Title Page
PM EL21 - ACR - ELECTRICAL
PM EL21 - ACR - ELECTRICAL
Location
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Date
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Facility?
- POB - Port of Brisbane
- GCPH - Gold Coast Private Hospital
- QCH - Queensland Children's Hospital
- Scentre - Westfield Shopping Centre
- Ventia - State School
- CVSG - CV Services Group
- GCUH - Gold Coast University Hospital
- TDS - Tweed Day Surgery
- QPU - Queensland Police Union
- BAC01 - Brisbane Airport - ITB
- BAC02 - Brisbane Airport - DTB
- BACZZ - Brisbane Airport - Other
- MACG - McKenzie Aged Care Facility
- SCUH - Sunshine Coast University Hospital
- Other
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POB Precinct
- Fisherman Island
- Port Gate
- Port West
- Hamilton
- Pinkenba
- Port North
- Colmslie
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QCH Facility
- QCH - Main Hospital
- CCHR - Children's Centre Health Research
- CHEP - Central Health Energy Plant
- FDN - Foundation Building
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Scentre Westfield - Facility?
- Coomera
- North Lakes
- Carindale
- Chermside
- Chermside CHO & ATO
- Helensvale
- Garden City
- Other
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Ventia State School - Facility?
- Coomera State School
- Murrumba State School
- Augusta State School
- Peregian State School
- Brightwater State School
- Bayview State School
- Woodlinks State School
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Building Name and Number or Room Name?
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Name of tradesperson
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Job Number
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Discipline?
Asset
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Asset Particulars
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Asset ID Number?
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Asset Description?
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Current rating in Amps (whole number only)?
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Fault current rating in kA (whole number only)?
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Component?
- Lighting
- Solar
- Switchboard
- Generator
- Fire Systems
- HVAC
- HV Equipment
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Equipment?
- Emergency Lighting
- Internal Lighting
- External Lighting
- Solar Panels
- Inverters
- SWB - Essential
- SWB - Non-Essential
- SWB - Both Essential and Non-Essential
- UPS
- PFC
- MSSB
- Meters
- Generator
- Gen Controls
- Gen Fuel Storage
- RMU
- Transformer
- HV MSB
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How many emergency light fittings per floor/sub-circuit?
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How many general light fittings per floor/sub-circuit?
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How many external light fittings per floor/sub-circuit
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How many panels per solar array?
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How many meters per panel?
Sub Equipment
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List sub equipment that may be present and select 'Note' to add quantity.
- RCDs/RCBOs
- ACBs
- MCCBs
- Distribution Chassis
- Meter(s)
- LEDs/Neons
- ATS
- Other
- N/A
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Approximate remaining capacity of equipment/asset?
- 0%
- 10%
- 20%
- 40%
- 30%
- 50%
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Manufacturer?
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Model?
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Serial Number?
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Year asset/equipment was installed (approximate)?
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Overall Condition Rating?
- P6 - Excellent (No Priority - monitor >10 years)
- P5 - Good (Low Priority - monitor >4 years)
- P4 - Fair (Medium Priority - Consider action 2-4 years)
- P3 - Poor (High Priority - Consider action 1-2 years)
- P2 - Very Poor (Urgent - Consider action 0-12 months)
- P1 - Dangerous (Emergency - Consider action 48hrs/0-6 months)
Repairs
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Repairs and Repair Codes
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Select Repair Code Where Applicable Needed for Repair/Replacement of Asset
- RL01 - Light fitting hanging down (LADDER - excluding supply of fitting)
- RL02 - Light fitting hanging down (EWP - excluding supply of fitting)
- RL03 - Broken switch 1-4Gang internal (BAKELITE, SGLE PHASE)
- RL04 - Broken switch 1Gang external (BAKELITE, SGLE PHASE)
- RL05 - Broken switch external IP56 (THREE PHASE)
- RL06 - Replace HiBay with 200W LED HiBay (Including supply of fitting)
- RG01 - Unterminated cable / Loose terminal cabling
- RG02 - Faulty single phase combination circuit breaker-RCD - after hours
- RG03 - Faulty single phase circuit breaker - after hours
- RG04 - Penetration not fire rated (no mastic of fire pillows etc.)
- RG05 - Dry fire isolation - normal hours
- RG06 - Dry fire isolation - after hours
- RG07 - Switchboard covers with dome hex nuts missing
- RG08 - Switchboard schedule missing
- RG09 - Replace 2-way DIN terminals (x3), in lieu of discovering 'hot-joint'
- RG10 - Install & refurbish pole fillers in distribution section
- RP01 - Broken outlet, internal (BAKELITE, SGLE PHASE)
- RP02 - Broken outlet, external (BAKELITE, SGLE PHASE)
- RP03 - Broken outlet, external IP56 (BAKELITE, THREE PHASE >20A)
- RP04 - Broken outlet, external IP56 (BAKELITE, SINGLE PHASE <20A)
- RP05 - Extension lead / appliance requires new plug SINGLE PHASE
- RP06 - Extension lead / appliance requires new plug THREE PHASE
- RE01 - Install link bars for cardiac protected area & test
- RE02 - Upgrade & install earthing (16mm - 6mm) for cardiac protected area & test
- RE03 - Upgrade earth protection in pendant arms with 6.0mm
- RE04 - Install clipsal hinged cover plates to each wall mounted RCD
- RS01 - Replace LV DB 250A or greater
- RS02 - Replace LV DB IP56, 250A or greater
- RS03 - Replace LV MSB IP56, 630A-800A
- RS04 - Replace LV MSB 1000A or greater
- RS05 - Replace LV MCCB
- RS06 - Replace LV ACB
- RS07 - Replace HV ISO/CB
- RS08 - Replace HV SF6 RMU
- RS09 - Replace HV DryAir RMU
- Other
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Description of the defect with equipment/asset?
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Work (labour and materials) needed to rectify defect?
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Add the quantity of repair code(s) required
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Rectification due by (year)?
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Estimated budget replacement cost (whole number only - no 'k')?
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Take Photo (include photo of QR Code Asset Label)
