Information
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Name of facility
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Address
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Conducted on
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Name of client representative during the audit ( if applicable )
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Report edited by Ian Pearl. Site visited by :
BACKGROUND INFORMATION
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GIS LOCATION
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PCL number(s)
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FAR number(s)
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Target LEVEL OF SERVICE for this facility (3 Star if unspecified)
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General Comments
LAND & SURROUNDS
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Are there are any issues on assets that are not directly managed by BFM such as: Trees, Paths, Roads and Parking areas, Bollards, Play equipment, Barriers, Fences & Signage, Light posts and Power boxes, etc. ?
OBSERVATIONS - FOR SERVICE PROVIDER TO REVIEW (Non-BFM assets)
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Item for consideration by the Service Provider
Item #
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Enter exact location, details and works required
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Take photo
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Any comments ..
BFM MANAGED STRUCTURES and Associated assets (Exclude toilet blocks)
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Is there a BFM managed asset on this site ?
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Structure
Structure #
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Main Purpose of structure e.g. Picnic shelter etc.
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PHOTO OF FACILITY
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Add location of asset on GIS and then take a screen capture using the satellite map overlay
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Add Screen shot of satellite map location here if the asset might b difficult to locate
DEFECTS
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Is there a defect ?
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Enter defect (enter each defect separately)
DEFECT No.
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Enter exact location, defect details and works required
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Take photo
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Works priority
- IMMEDIATE/URGENT (WHS issue) - Phone through to BFM from site
- Very High - Within 1 week
- High - Within 1 month
- Routine - Within 6 months
- Programme (12 months plus)
- CAPEX WORKS (>$10k)
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Discuss with team leader on return to office.
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Estimate cost range for repairs
- <$500
- $500 - $1000
- $1000 - $2000
- $2000 - $3000
- $3000 - $5000
- $5000 - $7000
- $7000 - $10,000
- $10,000 - $15,000
- >$15,000
- NIL ALLOCATED
GENERAL APPEARANCE
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Is there a need to paint the facility within the next 3 years ?
PEST Control
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Is there evidence of pest activity i.e. Termites, rodents etc.?
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Enter exact location, defect details and works required
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Take photo
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Is there any timber on site that would require periodic inspection / or pest treatment?
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General comments pest
SCHEDULE BUILDER
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Are there any CCTV cameras attached to the facility ?
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Are there any electrical services I.e. Power points, lights ?
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Provide details of type, quantity etc.
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Is there a distribution board on the facility or a board/ power pole immediately nearby that supplies the facility?
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Is there a test date visible ?
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Date of last test or...
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Date of next test
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Comments (if any)
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Are there any taps, showers or water services ?
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Provide details of type, quantity etc.
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Is there any fire equipment at the facility or site ?
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No. Of extinguishers
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No. Of fire hose reels
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General comments
GENERAL CONDITION RATING for WHOLE FACILITY
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Roof, gutters and downpipes
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Walls or supports
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Floors
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
OVERALL CONDITION SCORE for this asset
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Condition. Score
Very good. >30
Good. 25-30
Average 20-25
Poor <20 -
Provide actual score obtained here ...
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Suggested LEVEL OF SERVICE based on inspection findings and score
- 5 STAR (Highest)
- 4 STAR
- 3 STAR
- 2 STAR
- 1 STAR (Lowest)
B.B.Q's
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Are there any bbq's on the site ?
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Add BBQ ref no. If provided or number 1-99 (Add each BBQ unit as a separate asset )
BBQ
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General comments on this Bbq (Note if there are obvious defects, add in the defects section above)
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GENERAL CONDITION RATING OF BBQ's ( note these do not count towards condition score )
- GOOD
- AVERAGE
- POOR
INDICATIVE COSTS - SUMMARY
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INDICATIVE Cost of undertaking all identified works, including any quotations required (Note that this estimate excludes the costs of any works that might arise as a result of any specialist quotations if identified in the report)