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 prepared by:
1. BACKGROUND INFORMATION
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Where there are actionable defects identified during the review of the facility, these are to be identified and raised as 'Portal Requests' immediately or passed to the asset owner as a 'Follow Up'
All costs and response times are approximate and are for estimation purposes only -
GIS LOCATION
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FAR number
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Approx. Gross Floor Area (m2) Note: external measurement of walls is acceptable
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No. Of habitable floor levels
- single storey
- 2 storey
- 3 storey
- Roof greater than 3 storeys high
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Building Type ( for insurance ) A-D A - Reinforced concrete walls, floor, frame, roof [eg bomb shelter!] B - Non-combustible walls, floor, frame, roof (Excluding reinforced concrete as in Type A) [eg tin shed with steel purlins] C - Non-combustible walls and roof but with timber frame and floors [eg tin shed with timber frame] D - Combustable frame, walls, roof [eg timber shed]
- A - Concrete Reinforced
- B - All steel etc.
- C - Steel and TImber
- D - All timber
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General Comments
2. AUDIT DETAILS
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Date and time of audit
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Weather at time of audit
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EXTERNAL PHOTO OF FACILITY - taken at time of audit
3. LAND & SURROUNDS
3. a) Access Driveways, Roads and Footpaths
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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No schedule required for this asset type
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General comments access driveways and roads
3. b) Signage and barriers
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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No. Of boom gates or auto. roller doors
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General comments signage and barriers
3. c) Landscaping
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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Area of grass approx.(m2)
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Area of shrubs or trees approx.(m2)
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Does the facility have any irrigation?
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Are there any backflow prevention devices fitted (rpz's)?
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General comments landscaping and irrigation
3. d) Exterior - Finishes/Painting (and any structural elements)
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ? I.e. Whole areas need reprinting etc. within the next 3 years
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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No schedule required for this asset type
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General comments exterior finishes and painting
3. e) Exterior Fire and Safety
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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Is there a fire hydrant within the grounds of the facility ?
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No. Of extinguishers
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No. Of fire hose reels
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Is there a safety shower?
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General comments exterior fire and safety
4. ROOF ( including: sheets, gutters and downpipes and fascias )
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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Is roof sheet cleaning required at least yearly ?
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Is gutter / downpipes clearance required at least yearly ?
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Provide details of issue and suggested cleaning frequency
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Are there Whirley birds or roof penetrations ?
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General comments on roof
π π GENERAL CONDITION RATING - Exterior Elements
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Condition rating - Access driveways, roads and footpaths
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Condition rating - Barriers and signage
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Condition rating - Landscaping and irrigation
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Condition rating - Exterior finishes / painting ( including any structural elements)
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Condition rating - Roof sheeting, roof drainage and facias
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
5. INTERNAL COMPONENTS (Room by room)
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Draw a sketch of the facility showing internal rooms. Orientate with north arrow. Number rooms from 1 to 99 to ref. against the following ...
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Rooms (press 'add room' button to add more rooms)
****** ROOM NO. *******
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Provide details on room location and current use
5. a) Fire & Safety Systems
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ? I.e. Whole areas need replacing etc. within the next 3 years
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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No. Of extinguishers
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No. Of fire hose reels
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No. Of lay flat hoses
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No. Of fire blankets
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No. of heat or smoke detectors
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No. Of illuminated fire EXIT signs
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No. of fire doors
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Is there an EWIS panel in this room?
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Is there a fire booster pump for this facility ?
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Is there an FIP in this room ?
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Are there sprinkler valves in this room ?
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General comments fire and safety
5. b) INTERIOR FINISHES / PAINTING
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ? I.e. Whole areas need replacing etc. within the next 3 years
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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No schedule required for this asset type
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General comments interior finishes and painting
5. c) TOILETS, SHOWERS, KITCHENS & General PLUMBING
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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No. Of exhaust / extract fans
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No. Of water coolers connected to mains water
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No. Of ice making machines
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Is there a cold room ?
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Is there a grease trap ?
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Are there water circulation pumps and or sewerage pumps or macerators?
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Provide description...
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Is there a cold water supply at the facility ?
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Is there a hot water supply to the facility ?
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Provide details of supply i.g. Gas or electric boiler etc.
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General comments plumbing
5.d) SERVICES
π§DEFECT DETAILS:
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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MECHANICAL SERVICES:
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No. Of split system aircons
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No. Of box aircons
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No. Of auto pedestrian doors
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No. Of doors with self-closing mechanisms
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ELECTRICAL SERVICES:
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Is the space lit ?
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Are there a number of lights not working that would indicate that a bulk lamp change is needed? If response is 'Yes' provide details in the following 'Comments' section
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Is there a distribution board present ?
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Distribution Board
Distribution Board no.
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No. of RCDS
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Is 'thermoscan' required for this DB ? (Generally if there is more than 1 dist. board, or there are large loads)
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Provide justification here ...
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Are there solar panels ?
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No. Of panels
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Is there a BMS ?
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Is there a CCTV system ?
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Is there a security system with battery backup ?
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Provide details here and make note of BATTERY DATE
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General comments on services
5 e) Major Plant
π§ DEFECT DETAILS
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Do you want to undertake a SCHEDULE build ?
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MAJOR PLANT - ELECTRICAL
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Is there a generator ?
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MAJOR PLANT - MECHANICAL
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Is there a GOODS lift ?
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No. Of passenger lifts
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No. Of chillers
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No. Of package units
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No. Of air handling units
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No. Of cooling towers
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General comments major plant
6. WHOLE FACILITY - MISC
π§ DEFECT DETAILS
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Is there a MINOR defect ?
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Enter MINOR defect
π MINOR DEFECT ..
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Is this an I.S. Asset ?
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Take photograph
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Raise a PORTAL request ASAP. Provide brief summary of issue here...
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Portal Request # Once raised ...
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Take photo and raise a Follow Up..
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Is there a MAJOR defect ?
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Enter MAJOR defect
π π MAJOR DEFECT ..
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Enter exact location, defect details and works required
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Take photo
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Works priority
- HIGH - Within 1 month
- MEDIUM - 3 to 6 Months
- LOW - Within 1 year
- Programmed 1 to 3 Years
- Programmed 3 to 5 years
- Follow up insp. required 12 months time
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Approximate cost to rectify ($)
π© SCHEDULE BUILDER:
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Is there portable equipment present that should be subject to regular testing ?
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Is there a permanent gas connection? ( I.e. hard plumbing to a boiler etc. Do not include BBQ type installations). Note: Can be bottled gas or reticulated.
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General comments or inclusions to annual operating costs :
7. π π GENERAL CONDITION RATING for WHOLE FACILITY
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Fire and Safety
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Interior finishes and painting
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Toilets, showers, kitchens and plumbing
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Services - mechanical
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Services - electrical
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
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Major plant
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable
8. OVERALL CONDITION SCORE for whole facility
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Condition Rating. Score
Good/Very good (20+ yrs) >110
Average (10-20 yrs). 70-100
Poor (5-10 yrs) 50-70
Very Poor (< 5 yrs). < 50 -
Provide actual score obtained here ...
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Suggested condition rating .....
- VERY GOOD
- GOOD
- AVERAGE
- POOR
- FAILED/REDUNDANT
- not applicable