Information

  • Name of facility

  • Address

  • Conducted on

  • Name of client representative during the audit ( if applicable )

  • Report edited by Ian Pearl. Site visited by :

BACKGROUND INFORMATION

  • GIS LOCATION
  • PCL number(s)

  • FAR number(s)

  • Target LEVEL OF SERVICE for this facility (3 Star if unspecified)

  • General Comments

LAND & SURROUNDS

  • 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)

  • Item for consideration by the Service Provider

  • Item #
  • Enter exact location, details and works required

  • Take photo

  • Any comments ..

BFM MANAGED STRUCTURES and Associated assets (Exclude toilet blocks)

  • Is there a BFM managed asset on this site ?

  • Structure

  • Structure #
  • Main Purpose of structure e.g. Picnic shelter etc.

  • PHOTO OF FACILITY

  • Add location of asset on GIS and then take a screen capture using the satellite map overlay
  • Add Screen shot of satellite map location here if the asset might b difficult to locate

DEFECTS

  • Is there a defect ?

  • Enter defect (enter each defect separately)

  • DEFECT No.
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Discuss with team leader on return to office.

  • Estimate cost range for repairs

GENERAL APPEARANCE

  • Is there a need to paint the facility within the next 3 years ?

PEST Control

  • Is there evidence of pest activity i.e. Termites, rodents etc.?

  • Enter exact location, defect details and works required

  • Take photo

  • Is there any timber on site that would require periodic inspection / or pest treatment?

  • General comments pest

SCHEDULE BUILDER

  • Are there any CCTV cameras attached to the facility ?

  • Are there any electrical services I.e. Power points, lights ?

  • Provide details of type, quantity etc.

  • Is there a distribution board on the facility or a board/ power pole immediately nearby that supplies the facility?

  • Number of push button rcd's

  • Is there a test date visible ?

  • Date of last test or...

  • Date of next test

  • Comments (if any)

  • Are there any taps, showers or water services ?

  • Provide details of type, quantity etc.

  • Is there any fire equipment at the facility or site ?

  • No. Of extinguishers

  • No. Of fire hose reels

  • General comments

GENERAL CONDITION RATING for WHOLE FACILITY

  • Roof, gutters and downpipes

  • Walls or supports

  • Floors

OVERALL CONDITION SCORE for this asset

  • Condition. Score

    Very good. >30
    Good. 25-30
    Average 20-25
    Poor <20

  • Provide actual score obtained here ...

  • Suggested LEVEL OF SERVICE based on inspection findings and score

B.B.Q's

  • Are there any bbq's on the site ?

  • Add BBQ ref no. If provided or number 1-99 (Add each BBQ unit as a separate asset )

  • BBQ
  • General comments on this Bbq (Note if there are obvious defects, add in the defects section above)

  • GENERAL CONDITION RATING OF BBQ's ( note these do not count towards condition score )

INDICATIVE COSTS - SUMMARY

  • 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)

MAIN ISSUES - SUMMARY Of impotance

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.