Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
EXTERNAL STRUCTURES
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Site photo
EXTERNAL STRUCTURES- ESTR
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Are external structures free of damage?<br>If no choose response to select items
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Choose structures damaged
- 101: boundary walls/ fences and gates
- 102:Covered walkways
- 103: Fenced courts
- 104:Outbuildings and sheds
- 105: Playground structures
- 106: Poles and towrs
- 107: outdoor Furniture
101: Boundary walls/ fences /gates
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Describe location
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Describe repairs required
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Add phot of damage
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Indicative cost in $$
102: Covered walkways
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Describe location
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Describe repairs required
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Indicative cost in $$
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103: Fenced Courts
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Describe location
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Describe repairs required
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Indicative cost in $$
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104: Outbuildings and sheds
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Describe location
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Describe repairs required
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Indicative cost in $$
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105: Playground Structures
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Describe location
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Describe repairs required
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Indicative cost in $$
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106: Poles /Towers
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Describe location
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Describe repairs required
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Indicative cost in $$
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107: Outdoor Furniture
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Describe location
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Describe repairs required
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Indicative cost in $$
Site Improvements -SIMP
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Is the site free of needing improvements?<br>If site improvements are required choose response to select items
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Choose site improvements required
- 201: ROADS AND CAR PARKS
- 202: FOOTPATHS AND TRAILS
- 203: HARD SURFACE AREAS
- 204: PAVED AREAS
- 205: RETAINING WALLS
- 206: SURFACE DRAINS
- 207: ACCESS RAMPS(eg.wheel chair)
- 208: LANDSCAPING AND GARDENING
201: Roads and carparks including Kerbs ect
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Describe location
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Describe repairs required
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Indicative cost in $$
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202: Footpaths & trails
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Describe location
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Describe repairs required
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Indicative cost in $$
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203: Hard Surfaces Araes (eg Parade ground)
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Describe location
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Describe repairs required
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Indicative cost in $$
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204: Paved areas
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Describe location
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Describe repairs required
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Indicative cost in $$
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205: Retaining walls
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Describe location
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Describe repairs required
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Indicative cost in $$
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206: Surface drains
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Describe location
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Describe repairs required
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Indicative cost in $$
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207: Access ramps
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Describe location
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Describe repairs required
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Indicative cost in $$
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208: Landscaping and gardening
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Describe location
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Describe repairs required
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Indicative cost in $$
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Building and Structure BLDG
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Is the building and structure free of damage? <br>If no choose response to select damaged items
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- 301: Foundations and Slab
- 302: Stumps and Posts
- 303: Earthworks
- 304: Roofing (inc eaves, guttering)
- 305:Windows (inc grills)
- 306: Columns / Beams
- 307: External walls
- 308: Floor bearers
- 309: Ext Stairs / Balconies/ Verandahs
- 310: External Doors
- 311: Insect/ Vermin proofing
- 312: Swimming Pool Shell
- 313: Swimming pool stands and seating
- 314: Swimming pool Building/ Shed
301: Foundations and slab
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Describe location
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Describe repairs required
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Indicative cost in $$
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302: Stumps and Posts
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Describe location
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Describe repairs required
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Indicative cost in $$
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303: Earthworks
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Describe location
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Describe repairs required
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Indicative cost in $$
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304: Roofing (inc. eaves, guttering)
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Describe location
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Describe repairs required
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Indicative cost in $$
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305: Windows (inc. grills)
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Describe location
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Describe repairs required
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Indicative cost in $$
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306: Columns/ Beams
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Describe location
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Describe repairs required
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Indicative cost in $$
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307: External walls
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Describe location
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Describe repairs required
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Indicative cost in $$
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308: Floor bearers
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Describe location
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Describe repairs required
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Indicative cost in $$
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309: Ext Stairs/ Blaconies/ Verandahs
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Describe location
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Describe repairs required
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Indicative cost in $$
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310: External doors (excl fire doors)
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Describe location
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Describe repairs required
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Indicative cost in $$
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311: Insect/ Vermin proofing
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Describe location
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Describe repairs required
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Indicative cost in $$
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312: Swimming pool shell
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Describe location
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Describe repairs required
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Indicative cost in $$
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313: Swimming pool stands and seating
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Describe location
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Describe repairs required
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Indicative cost in $$
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314: Swimming Pool Building/ Shed
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Describe location
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Describe repairs required
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Indicative cost in $$
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313: Swimming pool stands and seating
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Describe location
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Describe repairs required
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Indicative cost in $$
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314: Swimming pool building/ Shed
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Describe location
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Describe repairs required
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Indicative cost in $$
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External Finishes- EFIN
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Are external Finishes free of damage?<br>If response is no select response and choose items
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Choose external finishes
- 401: External Painting
- 402: External floor finishes
- 403: Ext Building Finishes (excluding paint)
401: External Painting
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Describe location
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Describe repairs required
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Indicative cost in $$
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402: External floor finishes
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Describe location
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Describe repairs required
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Indicative cost in $$
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403: Ext Building Finishes (excluding paint)
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Describe location
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Describe repairs required
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Indicative cost in $$
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Internal Fabric: IFAB
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Are internal fabrics free of damage?<br>If response in no choose response to select items damaged
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Choose items
- 501-Ceilings
- 502-Internal walls/Partitions/Risers
- 503-Internal stairs
- 504-Internal doors (excl. fire doors)
501-Ceilings (eg.suspended/false)
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Describe location
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Describe repairs required
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Indicative cost in $$
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502-Internal walls
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Describe location
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Describe repairs required
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Indicative cost in $$
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503-Internal stairs
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Describe location
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Describe repairs required
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Indicative cost in $$
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504-Internal Doors (excl. fire doors)
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Describe location
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Describe repairs required
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Indicative cost in $$
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Internal Finishes- IFIN
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Are internal Finishes free of damage? <br>If no choose response to select items
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Choose internal finish type
- 601: Internal Painting
- 602: Internal floor finishes
- 603: Int building finishes excluding paint
601: Internal painting
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Describe location
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Describe repairs required
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Indicative cost in $$
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602: internal floor finishes
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Describe location
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Describe repairs required
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Indicative cost in $$
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603: Int building finishes exluding painting
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Describe location
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Describe repairs required
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Indicative cost in $$
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Furniture and fittings- FURN
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Are Furniture & Fittings free of damage
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Choose internal finish type
- 1701: Fixed furniture
- 1702: Loose Furniture
- 1703: Built-in appiances(eg. stoves)
1701: Fixed furniture
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Describe location
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Describe repairs required
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Indicative cost in $$
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1702: Loose furniture
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Describe location
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Describe repairs required
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Indicative cost in $$
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1703: Built-in appliances
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Describe location
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Describe repairs required
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Indicative cost in $$
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Electrical Services- ELEC
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Are Electrical Services free of damage?
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Check electrical service damaged
- 806: Internal Electrical Reticulation
- 807: internal generators
- 808: Emergency Lighting
- 809: general Lighting
- 810: General Power
- 811: Switchboards (inc. Control Swbds)
- 812: UPS Systems
- 813: Energy Management System
- 814: Bldg Services Management Sys
- 815: Heaters/Fans Unducted
- 816: Lightning protection
806: Internal Electrical Reticulation
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Describe location
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Describe repairs required
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Indicative cost in $$
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807: Internal generators
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Describe location
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Describe repairs required
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Indicative cost in $$
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808: Emergency Lighting
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Describe location
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Describe repairs required
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Indicative cost in $$
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809: General Lighting
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Describe location
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Describe repairs required
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Indicative cost in $$
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810: General Power
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Describe location
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Describe repairs required
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Indicative cost in $$
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811: Switchboards (inc. Control Swbds)
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Describe location
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Describe repairs required
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Indicative cost in $$
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812: UPS Systems
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Describe location
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Describe repairs required
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Indicative cost in $$
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813: Energy Management System
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Describe location
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Describe repairs required
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Indicative cost in $$
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814:Bldg Services Management Sys
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Describe location
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Describe repairs required
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Indicative cost in $$
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815: Heaters/ Fans iunducted
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Describe location
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Describe repairs required
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Indicative cost in $$
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816: Lightning Protection
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Describe location
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Describe repairs required
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Indicative cost in $$
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Trees removal /trim
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Tree removal/trim required
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Describe location
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Describe repairs required
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Indicative cost in $$
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Engineers report
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Engineers report required
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Describe report requirements
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Describe extent of report
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Indicative cost in $$
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Arborist report
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Arborist report required
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Describe report requirements
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Describe extent of report
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Indicative cost in $$
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Client / BAS sign off
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Client/ school
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Position
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Select date
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P&C Representative
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Select date
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DET Infrastructure Advisor
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Select date
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BAS representative
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Select date