Title Page
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Document No.
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Store
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Conducted on
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Personnel
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Please enter store name.
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Please enter store number.
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Please enter type of equipment.
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Please enter the asset number of the dilapidated equipment. Only add the same type of equipment per audit.
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Please enter asset installation date.
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Please enter the location of the asset.
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Please add the MAKE,MODEL, SERIAL NUMBER, of the equipment to be added. Please only add the same type of equipment per audit.
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Press NO and add the reason that this item has been included in the dilapidation report and the reasons in detail why this item has been included. Please note age of equipment on its own will be rejected.
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Please add detailed photographs of the equipment to be added showing appropriate faults.
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Advise if the dilapidation should be in RED (requires changing up to 18 months) AMBER ( will require changing 2 to 3 years) & GREEN ( Anything else). Please add as RED if you deem it to be a Health and safety issue.
- RED
- AMBER
- GREEN
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Please sign.
