BFM Audit For Public Toilet Blocks

• Site conducted

  Select

• Audit number :

• Facility name :

• Address

• SUBURB

• COUNCIL DIVISION (1-9)

• Authority asset number

• FAR number

• Report prepared by:

LEGACY and BACKGROUND INFORMATION

• Date and time of audit

  Date

• Weather at time of audit

• GIS REF (OR USE GPS IF CONNECTED TO NETWORK)
  Address

• PHOTO (S) OF FACILITY

  Media

• WHAT LEVEL OF SERVICE IS REQUIRED FOR THIS FACILITY ?

  1

  2

  3

  4

  5

• IS IT HERITAGE LISTED ?

  Yes

  No

• IS THE FACILITY LEASED ?

  Yes

  No

• IS THE FACILITY LOCKED BETWEEN 07.00 - 17.00HRS MONDAY TO FRIDAY ?

  YES

  NO

  UNKNOWN

• KEY HOLDER ; NAME, ADDRESS AND TELEPHONE NUMBER

• Date placed in service if known

  Date

• GROSS FLOOR AREA (m2) APPROX.

• LEGACY INFORMATION / COMMENTS

STRUCTURAL COMPONENTS

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

  Select roof STRUCTURE lookup TIMBER TRUSSES CONCRETE BEAMS COMPOSITE METAL MASONARY OTHER UNKNOWN

  • roof STRUCTURE lookup
  • TIMBER TRUSSES
  • CONCRETE BEAMS
  • COMPOSITE
  • METAL
  • MASONARY
  • OTHER
  • UNKNOWN

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQUIRED:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Select wall FRAME lookup CLAY BRICK TIMBER COMPOSITE POLYCARBONATE OTHER UNKNOWN CONCRETE BLOCK METAL CONCRETE PANEL

  • wall FRAME lookup
  • CLAY BRICK
  • TIMBER
  • COMPOSITE
  • POLYCARBONATE
  • OTHER
  • UNKNOWN
  • CONCRETE BLOCK
  • METAL
  • CONCRETE PANEL

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Select floor material REINFORCED CONCRETE TIMBER - SOLID PLY BOARD COMPRESSED FIBRES STONE NATURAL SURFACE BRICK UNKNOWN OTHER

  • floor material
  • REINFORCED CONCRETE
  • TIMBER - SOLID
  • PLY BOARD
  • COMPRESSED FIBRES
  • STONE
  • NATURAL SURFACE
  • BRICK
  • UNKNOWN
  • OTHER

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Yes

  No

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

  Select foundation CONC SLAB ON GROUND CONCRETE PILES/FOOTINGS WOODEN PILES/SUPPORTS OTHER UNKNOWN

  • foundation
  • CONC SLAB ON GROUND
  • CONCRETE PILES/FOOTINGS
  • WOODEN PILES/SUPPORTS
  • OTHER
  • UNKNOWN

• PROVIDE DETAILS OF MATERIAL

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Yes

  No

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

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

  Yes

  No

• RAISE A DEFECT

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• CONDITION RATING OF BUILDING STRUCTURE AS A WHOLE (NOTE: 'EXCELLENT' or 'GOOD' assumed 20+ years RUL)

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

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

  Select RUL bulding structure if ave or less 10 - 20 YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20 YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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

  Select RUL bulding structure if ave or less 10 - 20 YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20 YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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

  Select RUL bulding structure if ave or less 10 - 20 YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20 YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

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

  Select RUL bulding structure if ave or less 10 - 20 YEARS 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL bulding structure if ave or less
  • 10 - 20 YEARS
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• STRUCTURAL COMPONENTS - GENERAL COMMENTS

ROOF & DRAINAGE

• ROOF AREA (approx. m2)

• ROOF COVERING (Material)

  Select ZINC ALUM COLOURBOND PVC CONCRETE TILES STAINLESS STEEL CHAINS UNKNOWN OTHER CLAY TILES REINFORCED CONCRETE COMP FIBRE WITH COVERING POLYCARBONATE

  • ZINC ALUM
  • COLOURBOND
  • PVC
  • CONCRETE TILES
  • STAINLESS STEEL
  • CHAINS
  • UNKNOWN
  • OTHER
  • CLAY TILES
  • REINFORCED CONCRETE
  • COMP FIBRE WITH COVERING
  • POLYCARBONATE

• PROVIDE DETAILS OF MATERIAL

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF ROOF VENTS (Whirlybirds etc.)

• NUMBER OF SKY LIGHTS

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

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF ROOF IS APPROXIMATELY

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• ARE THERE GUTTERS ?

  Yes

  No

• GUTTERS (Material)

  Select ZINC ALUM COLOURBOND PVC CONCRETE TILES STAINLESS STEEL CHAINS UNKNOWN OTHER CLAY TILES REINFORCED CONCRETE COMP FIBRE WITH COVERING POLYCARBONATE

  • ZINC ALUM
  • COLOURBOND
  • PVC
  • CONCRETE TILES
  • STAINLESS STEEL
  • CHAINS
  • UNKNOWN
  • OTHER
  • CLAY TILES
  • REINFORCED CONCRETE
  • COMP FIBRE WITH COVERING
  • POLYCARBONATE

• PROVIDE DETAILS OF MATERIAL

• TOTAL LENGTH OF GUTTER

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF GUTTERS IS APPROXIMATELY

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• ARE THERE DOWNPIPES ?

  Yes

  No

• DOWNPIPES (Material)

  Select ZINC ALUM COLOURBOND PVC CONCRETE TILES STAINLESS STEEL CHAINS UNKNOWN OTHER CLAY TILES REINFORCED CONCRETE COMP FIBRE WITH COVERING POLYCARBONATE

  • ZINC ALUM
  • COLOURBOND
  • PVC
  • CONCRETE TILES
  • STAINLESS STEEL
  • CHAINS
  • UNKNOWN
  • OTHER
  • CLAY TILES
  • REINFORCED CONCRETE
  • COMP FIBRE WITH COVERING
  • POLYCARBONATE

• PROVIDE DETAILS OF MATERIAL

• TOTAL LENGTH OF DOWNPIPES

• NUMBER OF DOWN-PIPE DROPS

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF DOWN PIPES IS APPROXIMATELY

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• ROOF AND DRAINAGE - GENERAL COMMENTS - also include any info on roof screw condition

FINISHES (INTERNAL AND EXTERNAL)

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

  Select 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

  • 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

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Select 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

  • 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

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Select underside of roof covering PAINTED BOARD/GYPROCK NATURAL TIMBER SHEET METAL UNPAINTED BOARDS VJ BOARDS - PAINTED ACOUSTIC TILES PAINTED CONCRETE UNPAINTED CONCRETE UNKNOWN OTHER

  • underside of roof covering
  • PAINTED BOARD/GYPROCK
  • NATURAL TIMBER
  • SHEET METAL
  • UNPAINTED BOARDS
  • VJ BOARDS - PAINTED
  • ACOUSTIC TILES
  • PAINTED CONCRETE
  • UNPAINTED CONCRETE
  • UNKNOWN
  • OTHER

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

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

  Select floor COVERINGS lookup FINISHED CONCRETE TILED CARPET LINO FLOATING TIMBER RUBBER PAINTED CONCRETE STONES NONE - NATURAL UNKNOWN OTHER

  • floor COVERINGS lookup
  • FINISHED CONCRETE
  • TILED
  • CARPET
  • LINO
  • FLOATING TIMBER
  • RUBBER
  • PAINTED CONCRETE
  • STONES
  • NONE - NATURAL
  • UNKNOWN
  • OTHER

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• WINDOWS AND LOUVRES (Material) e.g. metal framed

  Select windows and louvres lookup METAL FRAMED WINDOW WOOD FRAMED WINDOW PVC FRAMED WINDOW DOUBLE GLAZED METAL LOUVRE GLASS LOUVRE TIMBER LOUVRE UNKNOWN OTHER N/A

  • windows and louvres lookup
  • METAL FRAMED WINDOW
  • WOOD FRAMED WINDOW
  • PVC FRAMED WINDOW
  • DOUBLE GLAZED
  • METAL LOUVRE
  • GLASS LOUVRE
  • TIMBER LOUVRE
  • UNKNOWN
  • OTHER
  • N/A

• PROVIDE DETAILS OF MATERIAL ..

• NUMBER OF GLAZED WINDOWS

• NUMBER OF LOUVRES (DO NOT INCLUDE LOUVRED BLOCKS)

• IS THERE A DEFECT WITH WINDOWS OR LOUVRES ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE WINDOW SECURITY SCREENS, SHUTTERS OR BARS ?

  Yes

  No

• PROVIDE DETAILS OF TYPE, MATERIAL AND NUMBER

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

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE EXTERNAL DOORS ?

  Yes

  No

• DOORS - EXTERNAL (Material) e.g. solid timber

  Select Not applicable FIRE DOOR SOLID TIMBER HOLLOW CORE GLASS NONE OTHER UNKNOWN

  • Not applicable
  • FIRE DOOR
  • SOLID TIMBER
  • HOLLOW CORE
  • GLASS
  • NONE
  • OTHER
  • UNKNOWN

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF EXTERNAL DOORS

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

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE (YEARS)

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• DOORS - INTERNAL (Material) e.g. solid timber

  Select Not applicable FIRE DOOR SOLID TIMBER HOLLOW CORE GLASS NONE OTHER UNKNOWN

  • Not applicable
  • FIRE DOOR
  • SOLID TIMBER
  • HOLLOW CORE
  • GLASS
  • NONE
  • OTHER
  • UNKNOWN

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF INTERNAL DOORS

• CONDITION RATING OF INTERNAL FINISHES & DOORS (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE (YEARS)

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• FINISHES - GENERAL COMMENTS

SANITARY WARE AND WASTE

• ARE DISABLED TOILETS PRESENT ?

  Yes

  No

• NUMBER OF DISABLED TOILETS

• NUMBER OF DUAL FLUSH CISTERNS

• NUMBER OF SINGLE FLUSH CISTERNS

• MATERIAL OF PAN AND CISTERN

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• DOES THE FACILITY MEET CURRENT DAY ACCESS REQUIREMENTS ?

  YES

  NO

  UNKNOWN

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

• TAKE PHOTO

  Media

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

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

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE FEMALE TOILET FACILITIES ?

  Yes

  No

• NUMBER OF FEMALE CUBICLES

• NUMBER OF DUAL FLUSH CISTERNS

• NUMBER OF SINGLE FLUSH CISTERNS

• MATERIAL OF PAN AND CISTERN

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE MALE TOILETS FACILITIES ?

  Yes

  No

• NUMBER OF MALE CUBICLES

• NUMBER OF DUAL FLUSH CISTERNS

• NUMBER OF SINGLE FLUSH CISTERNS

• MATERIAL OF PAN AND CISTERN

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE URINALS PRESENT ?

  Yes

  No

• NO. OF URINALS

• IS THERE AN AUTOMATIC FLUSH SYSTEM IN PLACE ?

  Yes

  No

• MATERIAL OF URINAL

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• IS THERE A TROUGH PRESENT ?

  Yes

  No

• NO. OF PEOPLE IT CAN ACCOMMODATE

• IS THERE AN AUTOMATIC FLUSH SYSTEM IN PLACE ?

  YES

  NO

  Not Aplicable

• MATERIAL OF TROUGH

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE THERE UNISEX FACILITIES ?

  Yes

  No

• NUMBER OF UNISEX CUBICLES

• NUMBER OF DUAL FLUSH CISTERNS

• NUMBER OF SINGLE FLUSH CISTERNS

• MATERIAL OF PAN AND CISTERN

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• IS THERE A DEFECT ?

  YES

  NO

  Not Aplicable

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• NUMBER OF TOILET ROLL HOLDERS IN FACILITY

• TYPE

  STANDARD SINGLE

  COMMERCIAL PLASTIC - MULTI ROLL

  COMMERCIAL S.STEEL - MULTI ROLL

• IS THERE A DEFECT WITH TOILET ROLL HOLDERS ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• LIST ANCILLARY EQUIPMENT AND NUMBER OF EACH (e.g. NEEDLE BINS X 6)

ANCILLARY

• ANCILLARY DESCRIPTION

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

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• IS THERE A SEPTIC TANK ?

  YES

  NO

  UNKNOWN

• IS IT A BIO SYSTEM?

  YES

  NO

  UNKNOWN

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

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE (YEARS)

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• SANITATION AND WASTE - GENERAL COMMENTS

SHOWERS, BASINS AND PLUMBING

• IS THERE HOT WATER AVAILABLE ?

  Yes

  No

• PROVIDE DETAILS OF HEATING SOURCE ...

• WHAT IS THE GENERAL CONDITION OF THE HEATER ?

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• TAKE PHOTO

  Media

• APPROX COST TO PROVIDE REPLACEMENT HEATER ($)

• IS THERE A DEFECT IN THE HOT WATER SYSTEM ?

  YES

  NO

  UNKNOWN

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE SHOWERS PRESENT ?

  Yes

  No

• NUMBER OF SHOWERS

• FINISH MATERIAL OF SHOWER CUBICLES

  Select shower cubicle finishes TILES PAINTED BLOCK/RENDER PLASTIC SHEET METAL SHEET OTHER UNKNOWN

  • shower cubicle finishes
  • TILES
  • PAINTED BLOCK/RENDER
  • PLASTIC SHEET
  • METAL SHEET
  • OTHER
  • UNKNOWN

• DETAILS OF MATERIAL ....

• ARE ALL SHOWER TAPS AUTO SHUT OFF ?

  Yes

  No

• NUMBER OF TAPS THAT ARE NOT AUTO SHUT OFF

• IS THERE A DEFECT WITH THE SHOWERS ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ARE HAND BASINS PRESENT ?

  Yes

  No

• NUMBER OF HAND BASINS

• BASINS (MATERIAL)

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• ARE ALL TAPS AUTO SHUT OFF TYPE ?

  Yes

  No

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

• IS THERE A DEFECT WITH THE HAND BASINS ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• IS THERE AN INTERNAL CLEANERS SINK ?

  Yes

  No

• CLEANERS SINK MATERIAL

  Select sanitary ware & basin lookup STAINLESS STEEL PORCELAIN/CERAMIC PLASTIC/PVC OTHER UNKNOWN n/a

  • sanitary ware & basin lookup
  • STAINLESS STEEL
  • PORCELAIN/CERAMIC
  • PLASTIC/PVC
  • OTHER
  • UNKNOWN
  • n/a

• PROVIDE DETAILS OF MATERIAL ..

• IS THE CLEANERS TAP SHIELDED ?

  Yes

  No

• ADD AS A MED PRIORITY DEFECT

• IS THERE A DEFECT WITH THE CLEANERS TAPS OR SINK ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• TAKE PHOTO

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• IS THERE AN OUTSIDE TAP ?

  Yes

  No

• IS THERE A DEFECT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• CONDITION RATING SHOWERS ETC (DO NOT INCLUDE ANCILLARIES) - (NOTE: 'EXCELLENT' or 'GOOD' assumed 10+ years RUL)

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE (YEARS)

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• SHOWERS, BASINS AND PLUMBING - GENERAL COMMENTS

POWER AND LIGHTING

• IS ELECTRICITY SUPPLIED TO FACILITY ?

  Yes

  No

• CONDITION OF THE SWITCHBOARD CABINET AND CONDUITS

  Select GOOD AVERAGE POOR - NEEDS WORK

  • GOOD
  • AVERAGE
  • POOR - NEEDS WORK

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• NUMBER OF EXTERNAL LIGHTS

• NUMBER OF INTERNAL LIGHTS

• NUMBER OF POWER SOCKETS

• NUMBER OF EXTRACT FANS

• ARE ALL CIRCUITS PROTECTED BY RCDS ETC.?

  Yes

  No

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

  YES

  NO

  UNKNOWN

• 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 ($)

• IS THERE A DEFECT WITH ANY ELECTRICAL SUPPLY OR EQUIPMENT ?

  Yes

  No

• ENTER DEFECT DETAILS AND WORKS REQ:

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select 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

  • 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

• CONDITION RATING OF ELECTRICAL SERVICES (NOTE: 'EXCELLENT' or 'AVERAGE' assumed 10+ years RUL

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• REMAINING USEFUL LIFE OF ELECTRICAL SERVICES IS...

  Select RUL coverings, finishes 5 - 10 YEARS 3 - 5 YEARS 1 - 3 YEARS LESS THAN 1 YEAR

  • RUL coverings, finishes
  • 5 - 10 YEARS
  • 3 - 5 YEARS
  • 1 - 3 YEARS
  • LESS THAN 1 YEAR

• POWER AND LIGHTING - GENERAL COMMENTS

FACILITY SUMMARY

• NEAREST PARKING SPACE (m)

• IS ASBESTOS PRESENT IN THIS FACILITY ?

  YES

  NO

  UNKNOWN

• ASBESTOS REGISTER ASSET NUMBER

• WHAT CONDITION IS IT IN ?

  Select GOOD CONDITION, NO DAMAGE MINOR DAMAGE TO COATING MAJOR DAMAGE TO COATING ASBESTOS EXPOSED

  • GOOD CONDITION, NO DAMAGE
  • MINOR DAMAGE TO COATING
  • MAJOR DAMAGE TO COATING
  • ASBESTOS EXPOSED

• PROVIDE DETAILS OF LOCATION

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• ENTER WORKS PRIORITY:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• ARE WARNING STICKERS PRESENT AND IN GOOD CONDITION /

  YES

  NO

  Not Aplicable

• ENTER WORKS PRIORITY:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• CHECK WITH CLIENT

• CONDITION RATING OF FACILITY AS A WHOLE

  Select condition rating EXCELLENT GOOD AVERAGE POOR VERY POOR FAILED / DORMANT

  • condition rating
  • EXCELLENT
  • GOOD
  • AVERAGE
  • POOR
  • VERY POOR
  • FAILED / DORMANT

• PROVIDE DETAILS OF DEFECT(S)

• TAKE PHOTO OR ADD FROM LIBRARY

  Media

• APPROX COST TO RECTIFY DEFECT ($)

• REPORT AS HIGH PRIORITY WORKS:

  Select HIGH PRIORITY DEFECT

  • HIGH PRIORITY DEFECT

• REMAINING USEFUL LIFE OF FACILITY AS A WHOLE, AS CONDITION IS DOORMANT

  Select RUL of poor facility 5 years MAX 2 - 5 years less than 2 years facility is potentially dangerous

  • RUL of poor facility
  • 5 years MAX
  • 2 - 5 years
  • less than 2 years
  • facility is potentially dangerous

• 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 ABOVE