Information

  • 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

  • Weather at time of audit

  • GIS REF (OR USE GPS IF CONNECTED TO NETWORK)
  • PHOTO (S) OF FACILITY

  • WHAT LEVEL OF SERVICE IS REQUIRED FOR THIS FACILITY ?

  • IS IT HERITAGE LISTED ?

  • IS THE FACILITY LEASED ?

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

  • KEY HOLDER ; NAME, ADDRESS AND TELEPHONE NUMBER

  • Date placed in service if known

  • GROSS FLOOR AREA (m2) APPROX.

  • LEGACY INFORMATION / COMMENTS

STRUCTURAL COMPONENTS

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQUIRED:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

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

  • PROVIDE DETAILS OF MATERIAL

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

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

  • 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:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

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

  • STRUCTURAL COMPONENTS - GENERAL COMMENTS

ROOF & DRAINAGE

  • ROOF AREA (approx. m2)

  • ROOF COVERING (Material)

  • PROVIDE DETAILS OF MATERIAL

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • NUMBER OF ROOF VENTS (Whirlybirds etc.)

  • NUMBER OF SKY LIGHTS

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

  • REMAINING USEFUL LIFE OF ROOF IS APPROXIMATELY

  • ARE THERE GUTTERS ?

  • GUTTERS (Material)

  • PROVIDE DETAILS OF MATERIAL

  • TOTAL LENGTH OF GUTTER

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF GUTTERS IS APPROXIMATELY

  • ARE THERE DOWNPIPES ?

  • DOWNPIPES (Material)

  • PROVIDE DETAILS OF MATERIAL

  • TOTAL LENGTH OF DOWNPIPES

  • NUMBER OF DOWN-PIPE DROPS

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • REMAINING USEFUL LIFE OF DOWN PIPES IS APPROXIMATELY

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

FINISHES (INTERNAL AND EXTERNAL)

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

  • PROVIDE DETAILS OF MATERIAL

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • PROVIDE DETAILS OF MATERIAL

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • PROVIDE DETAILS OF MATERIAL ..

  • NUMBER OF GLAZED WINDOWS

  • NUMBER OF LOUVRES (DO NOT INCLUDE LOUVRED BLOCKS)

  • IS THERE A DEFECT WITH WINDOWS OR LOUVRES ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE WINDOW SECURITY SCREENS, SHUTTERS OR BARS ?

  • PROVIDE DETAILS OF TYPE, MATERIAL AND NUMBER

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE EXTERNAL DOORS ?

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • NUMBER OF EXTERNAL DOORS

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

  • REMAINING USEFUL LIFE (YEARS)

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

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • NUMBER OF INTERNAL DOORS

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

  • REMAINING USEFUL LIFE (YEARS)

  • FINISHES - GENERAL COMMENTS

SANITARY WARE AND WASTE

  • ARE DISABLED TOILETS PRESENT ?

  • NUMBER OF DISABLED TOILETS

  • NUMBER OF DUAL FLUSH CISTERNS

  • NUMBER OF SINGLE FLUSH CISTERNS

  • MATERIAL OF PAN AND CISTERN

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • DOES THE FACILITY MEET CURRENT DAY ACCESS REQUIREMENTS ?

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

  • TAKE PHOTO

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

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE FEMALE TOILET FACILITIES ?

  • NUMBER OF FEMALE CUBICLES

  • NUMBER OF DUAL FLUSH CISTERNS

  • NUMBER OF SINGLE FLUSH CISTERNS

  • MATERIAL OF PAN AND CISTERN

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE MALE TOILETS FACILITIES ?

  • NUMBER OF MALE CUBICLES

  • NUMBER OF DUAL FLUSH CISTERNS

  • NUMBER OF SINGLE FLUSH CISTERNS

  • MATERIAL OF PAN AND CISTERN

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE URINALS PRESENT ?

  • NO. OF URINALS

  • IS THERE AN AUTOMATIC FLUSH SYSTEM IN PLACE ?

  • MATERIAL OF URINAL

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • IS THERE A TROUGH PRESENT ?

  • NO. OF PEOPLE IT CAN ACCOMMODATE

  • IS THERE AN AUTOMATIC FLUSH SYSTEM IN PLACE ?

  • MATERIAL OF TROUGH

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE THERE UNISEX FACILITIES ?

  • NUMBER OF UNISEX CUBICLES

  • NUMBER OF DUAL FLUSH CISTERNS

  • NUMBER OF SINGLE FLUSH CISTERNS

  • MATERIAL OF PAN AND CISTERN

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • NUMBER OF TOILET ROLL HOLDERS IN FACILITY

  • TYPE

  • IS THERE A DEFECT WITH TOILET ROLL HOLDERS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • 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 ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • IS THERE A SEPTIC TANK ?

  • IS IT A BIO SYSTEM?

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

  • REMAINING USEFUL LIFE (YEARS)

  • SANITATION AND WASTE - GENERAL COMMENTS

SHOWERS, BASINS AND PLUMBING

  • IS THERE HOT WATER AVAILABLE ?

  • PROVIDE DETAILS OF HEATING SOURCE ...

  • WHAT IS THE GENERAL CONDITION OF THE HEATER ?

  • TAKE PHOTO

  • APPROX COST TO PROVIDE REPLACEMENT HEATER ($)

  • IS THERE A DEFECT IN THE HOT WATER SYSTEM ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE SHOWERS PRESENT ?

  • NUMBER OF SHOWERS

  • FINISH MATERIAL OF SHOWER CUBICLES

  • DETAILS OF MATERIAL ....

  • ARE ALL SHOWER TAPS AUTO SHUT OFF ?

  • NUMBER OF TAPS THAT ARE NOT AUTO SHUT OFF

  • IS THERE A DEFECT WITH THE SHOWERS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • ARE HAND BASINS PRESENT ?

  • NUMBER OF HAND BASINS

  • BASINS (MATERIAL)

  • PROVIDE DETAILS OF MATERIAL ..

  • ARE ALL TAPS AUTO SHUT OFF TYPE ?

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

  • IS THERE A DEFECT WITH THE HAND BASINS ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • IS THERE AN INTERNAL CLEANERS SINK ?

  • CLEANERS SINK MATERIAL

  • PROVIDE DETAILS OF MATERIAL ..

  • IS THE CLEANERS TAP SHIELDED ?

  • ADD AS A MED PRIORITY DEFECT

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

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • ENTER WORKS PRIORITY:

  • TAKE PHOTO

  • APPROX COST TO RECTIFY DEFECT ($)

  • IS THERE AN OUTSIDE TAP ?

  • IS THERE A DEFECT ?

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

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

  • REMAINING USEFUL LIFE (YEARS)

  • SHOWERS, BASINS AND PLUMBING - GENERAL COMMENTS

POWER AND LIGHTING

  • IS ELECTRICITY SUPPLIED TO FACILITY ?

  • CONDITION OF THE SWITCHBOARD CABINET AND CONDUITS

  • ENTER DEFECT DETAILS AND WORKS REQ:

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • NUMBER OF EXTERNAL LIGHTS

  • NUMBER OF INTERNAL LIGHTS

  • NUMBER OF POWER SOCKETS

  • NUMBER OF EXTRACT FANS

  • ARE ALL CIRCUITS PROTECTED BY RCDS ETC.?

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

  • REPORT AS HIGH PRIORITY WORKS:

  • REPORT AS HIGH PRIORITY WORKS:

  • APPROX COST TO RECTIFY DEFECT ($)

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

  • 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 (NOTE: 'EXCELLENT' or 'AVERAGE' assumed 10+ years RUL

  • REMAINING USEFUL LIFE OF ELECTRICAL SERVICES IS...

  • POWER AND LIGHTING - GENERAL COMMENTS

FACILITY SUMMARY

  • NEAREST PARKING SPACE (m)

  • IS ASBESTOS PRESENT IN THIS FACILITY ?

  • ASBESTOS REGISTER ASSET NUMBER

  • WHAT CONDITION IS IT IN ?

  • PROVIDE DETAILS OF LOCATION

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • ENTER WORKS PRIORITY:

  • ARE WARNING STICKERS PRESENT AND IN GOOD CONDITION /

  • ENTER WORKS PRIORITY:

  • CHECK WITH CLIENT

  • CONDITION RATING OF FACILITY AS A WHOLE

  • PROVIDE DETAILS OF DEFECT(S)

  • TAKE PHOTO OR ADD FROM LIBRARY

  • APPROX COST TO RECTIFY DEFECT ($)

  • REPORT AS HIGH PRIORITY WORKS:

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

  • 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

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