ESM Maintenance Compliance Inspection Report

• Site conducted

  Select

• Conducted on

  Date
• Location
  Address

Building Description

• Address
  Address

• Building Name

• Actual Building/s Use and BCA Classifications

  Yes

  No

  N/A

• Council Ref:

Building Details

• BCA Classification

  Select Class 2 - Apartment Class 3 - Boarding house, Guest house, Hostel, Lodging house or Backpacker accommodation Class 3 - Hotel or Motel Class 3 - Residential part of a school Class 3 - Accommodation for the aged, children, or people with disability Class 3 - Staff accommodation Class 3 - Residential part of a detention centre Class 3 - Residential care building Class 4 Class 5 - Office Class 6 - Café, restaurant, milk or soft-drink bar Class 6 - Dining room, Bar Class 6 - Hairdresser’s or Barber’s shop, Public laundry, or Undertaker’s establishment Class 6 - Shop, Market or sale room, Showroom, or Service station Class 7a — Carpark Class 7b — Storage, Wholesale Class 8 - Laboratory Class 8 - Production, Assembly, Altering, Repairing, Packing, Finishing, or Cleaning Class 9a — Health-care building Class 9b — Assembly building Class 9b — Primary or Secondary school Class 9c — Residential care building

  • Class 2 - Apartment
  • Class 3 - Boarding house, Guest house, Hostel, Lodging house or Backpacker accommodation
  • Class 3 - Hotel or Motel
  • Class 3 - Residential part of a school
  • Class 3 - Accommodation for the aged, children, or people with disability
  • Class 3 - Staff accommodation
  • Class 3 - Residential part of a detention centre
  • Class 3 - Residential care building
  • Class 4
  • Class 5 - Office
  • Class 6 - Café, restaurant, milk or soft-drink bar
  • Class 6 - Dining room, Bar
  • Class 6 - Hairdresser’s or Barber’s shop, Public laundry, or Undertaker’s establishment
  • Class 6 - Shop, Market or sale room, Showroom, or Service station
  • Class 7a — Carpark
  • Class 7b — Storage, Wholesale
  • Class 8 - Laboratory
  • Class 8 - Production, Assembly, Altering, Repairing, Packing, Finishing, or Cleaning
  • Class 9a — Health-care building
  • Class 9b — Assembly building
  • Class 9b — Primary or Secondary school
  • Class 9c — Residential care building

• Rise in storeys

• Storeys contained

• Volume

  Yes

  No

  N/A

• Type of construction

  Type A

  Type B

  Type C

• Number of occupants

• Staff

Permit Details

• Is there records of Building Permits

  Yes

  No

  N/A

• Building Permit Number

• Date of Issue

  Yes

  No

  N/A

• Relevant Building Surveyor

• Has an OP been issued?

  Yes

  No

  N/A

• OP/CofO No

  Yes

  No

  N/A

• Issue date

  Date

• Is there an Occupancy Permit ESM Schedule / Maintenance Determination

  Yes

  No

  N/A

• Occupation and use in accordance with Occupancy Permit/s:

OP & AESMR

• Is the OP/determination displayed

• ESM Annual Report prepared by owner (or agent) [r.223(1)]:

  Yes

  No

  N/A

• Is the ESM Annual Report in accordance with the VBA template

  Yes

  No

  N/A

• ESM Annual Report been completed correctly

  Yes

  No

  N/A

• ESM Annual Report signed and dated

  Yes

  No

  N/A

• Does the AESM report list all relevant ESMs

• ESM Annual Report Date:

  Date

Part 1—Building fire integrity

• Are there Building Elements that are required to satisfy prescribed fire-resistance levels required to be installed in the building?

  Yes

  No

  N/A

• Have the Building Elements been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are materials and assemblies within the building required to have fire hazard properties?

  Yes

  No

  N/A

• Have the correct materials and assemblies been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are elements required to be non-combustible, provide fire protection, compartmentation or separation required to be installed in the building?

  Yes

  No

  N/A

• Have the required to be non-combustible elements been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are wall-wetting sprinklers (including doors and windows required in conjunction with wall-wetting sprinklers) required to be installed in the building?

  Yes

  No

  N/A

• Have the wall-wetting sprinklers been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are fire doors (including sliding fire doors and their associated warning systems) and associated self-closing, automatic closing and latching mechanisms required to be installed in the building?

  Yes

  No

  N/A

• Have the fire doors been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are fire windows (including windows that are automatic or permanently fixed in the closed position) required to be installed in the building?

  Yes

  No

  N/A

• Have the fire windows been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are fire shutters required to be installed in the building?

  Yes

  No

  N/A

• Have the fire shutters been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are solid core doors and associated self-closing, automatic closing and latching mechanisms required to be installed in the building?

  Yes

  No

  N/A

• Have the solid core doors and associated closing and latching mechanisms been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are fire-protection at service penetrations through elements required to be fire-resisting with respect to integrity or insulation, or to have a resistance to the incipient spread of fire required to be installed in the building?

  Yes

  No

  N/A

• Have the service penetration fire-protection been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are fire protection associated with construction joints, spaces and the like in and between building elements required to be fire-resisting with respect to integrity and insulation required to be installed in the building?

  Yes

  No

  N/A

• Has the construction joints fire protection been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are smoke doors and associated self-closing, automatic closing and latching mechanisms required to be installed in the building?

  Yes

  No

  N/A

• Have the smoke doors and associated closing and latching mechanisms been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are proscenium walls (including proscenium curtains) required to be installed in the building?

  Yes

  No

  N/A

• Have the proscenium walls been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

Part 2—Means of egress

• Yes

  No

  N/A

• Paths of travel to exits

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Discharge from exits (including paths of travel from open spaces to the public roads to which they are connected)

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Exits (including fire-isolated stairways and ramps, non fire-isolated stairways and ramps, stair treads, balustrades and handrails associated with exits, and fire-isolated passageways)

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Smoke lobbies to fire-isolated exits

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Open access ramps or balconies for fire-isolated exits

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Doors (other than fire or smoke doors) in a required exit, forming part of a required exit or in a path of travel to a required exit, and associated self-closing, automatic closing and latching mechanisms

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

Part 3—Signs

• Are exit signs (including direction signs) required to be installed in the building?

  Yes

  No

  N/A

• Has the exit signs been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Are warning signs on sliding fire doors and doors to non-required stairways, ramps and escalators required to be installed in the building?

  Yes

  No

  N/A

• Have the warning signs been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Signs, intercommunication systems, or alarm systems on doors of fire-isolated exits stating that re-entry to a storey is available

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Signs alerting persons that the operation of doors must not be impaired

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

Part 4—Lighting

• Emergency Lighting

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

Part 5—Fire fighting services and equipment

• Fire hydrant system (including on-site pump set and fire-service booster connection)

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Fire hose reel system

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Sprinkler system

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Portable fire extinguishers

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Fire control centres (or rooms)

  Yes

  No

  N/A

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

Part 6—Air-handling systems

• Yes

  No

  N/A

• Smoke hazard management systems—

  Yes

  No

  N/A

• (a) automatic air pressurisation systems for fire-isolated exits;

  Yes

  No

  N/A

• (b) zone smoke control system;

  Yes

  No

  N/A

• (c) automatic smoke exhaust system;

  Yes

  No

  N/A

• (d) automatic smoke-and-heat vents (including automatic vents for atriums);

  Yes

  No

  N/A

• (e) air-handling systems that do not form part of a smoke hazard management system and which may unduly contribute to the spread of smoke;

  Yes

  No

  N/A

• (f) miscellaneous air-handling systems serving

  Yes

  No

  N/A

• more than one fire compartment to which Sections 5 and 6 of AS/NZS 1668.1 The use of ventilation and air conditioning in buildings—Part 1: Fire and smoke control in buildings, as in force or as re-issued or as published from time to time;

  Date

• (g) other air-handling systems

  Yes

  No

  N/A

• Car park mechanical ventilation system

  Yes

  No

  N/A

• Atrium smoke control system (see item 1(d) for smoke and heat vents)

  Yes

  No

  N/A

• Yes

  No

  N/A

Part 7—Automatic fire detection and alarm systems

• Yes

  No

  N/A

• Smoke and heat alarm system

  Yes

  No

  N/A

• Smoke and heat detection system

  Yes

  No

  N/A

• Atrium fire detection and alarm system

  Yes

  No

  N/A

Part 8—Occupant warning systems

• Is an Occupant Warning Systems required to be installed in the building?

  Yes

  No

  N/A

• Which system is required?

  Select Sound system and intercom system for emergency purposes Building Occupant Warning System

  • Sound system and intercom system for emergency purposes
  • Building Occupant Warning System

• Has the Sound System and Intercom System been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

• Has the Building Occupant Warning System been installed in the building?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Has the system been inspected, tested and maintained in accordance with the requirements specified in the maintenance determination?

  Yes

  No

  N/A

Part 9—Lifts

• Are there Lifts in the building?

  Yes

  No

  N/A

• Stretcher facilities in lifts

  Yes

  No

  N/A

• Emergency lifts

  Yes

  No

  N/A

• Passenger lift fire service controls

  Yes

  No

  N/A

• Are the Signs warning against the use of lifts in the event of fire being displayed and maintained?

  Yes

  No

  N/A

Part 10—Standby power supply system

• Is there a standby power supply system required in the building

  Yes

  No

  N/A

• Has the standby power supply system been installed?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

• Are there log books available for the system?

  Yes

  No

  N/A

Part 11—Building clearance and fire appliances

• Yes

  No

  N/A

• Open space around large isolated buildings

  Yes

  No

  N/A

• Vehicular access around large isolated buildings

  Yes

  No

  N/A

Part 12—Mechanical ventilation and hot, warm and cooling water systems

• Yes

  No

  N/A

• Mechanical ventilation systems incorporating cooling tower systems (other than a system serving only a single sole-occupancy unit in a Class 2 or 3 building or a Class 4 part of a building)

  Yes

  No

  N/A

• Mechanical ventilation systems incorporating hot and warm water systems (other than a system serving only a single sole-occupancy unit in a Class 2 or 3 building or a Class 4 part of a building)

  Yes

  No

  N/A

• ESM Satisfactorily Maintained by Owner/s [r.226]:

• File Reference: BCS

• Prepared by:

  Select Martin Ryan Peter Hogan John Royce Wayne Gray Warren Brooker - BSU 16601 Peter Jolly

  • Martin Ryan
  • Peter Hogan
  • John Royce
  • Wayne Gray
  • Warren Brooker - BSU 16601
  • Peter Jolly

• Inspection Time:

  Date