Information

  • Document No.

  • Facility name :

  • Client :

  • Audit conducted on

  • Report prepared by: (name & contact number)

LEGACY INFORMATION

  • STREET ADDRESS OF FACILITY, INCLUDING SUBURB

  • PARK / RESERVE NAME (if applicable)

  • FACILITY ID NUMBER FROM FAR

  • FACILITY ID NUMBER FROM AUTHORITY

  • FACILITY NAME (if applicable)

  • GIS REF (OR USE GPS IF CONNECTED TO NETWORK)
  • LOT ON PLAN e.g. 12RP12345

  • ASSESSMENT NUMBER

  • PARCEL NUMBER

  • WHAT LEVEL OF SERVICE IS REQUIRED FOR THIS FACILITY ?

  • FOR THIS LOS CR EXPECTED TO BE 'EXCELLENT' WITH NO DEFECTS OR DETERIORATION

  • FOR THIS LOS CR EXPECTED TO BE 'EXCELLENT' TO 'GOOD' WITH VERY MINOR DETERIORATION ONLY

  • FOR THIS LOS CR EXPECTED TO BE 'AVERAGE' WITH MINOR DETERIORATION ALLOWED

  • FOR THIS LOS CR EXPECTED TO BE 'AVERAGE' TENDING TO 'POOR' WITH MAJOR DETERIORATION ALLOWED

  • FOR THIS LOS CR EXPECTED TO BE 'POOR' CONDITION BUT STILL SAFE. SIGNIFICANT DETERIORATION ALLOWED

  • ASSET OWNER; NAME, ADDRESS AND TELEPHONE NUMBER

  • IS THIS A LEASED OR LOCKED FACILITY ?

  • DETAILS OF KEY HOLDER OR ACCESS REQUIREMENTS

  • Date placed in service if known

  • LEGACY INFORMATION

LAND & SURROUNDS

  • PHOTO (S) OF FACILITY

  • ARE THERE ANY TREES/VEGETATION NEARBY THAT ARE TOUCHING THE FACILITY OR ARE LIKELY TO CAUSE DAMAGE IF LEFT UNCHANGED ?

  • RAISE A DEFECT

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • DOES THE FACILITY OR ACCESS TO THE FACILITY MEET CURRENT DAY ACCESS REQUIREMENTS ?

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

  • TAKE PHOTO

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

  • Is there a car park within 50m of the facility ?

BBQ SHELTER

  • Is there a shelter associated with the bbq(s) ?

Structural components

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

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

  • PROVIDE DETAILS OF MATERIAL ..

  • 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 of STRUCTURE as a WHOLE (NOTE: 'EXCELLENT' OR 'GOOD' assumed 10+ years RUL)

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

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

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

Roof covering and drainage

  • ROOF AREA (approx. m2)

  • ROOF COVERING (Material)

  • PROVIDE DETAILS OF MATERIAL

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • ARE THERE GUTTERS OR 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:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • GUTTERS (Material)

  • PROVIDE DETAILS OF MATERIAL

  • TOTAL LENGTH OF GUTTER (m)

  • 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 of ROOF COVERING and DRAINAGE (NOTE:'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  • REMAINING USEFUL LIFE OF ROOF IS APPROXIMATELY

  • REMAINING USEFUL LIFE OF GUTTERS IS APPROXIMATELY

  • REMAINING USEFUL LIFE OF DOWN PIPES IS APPROXIMATELY

  • ADDITIONAL COMMENTS

Shelter finishes

  • Does the facility have walls ?

  • WALL FINISHES (Material) e.g. painted render

  • PROVIDE DETAILS OF MATERIAL

  • 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 of WALL finishes (e.g. painted surfaces etc.) (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  • REMAINING USEFUL LIFE OF WALL FINISHES IS...

  • Does the shelter have a ceiling ( I.e. More than just the underside of the roof covering) ?

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

  • PROVIDE DETAILS OF MATERIAL ..

  • 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 of CEILING finishes (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  • REMAINING USEFUL LIFE OF CEILING FINISHES IS...

  • ADDITIONAL COMMENTS

WATER AND ELECTRICAL SERVICES

  • IS WATER SUPPLIED TO THE FACILITY ?

  • NUMBER OF WATER FOUNTAINS/BUBBLERS

  • NUMBER OF WATER TAPS

  • IS THERE A DEFECT WITH WATER SUPPLY OR OUTLETS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • IS THERE A SINK PRESENT ?

  • NUMBER OF SINKS

  • ARE SINK TAPS AUTO SHUT OFF TYPE ?

  • NUMBER OF TAPS THAT ARE NOT AUTO SHUT OFF TYPE AND LOCATION

  • CONDITION RATING OF WATER SERVICES (NOTE: 'POOR' or worse assumed less than 5 years RUL)

  • REMAINING USEFUL LIFE OF WATER SERVICES IS...

  • DISTANCE TO NEAREST WATER TAP (m)

  • IS ELECTRICITY SUPPLIED TO FACILITY ?

  • IS ANY EQUIPMENT SUPPLIED BY TIME CLOCKS / PHOTOCELLS etc. ?

  • ADJUST TO CORRECT TIME AND NOTE ON & OFF TIMES BELOW....

  • NUMBER OF EXTERNAL LIGHTS

  • NUMBER OF INTERNAL LIGHTS

  • NUMBER OF POWER SOCKETS

  • 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:

  • IS THERE A DEFECT WITH ANY ELECTRICAL SUPPLY, EQUIPMENT, CONDUITS & CABINETS (include any RCD isues)

  • 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 e.g. lighting (NOTE: 'POOR' or worse assumed less than 5 years RUL)

  • REMAINING USEFUL LIFE OF ELECTRICAL SERVICES IS...

  • LIST ANCILLARY BENCHES / EQUIPMENT (e.g. RUBBISH BIN, WORK BENCH, PICNIC TABLE AND 2 BENCHES ETC.) - use + button to add more features.

  • ANCILLARY
  • ANCILLARY DESCRIPTION AND MATERIAL

  • IS THERE A DEFECT WITH THIS PIECE OF ANCILLARY EQUIPMENT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • ADDITIONAL COMMENTS

BBQ EQUIPMENT / HOTPLATES

  • PROVIDE DETAILS OF EACH HOTPLATE (use + button to add more hotplates)

  • HOTPLATES
  • WHAT FUEL TYPE IS USED ?

  • PROVIDE DETAILS OF FUEL TYPE ...

  • MAKE & MODEL

  • SERIAL NUMBERS - LEFT TO RIGHT

  • UNIQUE ASSET ID NUMBER FROM AUTHORITY (If provided)

  • HOUSING TYPE

  • PROVIDE DETAILS OF HOUSING TYPE ..

  • APPROX. AGE OF THIS BBQ UNIT

  • IS THERE A DEFECT WITH THIS PIECE OF BBQ EQUIPMENT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • CONDITION RATING of BBQ HOTPLATES & CONTROL EQUIPMENT (NOTE: 'POOR' or worse assumed less than 5 years RUL)

  • REMAINING USEFUL LIFE OF BBQ HOTPLATES AND CONTROL EQUIPMENT

  • ADDITIONAL COMMENTS

FACILITY SUMMARY

  • General comments ...

  • IF ANY ITEM HAS AN RUL OF 2 YEARS OR LESS OR NEEDS REFERRAL OR FURTHER INSPECTION, TICK BOX AND ENSURE DETAILS PROVIDED ABOVE

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