Information
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Facility Name
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Facility ID number (if known)
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Street Address
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GIS coords (use 'LOCATE' button)
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Assessment No.
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Parcel No.
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Conducted on
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Review Prepared by (CRC officer name and number)
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This inspection reviews contract performance and compliance to AS 1851-2012 'Routine service of fire protection systems and equipment'
Note: if follow up action is required, use the "..." button to add a 'follow-up' item
1. Contract Details
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Name of contract company
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Name of contractors representative
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Contact telephone number and email if known
2. Finance
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Has an invoice been received for this fire compliance works ?
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Invoice number
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Has the invoice been paid ?
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CRC payment reference
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Check to see that it is on schedule to be done. If not, provide details here...
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General comments on FInance
3. Maintenance Schedule
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A Typical routine service schedule is as shown:
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Is there a routine service schedule for this facility?
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Use the '...." button to raise a follow-up for the occupier/contractor to provide a yearly service schedule and diarise follow-up response
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General comments on Schedule
4. Data Storage
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In accordance with contract specs. information on assets must include the following:
- Equipment asset number;
- Equipment description and type;
- Device location;
- Date of installation;
- Scheduled replacement date (where equipment has a finite service life);
- Date of last test;
- Date of next scheduled test;
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Does the asset under review have the correct information and level of detail to meet the above criteria?
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Use the '..." button to raise a follow up for the occupier/contractor to provide the correct level of detail and diarise follow up response
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General comments on compliance with data storage
5. Information derived from the inspection
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Is the timing of the work/report correct in relation to the required reporting or work frequency?
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Is the report a yearly condition Report as required by As 1851-2012?
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Use the '..." button to raise a follow up for the occupier/contractor to provide a yearly report and diarise follow up response
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Did the contractor report any non-conformance during this inspection?
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List of non-conformances:
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Did the contractor perform any activity to remove non-conformance?
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Classification of most important non-compliance. (Pick one from the list...)
- CRITICAL - Defect e.g. alarm/zone inactive
- Non-Critical - e.g Extinguishers empty
- Non Conformance - e.g.No documentation end.
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Use the '...' button to raise a follow up for the occupier/contractor to rectify non-conformance within 1 month and diarise follow-up response.
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General comments on the contractors inspection report
6. Contractors on-site log of activity
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Is there a maintenance log at this site?
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Is the maintenance log up to date and does it show details of activities undertaken since it began operation or over the last 2 years whichever is the longer ?
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Use the '..." button to raise a follow up for the occupier/contractor to provide a log for the site and diarise follow-up response
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Use the '..." button to raise a follow up for the occupier/contractor to provide a log for the site and diarise follow-up response
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General comments on site log
7. On site review of fire services equipment
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Is the facility completely in order ? I.e. Is all equipment ok?
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Take a photo of any defective equipment
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Use the '...' button to raise a follow up for the contractor to review and provide feedback to you and diarise follow-up-up response.
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General comments on fire safety services signage and equipment on site
8. Sign off by CRC officer
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What score has been obtained?
- 5
- 4
- 3
- 2
- 1
- 0
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This check has identified a failure in service compliance.
Ensure any non-conformance has been identified as a 'Follow-up' item in the above audit. -
Diarise follow up to ensure full compliance is obtained
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Name and contact number of CRC officer responsible for follow up..