footpath length (m)
CONDITION RATING OF FOOTPATHS (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF FOOTPATHS IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

Is there any decking ?

Decking (Material)
  • Concrete
  • Ashphalt
  • Chip/spray seal
  • Blocks / pavers
  • Gravel
  • Grass / earth / natural surface
  • OTHER

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQUIRED:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Decking area (m2)
CONDITION RATING OF DECKING (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF DECKING IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF K&C (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF K&C IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
Number of drainage pits

If drainage pits exist, are they clear of debris ?

ENTER DEFECT DETAILS AND WORKS REQUIRED:

ENTER WORKS PRIORITY:
  • Immediate
  • within 1week
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:
  • Immediate
  • within 1week
TAKE PHOTO
CONDITION RATING OF EXTERNAL DRAINAGE (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF DRAINAGE IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

General comments on external drainage

- External Structures and Fencing

Stand alone structures or memorials - describe

Does facility have fencing or gates ?

Fencing / gate (Material)
  • Timber
  • Solid Steel Panel
  • Wire Mesh
  • Anti- Vandal
  • Other
  • Not applicable

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF FENCES & GATES (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF FENCES & GATES IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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:
  • within 1 week
  • within 1 month
  • within 1 year
TAKE PHOTO
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF RETAINING STRUCTURES (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF RETAINING STRUCTURES IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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:
  • within 1 week
  • within 1 month
  • within 1 year
TAKE PHOTO
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF AMENITY FEATURES (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF AMENITY FEATURES IS APPROXIMATELY (years)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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
  • GOOD
  • AVERAGE
  • POOR - NEEDS WORK

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:
  • within 1 week
  • within 1 month
  • within 1 year
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:
  • 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
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)
  • CLAY BRICK
  • TIMBER
  • COMPOSITE
  • POLYCARBONATE
  • OTHER
  • UNKNOWN
  • CONCRETE BLOCK
  • METAL
  • CONCRETE PANEL

PROVIDE DETAILS OF MATERIAL ..

IS THERE A VISIBLE DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
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
  • metal
  • timber
  • concrete
  • composite

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:
  • HIGH PRIORITY DEFECT
REPORT AS HIGH PRIORITY WORKS:
  • HIGH PRIORITY DEFECT
APPROX COST TO RECTIFY DEFECT ($)
Number of luminaries on each tower
Lamp type
  • LED
  • Halogen
  • Metal Halide
  • high pressure sodium
  • unknown
  • other

PROVIDE DETAILS OF LAMP ...

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

Lamp fitting type
  • Edison screw
  • Bayonet
  • led plug in
  • halogen double ended
  • florescent
  • unknown
  • other

Colour range or Kelvin

Is there a defect with lighting towers ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF TOWER (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF STRUCTURE IS APPROXIMATELY
  • RUL bulding structure if ave or less
  • 10 - 20+ YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
CONDITION RATING OF clipped cables and conduits (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF Cables and conduits is APPROXIMATELY
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
CONDITION RATING of luminaries and lamps (NOTE: 'EXCELLENT' oassumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF Luminaire's and lamps is APPROXIMATELY
  • 5 years MAX
  • 2 - 5 years
  • less than 2 years
  • facility is potentially dangerous
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)
  • TIMBER TRUSSES
  • CONCRETE BEAMS
  • COMPOSITE
  • METAL
  • MASONARY
  • OTHER
  • UNKNOWN

PROVIDE DETAILS OF MATERIAL ..

IS THERE A VISIBLE DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQUIRED:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF ROOF STRUCTURE - not coverings (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF ROOF STRUCTURE (E.G. TRUSSES) IS APPROXIMATELY
  • 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)
  • CLAY BRICK
  • TIMBER
  • COMPOSITE
  • POLYCARBONATE
  • OTHER
  • UNKNOWN
  • CONCRETE BLOCK
  • METAL
  • CONCRETE PANEL

PROVIDE DETAILS OF MATERIAL ..

IS THERE A VISIBLE DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF BUILDING WALLS / FRAME (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF WALL FRAME (E.G. BLOCKWORK) IS APPROXIMATELY
  • 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)
  • REINFORCED CONCRETE
  • TIMBER - SOLID
  • PLY BOARD
  • COMPRESSED FIBRES
  • STONE
  • NATURAL SURFACE
  • BRICK
  • UNKNOWN
  • OTHER

PROVIDE DETAILS OF MATERIAL ..

IS THERE A VISIBLE DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF FLOOR - Not coverings (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF FLOOR (E.G. SLAB) IS APPROXIMATELY
  • 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 ?

FOUNDATION (Material) - (NOT COVERINGS e.g. timber stumps)
  • CONC SLAB ON GROUND
  • CONCRETE PILES/FOOTINGS
  • WOODEN PILES/SUPPORTS
  • OTHER
  • UNKNOWN

PROVIDE DETAILS OF MATERIAL

IS THERE A VISIBLE DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
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)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF FOUNDATION (E.G. STUMPS / PILES) IF VISIBLE
  • RUL bulding structure if ave or less
  • 10 - 20+ YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

Structural Elements - General comments

ROOF COVERING, GUTTERS & DOWNPIPES
ROOF AREA (approx. m2)
ROOF COVERING (Material)
  • 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 ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF ROOF COVERING (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF ROOF COVERING IS APPROXIMATELY
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

Is a safety access system in place ?

NUMBER OF SKY LIGHTS
NUMBER OF ROOF VENTS (Whirlybirds etc.)

ARE THERE GUTTERS ?

GUTTERS (Material)
  • 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

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF GUTTERS (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF GUTTERS IS APPROXIMATELY
  • 5 years MAX
  • 2 - 5 years
  • less than 2 years
  • facility is potentially dangerous

ARE THERE DOWNPIPES ?

DOWNPIPES (Material)
  • 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

TOTAL LENGTH OF DOWNPIPES
NUMBER OF DOWN-PIPE DROPS

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF DOWNPIPES (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF DOWN PIPES IS APPROXIMATELY
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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
  • EXTERNAL finishes lookups
  • 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 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
  • less than 2 years
  • 2 to 4 years

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

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of EXTERNAL WALL Finishes excluding painting: (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of External WALL finishes (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
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:
  • 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
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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of EXTERNAL FITTINGS: (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of Windows, doors, screens and Louvres (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
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
  • PAINTED BLOCK/BRICK
  • NATURAL TIMBER
  • STONE
  • COMPOSITE
  • EXPOSED BRICK / BLOCK
  • GLASS
  • OTHER
  • UNKNOWN
  • PAINTED FIBRO SHEETS
  • ASBESTOS SHEETS UNPAINTED
  • ASBESTOS SHEETS PAINTED
  • GYPROCK PAINTED
  • GYPROCK UNPAINTED

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
  • less than 2 years
  • 2 to 4 years

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

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of INTERNAL WALL Finishes excluding painting: (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of INTERNAL WALL finishes : (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
CEILING FINISH (Material) e.g. painted boards
  • PAINTED BOARD/GYPROCK
  • NATURAL TIMBER
  • SHEET METAL
  • UNPAINTED BOARDS
  • VJ BOARDS - PAINTED
  • ACOUSTIC TILES
  • PAINTED CONCRETE
  • UNPAINTED CONCRETE
  • UNKNOWN
  • OTHER
  • Underside of roof covering

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT WITH CEILING ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of Ceilings (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of Ceilings (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
FLOOR COVERING (Material) e.g. finished concrete
  • 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 ?

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of Floor coverings (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of Floor coverings (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
NUMBER OF INTERNAL DOORS

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of Internal doors (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of Internal doors (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR
- 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:
  • 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 ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • HIGH PRIORITY DEFECT
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:
  • HIGH PRIORITY DEFECT
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of Fire appliances and systems (NOTE: 'EXCELLENT' or 'GOOD' assumed 5+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of Fire services equipment (YEARS)
  • 5 years MAX
  • 2 - 5 years
  • less than 2 years
  • facility is potentially dangerous

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
  • GOOD
  • AVERAGE
  • POOR - NEEDS WORK

ENTER DEFECT DETAILS AND WORKS REQ:

TAKE PHOTO OR ADD FROM LIBRARY
APPROX COST TO RECTIFY DEFECT ($)
ENTER WORKS PRIORITY:
  • 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.?

HAS THE RCD BEEN TESTED WITHIN THE LAST 12 MONTHS ?

REPORT AS HIGH PRIORITY WORKS:
  • HIGH PRIORITY DEFECT
REPORT AS HIGH PRIORITY WORKS:
  • HIGH PRIORITY DEFECT
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:
  • 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 - exclude Major plant items (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

PROVIDE DETAILS OF THE ASSET

REMAINING USEFUL LIFE OF ASSET
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
Condition rating of ELECTRICAL MAJOR PLANT: (NOTE: 'EXCELLENT' or 'AVERAGE' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

Identify major plant item (s)

REMAINING USEFUL LIFE OF EQUIMENT IS...
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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:
  • within 1 week
  • within 1 month
  • within 1 year
CONDITION RATING OF MECHANICAL SERVICES (NOTE: 'EXCELLENT' , 'GOOD' or 'AVERAGE' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF EQUIMENT IS...
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF Major plant (NOTE: 'EXCELLENT' 'GOOD' or 'AVERAGE' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

Identify major plant item (s)

REMAINING USEFUL LIFE OF EQUIMENT IS...
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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:
  • 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)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
Remaining Useful Life of Kitchen (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

Are there toilet or shower facilities ?

- Toilets & Showers

ARE DISABLED TOILETS PRESENT ?

NUMBER OF DISABLED TOILETS
MATERIAL OF PAN AND CISTERN
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a
  • mixed materials

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)

ARE THERE FEMALE TOILET FACILITIES ?

NUMBER OF FEMALE CUBICLES
MATERIAL OF PAN AND CISTERN
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a
  • mixed materials

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)

ARE THERE MALE TOILETS FACILITIES ?

NUMBER OF MALE CUBICLES
MATERIAL OF PAN AND CISTERN
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a
  • mixed materials

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)

ARE THERE URINALS PRESENT ?

NO. OF URINALS

IS THERE AN AUTOMATIC FLUSH SYSTEM IN PLACE ?

MATERIAL OF URINAL
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a
  • mixed materials

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
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
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a
  • mixed materials

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)

ARE THERE UNISEX FACILITIES ?

NUMBER OF UNISEX CUBICLES
MATERIAL OF PAN AND CISTERN
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a
  • mixed materials

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
APPROX COST TO RECTIFY DEFECT ($)
CONDITION RATING OF SANITARY WARE (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

Provide details of poor condition asset ...

REMAINING USEFUL LIFE (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)

ARE SHOWERS PRESENT ?

NUMBER OF SHOWERS
FINISH MATERIAL OF SHOWER CUBICLES
  • TILES
  • PAINTED BLOCK/RENDER
  • PLASTIC SHEET
  • METAL SHEET
  • OTHER
  • UNKNOWN

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:
  • 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
APPROX COST TO RECTIFY DEFECT ($)

ARE HAND BASINS PRESENT ?

NUMBER OF HAND BASINS
BASINS (MATERIAL)
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a
  • mixed materials

PROVIDE DETAILS OF MATERIAL ..

IS THERE A DEFECT WITH THE BASINS ?

ENTER DEFECT DETAILS AND WORKS REQ:

ENTER WORKS PRIORITY:
  • 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
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:
  • 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 SHOWERS, BASINS, PLUMBING & TAPS - (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

Enter details of the defective asset

REMAINING USEFUL LIFE (YEARS)
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

TOILETS and SHOWERS - GENERAL COMMENTS

DISASTER MANAGEMENT
Storm surge colour for this facility
  • RED
  • ORANGE
  • YELLOW
  • Not applicable
  • Unknown
Cylone rating of facility if known
  • 1
  • 2
  • 3
  • 4
  • 5
  • unknown
Disaster Facility Designation
  • Major SES facility
  • Minor SES facility
  • Evacuation Centre
  • Disaster Coord Centre
  • unknown

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
  • None
  • Partial access
  • Full access
  • unknown
FACILITY SUMMARY
Actual Level of Service at date of inspection
  • 1 High
  • 2
  • 3
  • 4
  • 5 Low
CONDITION RATING OF FACILITY AS A WHOLE
  • Not applicable
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT
REMAINING USEFUL LIFE OF FACILITY AS A WHOLE, AS CONDITION IS POOR OR WORSE ....
  • 5 years MAX
  • 2 - 5 years
  • less than 2 years
  • facility is potentially dangerous

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

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

BFM Audit For Complex Facilities
Anonymous

BFM Audit For Complex Facilities

Template for asset life cycle planning

Use this Digital Checklist
Download as PDF
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.

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