CVSG PM FR21 - ACR - FIRE

PM EL21 - ACR - FIRE

Location

• Date

  Date

• Facility?

  Select 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

  • 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

• POB Precinct

  Select Fisherman Island Port Gate Port West Hamilton Pinkenba Port North Colmslie

  • Fisherman Island
  • Port Gate
  • Port West
  • Hamilton
  • Pinkenba
  • Port North
  • Colmslie

• QCH Facility

  Select QCH - Main Hospital CCHR - Children's Centre Health Research CHEP - Central Health Energy Plant FDN - Foundation Building

  • QCH - Main Hospital
  • CCHR - Children's Centre Health Research
  • CHEP - Central Health Energy Plant
  • FDN - Foundation Building

• Scentre Westfield - Facility?

  Select Coomera North Lakes Carindale Chermside Chermside CHO & ATO Helensvale Garden City Other

  • Coomera
  • North Lakes
  • Carindale
  • Chermside
  • Chermside CHO & ATO
  • Helensvale
  • Garden City
  • Other

• Ventia State School - Facility?

  Select Coomera State School Murrumba State School Augusta State School Peregian State School Brightwater State School Bayview State School Woodlinks State School

  • Coomera State School
  • Murrumba State School
  • Augusta State School
  • Peregian State School
  • Brightwater State School
  • Bayview State School
  • Woodlinks State School

• Building Name and Number or Room Name?

• Name of tradesperson

  Sign

• Job Number

• Discipline?

  Electrical

  Fire

  HVAC / Mechanical

  Hydraulics

  Building

Asset

Asset Particulars

• Asset ID Number?

• Asset Description?

• Component?

  Select Lighting Solar Switchboard Generator Fire Systems HVAC HV Equipment

  • Lighting
  • Solar
  • Switchboard
  • Generator
  • Fire Systems
  • HVAC
  • HV Equipment

• Equipment?

  Select
Sub Equipment

• List sub equipment that may be present and select 'Note' to add quantity.

  Select

• Approximate remaining capacity of equipment/asset (where applicable)?

  Select 0% 10% 20% 40% 30% 50%

  • 0%
  • 10%
  • 20%
  • 40%
  • 30%
  • 50%

• Manufacturer?

• Model?

• Serial Number?

• Enter Equipment Asset Description

• Year asset/equipment was installed (approximate)?

• Overall Condition Rating?

  Select 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)

  • 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

Repairs and Repair Codes

• Select Repair Code Where Applicable Needed for Repair/Replacement of Asset

  Select 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

  • 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

• Description of the defect with equipment/asset?

• Work (labour and materials) needed to rectify defect?

• Add the quantity of repair code(s) required

• Rectification due by (estimated year)?

• Estimated budget replacement cost (whole number only - no 'k')?

• Take Photo (include photo of QR Code Asset Label)

  Media