Information

  • Name of facility

  • Address

  • Conducted on

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

  • Report prepared by:

1. BACKGROUND INFORMATION

  • 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' if asset is not managed by BFM

    All costs and response times are approximate and are for estimation purposes only

  • GIS LOCATION
  • FAR number

  • Approx. Gross Floor Area (m2) Note: external measurement of walls is acceptable

  • No. Of habitable floor levels

  • 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 - Combustible frame, walls, roof [eg timber shed]

  • General Comments

2. AUDIT DETAILS

  • Weather at time of audit

  • EXTERNAL PHOTO OF FACILITY - taken at time of audit

3. LAND & SURROUNDS

3. a) Access Driveways, Roads, Footpaths, signage and barriers

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • No. Of boom gates or auto. roller doors

  • General Comments

3. b). Landscaping

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • Area of grass approx.(m2)

  • Area of shrubs or trees approx.(m2)

  • Does the facility have any irrigation?

  • Are there any backflow prevention devices fitted (rpz's)?

  • General comments landscaping and irrigation

3. c). Exterior - Finishes/Painting (and any structural elements)

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • No schedule required for this asset type

  • General comments exterior finishes and painting

3. d). Exterior Fire and Safety

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • Is there a fire hydrant within the grounds of the facility ?

  • No. Of extinguishers

  • No. Of fire hose reels

  • Is there a safety shower?

  • General comments exterior fire and safety

4. ROOF ( including: sheets, gutters and downpipes and fascias )

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • Is roof sheet cleaning required at least yearly ?

  • Is gutter / downpipes clearance required at least yearly ?

  • Provide details of issue and suggested cleaning frequency

  • Are there Whirley birds or roof penetrations ?

  • General comments on roof

πŸ‘ πŸ‘Ž GENERAL CONDITION RATING - Exterior Elements

  • Condition rating - Access driveways, roads and footpaths

  • Condition rating - Barriers and signage

  • Condition rating - Landscaping and irrigation

  • Condition rating - Exterior finishes / painting ( including any structural elements)

  • Condition rating - Roof sheeting, roof drainage and facias

5. INTERNAL COMPONENTS (Room by room)

  • Draw a sketch of the facility showing internal rooms. Orientate with north arrow. Number rooms from 1 to 99 to ref. against the following ...

  • Rooms (press 'add room' button to add more rooms)

  • ****** ROOM NO. *******
  • Provide details on room location and current use

5. a) Fire & Safety Systems

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • No. Of extinguishers

  • No. Of fire hose reels

  • No. Of lay flat hoses

  • No. Of fire blankets

  • No. of heat or smoke detectors

  • No. Of illuminated fire EXIT signs

  • No. of fire doors

  • Is there an EWIS panel in this room?

  • Is there a fire booster pump for this facility ?

  • Is there an FIP in this room ?

  • Are there sprinkler valves in this room ?

  • General comments fire and safety

5. b) INTERIOR FINISHES / PAINTING

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • No schedule required for this asset type

  • General comments interior finishes and painting

5. c) TOILETS, SHOWERS, KITCHENS & General PLUMBING

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • No. Of exhaust / extract fans

  • No. Of water coolers connected to mains water

  • No. Of ice making machines

  • Is there a cold room ?

  • Is there a grease trap ?

  • Are there water circulation pumps and or sewerage pumps or macerators?

  • Provide description...

  • Is there a cold water supply at the facility ?

  • Is there a hot water supply to the facility ?

  • Provide details of supply i.g. Gas or electric boiler etc.

  • General comments plumbing

5.d) SERVICES

πŸ”§DEFECT DETAILS:

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • MECHANICAL SERVICES:

  • No. Of split system aircons

  • No. Of box aircons

  • No. Of auto pedestrian doors

  • No. Of doors with self-closing mechanisms

  • ELECTRICAL SERVICES:

  • Is the space lit ?

  • 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

  • Is there a distribution board present ?

  • Distribution Board

  • Distribution Board no.
  • No. of RCDS

  • Is 'thermoscan' required for this DB ? (Generally if there is more than 1 dist. board, or there are large loads)

  • Provide justification here ...

  • Are there solar panels ?

  • No. Of panels

  • Is there a BMS ?

  • Is there a CCTV system ?

  • Is there a security system with battery backup ?

  • Provide details here and make note of BATTERY DATE

  • General comments on services

5 e) Major Plant

πŸ”§ DEFECT DETAILS

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Do you want to undertake a SCHEDULE build ?

  • MAJOR PLANT - ELECTRICAL

  • Is there a generator ?

  • MAJOR PLANT - MECHANICAL

  • Is there a GOODS lift ?

  • No. Of passenger lifts

  • No. Of chillers

  • No. Of package units

  • No. Of air handling units

  • No. Of cooling towers

  • General comments major plant

6. WHOLE FACILITY - MISC

πŸ”§ DEFECT DETAILS

  • Is there a MINOR defect ?

  • Enter MINOR defect (enter each defect separately)

  • πŸ›  MINOR DEFECT ..
  • Take photo if nec.

  • Does this asset require FOLLOW UP to be raised ? If so, click on the ... Button here >

  • Raise a PORTAL REQUEST

  • Is there a MAJOR defect or one that needs programming ?

  • Enter MAJOR defect ( Enter each defect separately )

  • πŸ› πŸ›  MAJOR DEFECT ..
  • Enter exact location, defect details and works required

  • Take photo

  • Works priority

  • Approximate cost to set aside for works ...

  • Do any assets need a follow up inspection ?

πŸ”© SCHEDULE BUILDER:

  • Is there portable equipment present that should be subject to regular testing ?

  • 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.

  • General comments or inclusions to annual operating costs :

7. πŸ‘ πŸ‘Ž GENERAL CONDITION RATING for WHOLE FACILITY

  • Fire and Safety

  • Interior finishes and painting

  • Toilets, showers, kitchens and plumbing

  • Services - mechanical

  • Services - electrical

  • Major plant

8. OVERALL CONDITION SCORE for whole facility

  • 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 ...

  • Suggested condition rating .....

9. General comments on any issues or assets not covered by above categories

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.