Building Services Condition Survey

GENERAL PROJECT INFORMATION

• Project Reference

• Project Title

• Document Ref

• Audit Title

• Purpose of Survey

• Client / Site

• Sector

  Select Accommodation Blue Light Care Homes Commercial Custodial Defence Education Food Healthcare Hotels Industrial Infrastructure Leisure Retail Transport OTHER

  • Accommodation
  • Blue Light
  • Care Homes
  • Commercial
  • Custodial
  • Defence
  • Education
  • Food
  • Healthcare
  • Hotels
  • Industrial
  • Infrastructure
  • Leisure
  • Retail
  • Transport
  • OTHER

• OTHER Sector type

• Site Location
  Address

• Conducted on

  Date

• Prepared by

• Signature

  Sign

PRE-SURVEY CHECK LIST

Client Questions

• Include in Survey?

  Yes

  No

• Has a survey programme been agreed with the client and <br>other persons involved?

  Yes

  No

  N/A

• Is there a list of plant and installations to be surveyed available? <br>with their details?

  Yes

  No

  N/A

• Are system & equipment details available & obtained prior to the survey?

  Yes

  No

  N/A

• Are there any known site constraints and/or restrictions?, such <br>as security and access restrictions, safety hazards including <br>asbestos and attendance requirements?

  Yes

  No

  N/A

• Please identify known Constraints

  Select Security Issues Escorted Attendance Required Asbestos Presence Confined Spaces Other Hazards

  • Security Issues
  • Escorted Attendance Required
  • Asbestos Presence
  • Confined Spaces
  • Other Hazards

• Confirm Other Hazards

• Have arrangements been made to examine documents such <br>as the asset register, operating and maintenance logbooks <br>and competent person examination records?

  Yes

  No

  N/A

• Has a list been prepared of persons to be interviewed?

  Yes

  No

  N/A

• Has the client agreed what support will be provided, such <br>as providing escorts and attendance by contractors?

  Yes

  No

  N/A

• If so, have the appropriate persons been informed and are they <br>ready to assist?

  Yes

  No

• Is any special training or site-specific information required, <br>for activities such as working on roofs?

  Yes

  No

  N/A

• Has the Training been completed

  Yes

  No

  N/A

• Has a method statement and risk assessment been <br>prepared for the condition survey?

  Yes

  No

  N/A

General Tools & Equipment (Checklist)

• Required by Survey?

  Yes

  No

Handheld Tools

• Mobile Phone

• Camera (Digital)

• Camera (Endoscopic)

• Camera (Thermographic)

• Measure (Tape)

• Measure (Disto/Laser)

• Torch

• Set of screwdrivers

• Allen Keys / Square Peg Keys

• Light Meter

• Temperature / RH detector

• Volt Meter

• Anemometer (Rotating Vane)

Access Equipment

• Ladders

Personnel Equipment

• PPE

• First Aid Kit

GENERAL SYSTEM DESCRIPTIONS

• General Description of the Mechanical & Electrical engineering installations

Statutory Utilities

• Utilities Provided

  Select HV Power LV Power Natural Gas Oil LPG Potable Water Borehole Water Telecoms

  • HV Power
  • LV Power
  • Natural Gas
  • Oil
  • LPG
  • Potable Water
  • Borehole Water
  • Telecoms

Mechanical Installations

• Applicable Systems

  Select Heating CHP Cooling Ventilation Gas Process Systems Automatic Controls AM&T Miscellaneous None

  • Heating
  • CHP
  • Cooling
  • Ventilation
  • Gas
  • Process Systems
  • Automatic Controls
  • AM&T
  • Miscellaneous
  • None

Public Health Installations

• Applicable Systems

  Select Rainwater Installations Rainwater Harvesting Grey Water Above Ground Drainage Domestic Cold Water Domestic Hot Water None

  • Rainwater Installations
  • Rainwater Harvesting
  • Grey Water
  • Above Ground Drainage
  • Domestic Cold Water
  • Domestic Hot Water
  • None

Electrical Installations

• Applicable Systems

  Select LV Power Small Power Essential Power Lighting Emergency Lighting Data Installations Fire Alarm Security Access Control CCTV Public Address / Music Miscellaneous None

  • LV Power
  • Small Power
  • Essential Power
  • Lighting
  • Emergency Lighting
  • Data Installations
  • Fire Alarm
  • Security
  • Access Control
  • CCTV
  • Public Address / Music
  • Miscellaneous
  • None

Fire Installations

• Applicable Systems

  Select Sprinkler Installations Dry Riser Wet Riser Smoke Ventilation Stairwell Pressurisation Hydrants NONE

  • Sprinkler Installations
  • Dry Riser
  • Wet Riser
  • Smoke Ventilation
  • Stairwell Pressurisation
  • Hydrants
  • NONE

STATUTORY UTILITIES

• Include Statutory Utilities in survey?

  Yes

  No

Electricity Supply

• Electricity Supply Connected?

  Yes

  No

• Enter number of supplies

  Single Supply

  Multiple Supplies
Meter Information

• System Ref/Description

• Supply Authority

• Type of electricity Supply

  Select HV Supply (DNO Transformer) HV Supply (Private Transformer) LV Supply

  • HV Supply (DNO Transformer)
  • HV Supply (Private Transformer)
  • LV Supply

• Phase

  Single Phase

  Three Phase

• Meter Operator

• MPAN Reference

• Maximum Demand (kVa)

• Supply Size

• Electricity Meter Images

  Media

Gas Supply

• Gas Supply Connected?

  Yes

  No

• Type of connected supply

  Low Pressure

  Medium Pressure
Gas Meter Information

• System Ref/Description

• Meter MPRN

• Gas Meter Size

• Gas Meter Images

  Media

Water Supply

• Water Supply Connected?

  Yes

  No

• Type of Supply

  Select Single Incoming Water Supply Multiple Incoming Water Supplies Fire Fighting Supply Site Borehole Supply

  • Single Incoming Water Supply
  • Multiple Incoming Water Supplies
  • Fire Fighting Supply
  • Site Borehole Supply
Water Meter Information

• System Ref/Description

• Water Meter Reference

• Water Meter Size

• Water Meter Image(s)

  Media

LPG Supply

• LPG Supply Connected?

  Yes

  No

• Type of Supply?

  Single System

  Multiple Systems
System Information

• System Ref/Description

• Fuel

  Butane

  Propane

  Unknown

• Stored Volume

• Storage Location

  External - Above Ground

  External - Buried

• LPG Images

  Media

Oil Supply

• Oil Supply Connected?

  Yes

  No

• Type of Supply

  Single System

  Multiple Systems
Type of connected Supply

• System Ref/Description

• Fuel Type

  Class D

  Unknown

• Stored Volume

• Oil Images

  Media

MECHANICAL PLANT ROOMS & EQUIPMENT

• Include this section in survey?

  Yes

  No

Mechanical Plant Room Survey

Add Plant Room

• Room name/number

• Plantroom Description

• Plantroom Location

  Select Basement Ground Floor 1st 2nd 3rd 4th 5th 6th Upper Roof Externals

  • Basement
  • Ground Floor
  • 1st
  • 2nd
  • 3rd
  • 4th
  • 5th
  • 6th
  • Upper
  • Roof
  • Externals

• Plantroom Health & Safety

  Select Unavailability of emergency equipment in plant rooms, for example alarms, emergency telephones, panic buttons, and emergency isolation devices Lack of safety equipment in plant rooms, such as rubber matting in front of electrical switch panels Inadequate means of escape from plant rooms Lack of first aid equipment Inadequate safety signs and posters Inadequate warning and danger notices Inadequate guards and barriers, particularly in the case of rotating and moving machinery Lack of means of local isolation for maintenance, particularly in the case of remotely controlled machinery Inadequate security of plant rooms Presence of hazardous substances in plant rooms without adequate precautions, for example unsecured gas bottles Hazards in plant rooms due to lack of headroom, holes, and trenches without adequate identification such as warning tapes and protection. Inadequate identification such as warning tapes and protection. Generally unsafe plant rooms, for example slippery floors, uneven floors and steep ramps Undue noise in plant rooms Undue noise in other areas emanating from building services plant Inadequate guards and rails against falling, for example on roof areas, access gantries and platforms Inadequate heating, ventilating and lighting in plant rooms Use of plant rooms as storage areas

  • Unavailability of emergency equipment in plant rooms, for example alarms, emergency telephones, panic buttons, and emergency isolation devices
  • Lack of safety equipment in plant rooms, such as rubber matting in front of electrical switch panels
  • Inadequate means of escape from plant rooms
  • Lack of first aid equipment
  • Inadequate safety signs and posters
  • Inadequate warning and danger notices
  • Inadequate guards and barriers, particularly in the case of rotating and moving machinery
  • Lack of means of local isolation for maintenance, particularly in the case of remotely controlled machinery
  • Inadequate security of plant rooms
  • Presence of hazardous substances in plant rooms without adequate precautions, for example unsecured gas bottles
  • Hazards in plant rooms due to lack of headroom, holes, and trenches without adequate identification such as warning tapes and protection.
  • Inadequate identification such as warning tapes and protection.
  • Generally unsafe plant rooms, for example slippery floors, uneven floors and steep ramps
  • Undue noise in plant rooms
  • Undue noise in other areas emanating from building services plant
  • Inadequate guards and rails against falling, for example on roof areas, access gantries and platforms
  • Inadequate heating, ventilating and lighting in plant rooms
  • Use of plant rooms as storage areas
Add Plant Item

Mechanical Plant Item

• System (NRM3)

  Select 5.1 - Sanitary installations 5.3 - Disposal installations 5.4 - Water installations 5.5 - Heat source 5.6 - Space heating and air conditioning 5.7 - Ventilation 5.8 - Electrical installations 5.0 - Fuel installations 5.10 - Lift and conveyor installations 5.11 - Fire and lightning protection 5.12 - Communication, security and control systems 5.13 - Specialist installations OTHER

  • 5.1 - Sanitary installations
  • 5.3 - Disposal installations
  • 5.4 - Water installations
  • 5.5 - Heat source
  • 5.6 - Space heating and air conditioning
  • 5.7 - Ventilation
  • 5.8 - Electrical installations
  • 5.0 - Fuel installations
  • 5.10 - Lift and conveyor installations
  • 5.11 - Fire and lightning protection
  • 5.12 - Communication, security and control systems
  • 5.13 - Specialist installations
  • OTHER

• Plant / Equipment Type

  Select Air Conditioning Unit Air Handling Unit Air Terminal Air To Air Heat Recovery Audio Visual Outlet Battery BMS Control Boiler Breeching Inlet Building Services Accessories Cable Ladder Segment Type Cable Tray Segment Cable Trunking Segment Chiller Chimney Condenser Conduit Segment Controller Convector Cooled Beam Cooling Tower Cowl Damper Direct Water Heater Drainage Pump Duct Duct Accessory Duct Silencer Electric Generator Evaporative Cooler Evaporator Fan Filter Fire Alarm Fire Alarm Device Fire / Smoke Damper Fire Dry Riser Fire Hydrant Flow Controller Floor Waste Fume Hood Exhaust Gas Alarm Gas Booster Gas Burner Gas Terminal Gas Valve Grease Interceptor Hand Dryer Heater Heat Exchanger Hose Reel Humidifier Kitchen Extract Lightning Protection Lift Meter Mixing Valve Oil Interceptor Oil Tank Other Power Outlet Pump  (Booster0 Pump  (Circulating) Radiator Residual Current Circuit Breaker Sensor Shower Sprinkler Tank / Cistern Thermal Mix Valve Valve Water Cooler Water Heater

  • Air Conditioning Unit
  • Air Handling Unit
  • Air Terminal
  • Air To Air Heat Recovery
  • Audio Visual Outlet
  • Battery
  • BMS Control
  • Boiler
  • Breeching Inlet
  • Building Services Accessories
  • Cable Ladder Segment Type
  • Cable Tray Segment
  • Cable Trunking Segment
  • Chiller
  • Chimney
  • Condenser
  • Conduit Segment
  • Controller
  • Convector
  • Cooled Beam
  • Cooling Tower
  • Cowl
  • Damper
  • Direct Water Heater
  • Drainage Pump
  • Duct
  • Duct Accessory
  • Duct Silencer
  • Electric Generator
  • Evaporative Cooler
  • Evaporator
  • Fan
  • Filter
  • Fire Alarm
  • Fire Alarm Device
  • Fire / Smoke Damper
  • Fire Dry Riser
  • Fire Hydrant
  • Flow Controller
  • Floor Waste
  • Fume Hood Exhaust
  • Gas Alarm
  • Gas Booster
  • Gas Burner
  • Gas Terminal
  • Gas Valve
  • Grease Interceptor
  • Hand Dryer
  • Heater
  • Heat Exchanger
  • Hose Reel
  • Humidifier
  • Kitchen Extract
  • Lightning Protection
  • Lift
  • Meter
  • Mixing Valve
  • Oil Interceptor
  • Oil Tank
  • Other
  • Power Outlet
  • Pump  (Booster0
  • Pump  (Circulating)
  • Radiator
  • Residual Current Circuit Breaker
  • Sensor
  • Shower
  • Sprinkler
  • Tank / Cistern
  • Thermal Mix Valve
  • Valve
  • Water Cooler
  • Water Heater

• Plant Reference

• Plant Description

• Add Sub Description?

• Sub Description

• Date of Installation

  Date

Technical Information

• Technical Details 1

• Technical Details 2

Manufacturer Information

• Manufacturer

• Model

• Date of Manufacture

  Date

• Serial Number

• Miscellaneous

Condition

• Condition Grade

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Any Risk Items<br>

  Yes

  No

  N/A

• Risk Information

• Equipment Obsolete?

  Yes

  No

• Reason for Obsolescence

  Select Physically Obsolete (beyond Repair) Economically Obsolete (Not effective to maintain) Functionally Obsolete (No longer required) Technology Obsolete (technology superseded or abandoned) Social or legally obsolete

  • Physically Obsolete (beyond Repair)
  • Economically Obsolete (Not effective to maintain)
  • Functionally Obsolete (No longer required)
  • Technology Obsolete (technology superseded or abandoned)
  • Social or legally obsolete

• Comments

Maintenance Priority

• Confirm maintenance Priority for the equipment

  Select Priority 1 - Health and safety (such as compliance with stature and/or duty) Priority 2 - Neglect that might lead to damage or reversion Priority 3 - Neglect that might affect current rental income Priority 4 - Necessary to maintain in ‘repair’

  • Priority 1 - Health and safety (such as compliance with stature and/or duty)
  • Priority 2 - Neglect that might lead to damage or reversion
  • Priority 3 - Neglect that might affect current rental income
  • Priority 4 - Necessary to maintain in ‘repair’

Supporting Media

• Photos

  Media

ELECTRICAL PLANT ROOMS & EQUIPMENT

• Include this section in survey?

  Yes

  No

Electrical Plant Room Survey

Add Plant Room

• Room name/number

• Plantroom Description

• Plantroom Location

  Select Basement Ground Floor 1st 2nd 3rd 4th 5th 6th Upper Roof Externals

  • Basement
  • Ground Floor
  • 1st
  • 2nd
  • 3rd
  • 4th
  • 5th
  • 6th
  • Upper
  • Roof
  • Externals

• Plantroom Health & Safety

  Select Unavailability of emergency equipment in plant rooms, for example alarms, emergency telephones, panic buttons, and emergency isolation devices Lack of safety equipment in plant rooms, such as rubber matting in front of electrical switch panels Inadequate means of escape from plant rooms Lack of first aid equipment Inadequate safety signs and posters Inadequate warning and danger notices Inadequate guards and barriers, particularly in the case of rotating and moving machinery Lack of means of local isolation for maintenance, particularly in the case of remotely controlled machinery Inadequate security of plant rooms Presence of hazardous substances in plant rooms without adequate precautions, for example unsecured gas bottles Hazards in plant rooms due to lack of headroom, holes, and trenches without adequate identification such as warning tapes and protection. Inadequate identification such as warning tapes and protection. Generally unsafe plant rooms, for example slippery floors, uneven floors and steep ramps Undue noise in plant rooms Undue noise in other areas emanating from building services plant Inadequate guards and rails against falling, for example on roof areas, access gantries and platforms Inadequate heating, ventilating and lighting in plant rooms Use of plant rooms as storage areas

  • Unavailability of emergency equipment in plant rooms, for example alarms, emergency telephones, panic buttons, and emergency isolation devices
  • Lack of safety equipment in plant rooms, such as rubber matting in front of electrical switch panels
  • Inadequate means of escape from plant rooms
  • Lack of first aid equipment
  • Inadequate safety signs and posters
  • Inadequate warning and danger notices
  • Inadequate guards and barriers, particularly in the case of rotating and moving machinery
  • Lack of means of local isolation for maintenance, particularly in the case of remotely controlled machinery
  • Inadequate security of plant rooms
  • Presence of hazardous substances in plant rooms without adequate precautions, for example unsecured gas bottles
  • Hazards in plant rooms due to lack of headroom, holes, and trenches without adequate identification such as warning tapes and protection.
  • Inadequate identification such as warning tapes and protection.
  • Generally unsafe plant rooms, for example slippery floors, uneven floors and steep ramps
  • Undue noise in plant rooms
  • Undue noise in other areas emanating from building services plant
  • Inadequate guards and rails against falling, for example on roof areas, access gantries and platforms
  • Inadequate heating, ventilating and lighting in plant rooms
  • Use of plant rooms as storage areas
Add Plant Item

Electrical Plant Item

• System (NRM3)

  Select 5.1 - Sanitary installations 5.3 - Disposal installations 5.4 - Water installations 5.5 - Heat source 5.6 - Space heating and air conditioning 5.7 - Ventilation 5.8 - Electrical installations 5.0 - Fuel installations 5.10 - Lift and conveyor installations 5.11 - Fire and lightning protection 5.12 - Communication, security and control systems 5.13 - Specialist installations OTHER

  • 5.1 - Sanitary installations
  • 5.3 - Disposal installations
  • 5.4 - Water installations
  • 5.5 - Heat source
  • 5.6 - Space heating and air conditioning
  • 5.7 - Ventilation
  • 5.8 - Electrical installations
  • 5.0 - Fuel installations
  • 5.10 - Lift and conveyor installations
  • 5.11 - Fire and lightning protection
  • 5.12 - Communication, security and control systems
  • 5.13 - Specialist installations
  • OTHER

• Plant / Equipment Type

  Select Air Conditioning Unit Air Handling Unit Air Terminal Air To Air Heat Recovery Audio Visual Outlet Battery BMS Control Boiler Breeching Inlet Building Services Accessories Cable Ladder Segment Type Cable Tray Segment Cable Trunking Segment Chiller Chimney Condenser Conduit Segment Controller Convector Cooled Beam Cooling Tower Cowl Damper Direct Water Heater Drainage Pump Duct Duct Accessory Duct Silencer Electric Generator Evaporative Cooler Evaporator Fan Filter Fire Alarm Fire Alarm Device Fire / Smoke Damper Fire Dry Riser Fire Hydrant Flow Controller Floor Waste Fume Hood Exhaust Gas Alarm Gas Booster Gas Burner Gas Terminal Gas Valve Grease Interceptor Hand Dryer Heater Heat Exchanger Hose Reel Humidifier Kitchen Extract Lightning Protection Lift Meter Mixing Valve Oil Interceptor Oil Tank Other Power Outlet Pump  (Booster0 Pump  (Circulating) Radiator Residual Current Circuit Breaker Sensor Shower Sprinkler Tank / Cistern Thermal Mix Valve Valve Water Cooler Water Heater

  • Air Conditioning Unit
  • Air Handling Unit
  • Air Terminal
  • Air To Air Heat Recovery
  • Audio Visual Outlet
  • Battery
  • BMS Control
  • Boiler
  • Breeching Inlet
  • Building Services Accessories
  • Cable Ladder Segment Type
  • Cable Tray Segment
  • Cable Trunking Segment
  • Chiller
  • Chimney
  • Condenser
  • Conduit Segment
  • Controller
  • Convector
  • Cooled Beam
  • Cooling Tower
  • Cowl
  • Damper
  • Direct Water Heater
  • Drainage Pump
  • Duct
  • Duct Accessory
  • Duct Silencer
  • Electric Generator
  • Evaporative Cooler
  • Evaporator
  • Fan
  • Filter
  • Fire Alarm
  • Fire Alarm Device
  • Fire / Smoke Damper
  • Fire Dry Riser
  • Fire Hydrant
  • Flow Controller
  • Floor Waste
  • Fume Hood Exhaust
  • Gas Alarm
  • Gas Booster
  • Gas Burner
  • Gas Terminal
  • Gas Valve
  • Grease Interceptor
  • Hand Dryer
  • Heater
  • Heat Exchanger
  • Hose Reel
  • Humidifier
  • Kitchen Extract
  • Lightning Protection
  • Lift
  • Meter
  • Mixing Valve
  • Oil Interceptor
  • Oil Tank
  • Other
  • Power Outlet
  • Pump  (Booster0
  • Pump  (Circulating)
  • Radiator
  • Residual Current Circuit Breaker
  • Sensor
  • Shower
  • Sprinkler
  • Tank / Cistern
  • Thermal Mix Valve
  • Valve
  • Water Cooler
  • Water Heater

• Plant Reference

• Plant Description

• Add Sub Description?

• Sub Description

• Date of Installation

  Date

Technical Information

• Technical Details 1

• Technical Details 2

Manufacturer Information

• Manufacturer

• Model

• Date of Manufacture

  Date

• Serial Number

• Miscellaneous

Condition

• Condition Grade

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Any Risk Items<br>

  Yes

  No

  N/A

• Risk Information

• Equipment Obsolete?

  Yes

  No

• Comments

Maintenance Priority

• Confirm maintenance Priority for the equipment

  Select Priority 1 - Health and safety (such as compliance with stature and/or duty) Priority 2 - Neglect that might lead to damage or reversion Priority 3 - Neglect that might affect current rental income Priority 4 - Necessary to maintain in ‘repair’

  • Priority 1 - Health and safety (such as compliance with stature and/or duty)
  • Priority 2 - Neglect that might lead to damage or reversion
  • Priority 3 - Neglect that might affect current rental income
  • Priority 4 - Necessary to maintain in ‘repair’

Supporting Media

• Photos

  Media

• Yes

  No

  N/A

ROOM SURVEY

• Include this section in survey?

  Yes

  No
Add Room

• Room Number

• Room Name

• Floor Level

  Select Basement Ground Floor 1st 2nd 3rd 4th 5th 6th Upper Roof Externals

  • Basement
  • Ground Floor
  • 1st
  • 2nd
  • 3rd
  • 4th
  • 5th
  • 6th
  • Upper
  • Roof
  • Externals

• Room Type

Mechanical Installations

• Include Mechanical Systems?

  Yes

  No

Heating

• Heating installed?

• Heating type

• Heating Control

• Heating Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Heating Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Heating Comments

• Heating Remedial Works Comments

• Heating Photos

  Media

Cooling

• Cooling Installed?

• Cooling Type

• Cooling Control

• Cooling Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Cooling Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Cooling Comments

• Cooling Remedial Works Comments

• Cooling Photos

  Media

Ventilation

• Ventilation Installed?

• Ventilation Type

• Ventilation Control

• Ventilation Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Ventilation Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Ventilation Comments

• Ventilation Remedial Works Comments

• Ventilation Photos

  Media

Water/Drainage

• Water / Drainage Installed?

• Water Supply Description

• Drainage Description

• Water / Drainage Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Water / Drainage Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Water/ Drainage Comments

• Water / Drainage Remedial Works Comments

• Water / Drainage Photos

  Media

Automatic Controls

• Controls Installed?

• Controls Description

• Controls Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Controls Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Controls Comments

• Controls Remedial Works Comments

• Controls Photos

  Media

Other Mechanical

• Include Other Mechanical System(s)

  Yes

  No
Other Mechanical

• Other System

• Other Description

• Other Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Other Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Other Comments

• Other Remedial Works Comments

• Other Photos

  Media

Electrical Installations

• Include Electrical Systems?

  Yes

  No

Small Power

• Small Power Installed?

• Installation Type

  Select Dado Surface Recessed Floorboxes Ceiling

  • Dado
  • Surface
  • Recessed
  • Floorboxes
  • Ceiling

• No. Outlets

• Small Power Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Small Power Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Small Power Comments

• Small Power Remedial Works Comments

• Small Power Photos

  Media

Data

• Data Installed?

• Installation Type

  Select Dado Surface Recessed Floorboxes Ceiling

  • Dado
  • Surface
  • Recessed
  • Floorboxes
  • Ceiling

• No. Outlets

• Data Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Data Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Data Comments

• Data Remedial Works Comments

• Data Photos

  Media

Lighting

• Lighting Installed

• Lighting Type

  Select General / Background Emergency Feature Display

  • General / Background
  • Emergency
  • Feature
  • Display

• Installation Type

  Select C Surface Recessed Lay-in Grid Suspended Wall

  • C Surface
  • Recessed
  • Lay-in Grid
  • Suspended
  • Wall

• Lamp Types

  Select Fluorescent LED Halogen Metal Halide

  • Fluorescent
  • LED
  • Halogen
  • Metal Halide

• Lighting Control

  Select Manual PIR Daylight Dimming Scene Setting

  • Manual
  • PIR
  • Daylight Dimming
  • Scene Setting

• Lighting Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Lighting Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Lighting Comments

• Lighting Remedial Works Comments

• Lighting Photos

  Media

Access Control

• Access Control Installed?

• Access Control Type

• Access Control Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Access Control Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Access Control Comments

• Access Control Remedial Works Comments

• Access Control Photos

  Media

Security

• Security Installed?

• Security Type

• Security Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Security Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Security Comments

• Securityl Remedial Works Comments

• Security Photos

  Media

Other Electrical

• Include other Electrical System(s)?

  Yes

  No
Other Electrical

• Other Description

• Other Condition

  Select A - as new operating as designed B - The element is sound, operationally safe, and exhibits only minor deterioration C - operational but major repair or replacement will be needed soon D - The element runs a serious risk of imminent breakdown

  • A - as new operating as designed
  • B - The element is sound, operationally safe, and exhibits only minor deterioration
  • C - operational but major repair or replacement will be needed soon
  • D - The element runs a serious risk of imminent breakdown

• Other Estimated PPM (years)

  0-1yrs

  2-5yrs

  6-10yrs

  11-15yrs

  16-25yrs

• Other Comments

• Other Remedial Works Comments

• Other Photos

  Media

COMMON DEFECTS

• Include this section in survey?

  Yes

  No

• Boilers, heating and hot water systems

  Select Redundant plant and pipework Inadequate identification of pipework systems Inadequate boiler capacity or inadequate supply of heat to particular areas (complaints from occupiers or operational records may indicate possible shortages) Back-end corrosion of the boiler Boiler section cracks Restricted flow due to waterside fouling Air-side fouling caused by poor combustion Inadequate supply of combustion air to the boiler house Inadequate hot water capacity and supply points Inability of the hot water system to achieve hot water storage and supply temperature requirements stated in HS(G) 70 Inadequate arrangements for pasteurising calorifiers Presence of dead legs in domestic hot water pipework configuration Unsafe hot water temperature for the type of occupant Unlagged pipework causing undue heat emission in specific areas or causing danger to Occupants Incorrect type of heat emitters for the type of occupant, for example high radiator surface temperatures in homes for the elderly, or emitters with sharp edges where persons could harm themselves Obstruction to heat distribution from heat emitters for example radiators obstructed by furniture Inadequate barriers against unauthorised tampering and operation

  • Redundant plant and pipework
  • Inadequate identification of pipework systems
  • Inadequate boiler capacity or inadequate supply of heat to particular areas (complaints from occupiers or operational records may indicate possible shortages)
  • Back-end corrosion of the boiler
  • Boiler section cracks
  • Restricted flow due to waterside fouling
  • Air-side fouling caused by poor combustion
  • Inadequate supply of combustion air to the boiler house
  • Inadequate hot water capacity and supply points
  • Inability of the hot water system to achieve hot water storage and supply temperature requirements stated in HS(G) 70
  • Inadequate arrangements for pasteurising calorifiers
  • Presence of dead legs in domestic hot water pipework configuration
  • Unsafe hot water temperature for the type of occupant
  • Unlagged pipework causing undue heat emission in specific areas or causing danger to Occupants
  • Incorrect type of heat emitters for the type of occupant, for example high radiator surface temperatures in homes for the elderly, or emitters with sharp edges where persons could harm themselves
  • Obstruction to heat distribution from heat emitters for example radiators obstructed by furniture
  • Inadequate barriers against unauthorised tampering and operation

• Ventilation and air conditioning systems

  Select Noise and vibration in fans Dampers not operational or disconnected from actuators Differential pressure devices removed or not having fluid in them Leaking ductwork or air-handling units Incorrect positioning of main air intake and outlet points, for example allowing the possibility of cross contamination Dirty or blocked main air intake and outlet louvres Dirty or broken filters Incorrectly sized fan systems, for example as a result of areas no longer being served by the system Ventilation control devices such as flow control devices working incorrectly Dirty or mouldy AHU housings Water side and air side fouling of heat exchangers Water stagnation in drip trays Damaged fins and coils in heater/cooler batteries Blocked humidifier nozzles and scaling of steam humidifiers Dirty ductwork systems Supply and extract grilles blocked by furniture Poor drainage of condensate from fan coil units and free-standing air conditioning units Excessive or inadequate air movement in conditioned spaces Incorrect balancing - particularly after changes to systems Positive and negative pressure areas not being maintained as expected Air leakage at doors or windows Use of portable/temporary heaters in conditioned space.

  • Noise and vibration in fans
  • Dampers not operational or disconnected from actuators
  • Differential pressure devices removed or not having fluid in them
  • Leaking ductwork or air-handling units
  • Incorrect positioning of main air intake and outlet points, for example allowing the
  • possibility of cross contamination
  • Dirty or blocked main air intake and outlet louvres
  • Dirty or broken filters
  • Incorrectly sized fan systems, for example as a result of areas no longer being served by the system
  • Ventilation control devices such as flow control devices working incorrectly
  • Dirty or mouldy AHU housings
  • Water side and air side fouling of heat exchangers
  • Water stagnation in drip trays
  • Damaged fins and coils in heater/cooler batteries
  • Blocked humidifier nozzles and scaling of steam humidifiers
  • Dirty ductwork systems
  • Supply and extract grilles blocked by furniture
  • Poor drainage of condensate from fan coil units and free-standing air conditioning units
  • Excessive or inadequate air movement in conditioned spaces
  • Incorrect balancing - particularly after changes to systems
  • Positive and negative pressure areas not being maintained as expected
  • Air leakage at doors or windows
  • Use of portable/temporary heaters in conditioned space.

• Refrigeration systems

  Select Use of refrigerants which are being phased out Refrigerant and oil leaks Waterside fouling of chiller heater exchangers Wooden components in cooling towers Drift eliminators not fitted to cooling towers Corrosion of cooling towers and cooling tower fans Damaged or missing insulation Water/condensate in BMS sensor pockets

  • Use of refrigerants which are being phased out
  • Refrigerant and oil leaks
  • Waterside fouling of chiller heater exchangers
  • Wooden components in cooling towers
  • Drift eliminators not fitted to cooling towers
  • Corrosion of cooling towers and cooling tower fans
  • Damaged or missing insulation
  • Water/condensate in BMS sensor pockets

• Control systems

  Select Incorrect positioning of sensors Excessive hunting of actuators leading to increased wear Disconnected controls such as actuators Poor ventilation of control panels Timeswitches set incorrectly Set points set incorrectly Damaged sensor casings No calibration records of sensors Manual overrides not removed

  • Incorrect positioning of sensors
  • Excessive hunting of actuators leading to increased wear
  • Disconnected controls such as actuators
  • Poor ventilation of control panels
  • Timeswitches set incorrectly
  • Set points set incorrectly
  • Damaged sensor casings
  • No calibration records of sensors
  • Manual overrides not removed

RECORD INFORMATION

• Include this section in survey?

  Yes

  No

• Operation & Maintenance Manuals

  Available

  Unavailable

• Copies Obtained?

  Yes

  No

• Record Drawings

  Available

  Unavailable

• Copies obtained?

  Yes

  No

• Test Certificates

  Available

  Unavailable

• Copies Obtained?

  Yes

  No

• Maintenance Plan

  Available

  Unavailable

• Copy Obtained?

  Yes

  No

• Commissioning Data

  Available

  Unavailable

• Copy Obtained

  Yes

  No

• Health & Safety File

  Available

  Unavailable

• Copy Obtained?

  Yes

  No

• Backlog Maintenance

  Available

  Unavailable

• Copy Obtained?

  Yes

  No

RECOMMENDATIONS

• Include this section in survey?

  Yes

  No

Specialist Surveys

• Boilers

  Select Combustion test Safety circuit operation test Burner operation test

  • Combustion test
  • Safety circuit operation test
  • Burner operation test

• Control systems

  Select Operational effectiveness check Speed and functionality check Sensor calibration

  • Operational effectiveness check
  • Speed and functionality check
  • Sensor calibration

• Fire alarm systems

  Select Condition of detectors System continuity check

  • Condition of detectors
  • System continuity check

• Generators

  Select Operation test Switching test Fuel economy check Combustion test

  • Operation test
  • Switching test
  • Fuel economy check
  • Combustion test

• Catering equipment

  Select Cleanliness and hygiene inspection Safety check Electrical test

  • Cleanliness and hygiene inspection
  • Safety check
  • Electrical test

• Lifts and escalators

  Select Mandatory safety checks Mandatory operational effectiveness check

  • Mandatory safety checks
  • Mandatory operational effectiveness check

• Refrigeration plant

  Select Leakage tests Cleanliness and hygiene inspection Room temperature checks

  • Leakage tests
  • Cleanliness and hygiene inspection
  • Room temperature checks

• Sprinkler systems

  Select Mandatory tests on control valves Mandatory tests on heads

  • Mandatory tests on control valves
  • Mandatory tests on heads

• Uninterruptible Power Supplies

  Select Operational tests of switching Operational tests of unit efficiency and control

  • Operational tests of switching
  • Operational tests of unit efficiency and control

• Pressure vessels

  Select Mandatory test of pressure vessels Pipework operational effectiveness check Diaphragm check

  • Mandatory test of pressure vessels
  • Pipework operational effectiveness check
  • Diaphragm check

• Pipelines

  Pressure Testing

  Ultrasonic Thickness Testing

• Water Quality

  Lab Tests

  Chemical Dosing

  Flushing & Cleaning

  Pseudemonas

• Thermal Imaging

  LV / HV Switchgear

  Flue Leakage tests

  Building Heat Losses

  Leaks to underground mains

• Power Quality Surveys

  Harmonic distortion

  Power Factor