BFM Audit For Lighting Towers

FACILITY LOCATION

• Street address

• Name of facility

• 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
• Location GIS ref.
  Address

• COUNCIL DIVISION

• DATE OF AUDIT

  Date

• Report prepared by:

FACILITY INFORMATION

• Asset owner

• KEY HOLDER DETAILS :

• LEGACY INFORMATION / COMMENTS

• Date placed in service

  Date

• Required level of service

  Select 1 High 2 3 4 5 Low

  • 1 High
  • 2
  • 3
  • 4
  • 5 Low

• 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

Lighting requirements

• What area are the towers lighting ?

  Select Car park Roadway Footpath Recreation field -general use Sports field - low level use Sports field - high level use Sports field - competition TV level use other

  • Car park
  • Roadway
  • Footpath
  • Recreation field -general use
  • Sports field - low level use
  • Sports field - high level use
  • Sports field - competition TV level use
  • other

• PROVIDE DETAILS OF AREA

• Number of towers at location

• Required lux

• Actual lux - Highest reading

• Actual lux - Lowest reading

• Actual lux - Average reading

• Lighting Uniformity reading

Tower details ( for each tower )

• Tower number (use + button to add more towers)

Tower

• Photo of tower

  Media

• Location of tower on site ( use compass points)

• Approx height of tower (m)

• Tower FAR number

• Tower Authority ID number

• Description of any special access requirements e.g. Hoist, ladder etc.

Tower construction

• Main supporting frame / post (Material) - (e.g. Steel Frame, timber post, steel post etc.)

  Select steel post timber post concrete post steel framework other

  • steel post
  • timber post
  • concrete post
  • steel framework
  • other

• PROVIDE DETAILS OF MATERIAL ..

• Approx percentage surface rust cover

• Is there any sign of pest damage e.g. Termite damage ?

  Select Yes No

  • Yes
  • No

• Activity status

  Select Major / recent activity Minor activity , now ceased Unsure of activity - follow up No evidence of activity

  • Major / recent activity
  • Minor activity , now ceased
  • Unsure of activity - follow up
  • No evidence of activity

• IS THERE A DEFECT IN THE STRUCTURE THAT NEEDS TO BE RAISED ?

  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 ($)

• Footing details if known

• CONDITION RATING OF TOWER STRUCTURE (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 STRUCTURE 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

• General comments on structure

Control gear, cables & conduits

• Location of control gear

• Main power board - last test date

  Date

• ARE ALL CIRCUITS PROTECTED BY RCDS ETC.?

  YES

  NO

• 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 ($)

• Condition rating of control gear, clipped cables and conduits (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 Cables and conduits 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

• General comments on control gear, cables and conduits

Lamps & luminaires

• Number of luminaries on each tower

• Lamp type

  Select LED Halogen Metal Halide high pressure sodium unknown other

  • 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

  Select Edison screw Bayonet led plug in halogen double ended florescent unknown other

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

• PROVIDE DETAILS OF FITTING ...

• Colour range or Kelvin

• Is there a defect with the lighting units, cables, conduits or control gear?

  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 ($)

• Recommended date for replacement of lamps

  Date

• Recommended lamp replacement frequency (years)

• CONDITION RATING of luminaries and lamps (NOTE: 'EXCELLENT' 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 Luminaire's and lamps 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

• General comments on lamps and luminaires

FACILITY OVERVIEW

• General condition rating for facility lighting towers as a whole

  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 tower lighting as a whole (exclude lamp condition)

  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

• 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