Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Add media

  • Location
  • Personnel

EXTERNAL STRUCTURES

  • Site photo

EXTERNAL STRUCTURES- ESTR

  • Are external structures free of damage?<br>If no choose response to select items

  • Choose structures damaged

101: Boundary walls/ fences /gates

  • Describe location

  • Describe repairs required

  • Add phot of damage

  • Indicative cost in $$

102: Covered walkways

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

103: Fenced Courts

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

104: Outbuildings and sheds

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

105: Playground Structures

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

106: Poles /Towers

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

107: Outdoor Furniture

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

Site Improvements -SIMP

  • Is the site free of needing improvements?<br>If site improvements are required choose response to select items

  • Choose site improvements required

201: Roads and carparks including Kerbs ect

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

202: Footpaths & trails

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

203: Hard Surfaces Araes (eg Parade ground)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

204: Paved areas

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

205: Retaining walls

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

206: Surface drains

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

207: Access ramps

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

208: Landscaping and gardening

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

Building and Structure BLDG

  • Is the building and structure free of damage? <br>If no choose response to select damaged items

301: Foundations and slab

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

302: Stumps and Posts

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

303: Earthworks

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

304: Roofing (inc. eaves, guttering)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

305: Windows (inc. grills)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

306: Columns/ Beams

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

307: External walls

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

308: Floor bearers

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

309: Ext Stairs/ Blaconies/ Verandahs

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

310: External doors (excl fire doors)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

311: Insect/ Vermin proofing

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

312: Swimming pool shell

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

313: Swimming pool stands and seating

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

314: Swimming Pool Building/ Shed

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

313: Swimming pool stands and seating

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

314: Swimming pool building/ Shed

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

External Finishes- EFIN

  • Are external Finishes free of damage?<br>If response is no select response and choose items

  • Choose external finishes

401: External Painting

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

402: External floor finishes

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

403: Ext Building Finishes (excluding paint)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

Internal Fabric: IFAB

  • Are internal fabrics free of damage?<br>If response in no choose response to select items damaged

  • Choose items

501-Ceilings (eg.suspended/false)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

502-Internal walls

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

503-Internal stairs

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

504-Internal Doors (excl. fire doors)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

Internal Finishes- IFIN

  • Are internal Finishes free of damage? <br>If no choose response to select items

  • Choose internal finish type

601: Internal painting

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

602: internal floor finishes

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

603: Int building finishes exluding painting

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

Furniture and fittings- FURN

  • Are Furniture & Fittings free of damage

  • Choose internal finish type

1701: Fixed furniture

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

1702: Loose furniture

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

1703: Built-in appliances

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

Electrical Services- ELEC

  • Are Electrical Services free of damage?

  • Check electrical service damaged

806: Internal Electrical Reticulation

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

807: Internal generators

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

808: Emergency Lighting

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

809: General Lighting

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

810: General Power

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

811: Switchboards (inc. Control Swbds)

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

812: UPS Systems

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

813: Energy Management System

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

814:Bldg Services Management Sys

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

815: Heaters/ Fans iunducted

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

816: Lightning Protection

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

Trees removal /trim

  • Tree removal/trim required

  • Describe location

  • Describe repairs required

  • Indicative cost in $$

  • Add media

Engineers report

  • Engineers report required

  • Describe report requirements

  • Describe extent of report

  • Indicative cost in $$

  • Add media

Arborist report

  • Arborist report required

  • Describe report requirements

  • Describe extent of report

  • Indicative cost in $$

  • Add media

Client / BAS sign off

  • Client/ school

  • Position

  • Select date

  • P&C Representative

  • Select date

  • DET Infrastructure Advisor

  • Select date

  • BAS representative

  • Select date

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.