Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Asset Identification

  • Is this equipment loaded into the CMMS database (is there an Asset ID)?

  • Enter Asset ID

  • Is this an interior/exterior finish or piece of equipment?

  • Rate the condition 1 - 5.

  • Description / Additional Comments

  • Please take a picture and upload.

Asset Condition Assessment

  • 1 - Operating Environment <br>Do Asset Operating Conditions such as Ambient Temperature, Humidity and Environmental Conditions conform to recommended manufacturers installation / operational specifications?

  • 2 - Asset Operating Profile (Correct Capacity Sizing, Correct Application)<br>Is Asset appropriately sized and does the application of the asset efficiently and effectively conform to overall system performance and functionality?

  • 3 - Asset Utilization (Run Time)<br>Are Asset run times Low, Normal or High when compared with manufacturer recommendation or industry standards?

  • 4 - Is Asset new (less than 2 yrs old) or still under warranty?

  • 5 - Asset Degradation (Wear and Tear, Damage, Corrosion)<br>Are Asset Degradation characteristics such as wear and tear, damage, corrosion etc, Low, Normal or High when compared with manufacturer or industry recommended operating standards to ensure reliable operation?

  • 6 - Asset Operating Characteristics (Leaks, Noise, Vibration)<br>Are Asset Operating characteristics such as Leaks, Noise, Vibration etc, Low, Normal or High, when compared with manufacturer or industry recommended operating standards to ensure reliable operations?

  • 7 - Is Asset impacting Customer's Operational Efficiency or Throughput?

  • 8 - Prior Maintenance History - Known Deferred Maintenance, Insufficient Maintenance<br>Do Asset records indicate deferred maintenance, insufficient maintenance etc, when compared with manufacturers recommendations and/or industry standards?

  • 9 - Prior Maintenance History - Known Breakdowns, Repairs or Failures Exist<br>Do Asset records indicate breakdowns, high or repetitive failures impacting operational reliability?

  • 10 - Maintenance Focus - PM Frequencies or Maintenance Tasks to be Increased or Upgraded<br>Does Asset require increased maintenance frequencies or enhanced maintenance job plans to ensure reliable operation?

  • 11 - Probability of Failure - Repairs/Breakdowns Expected in the Short Term<br>Are additional repairs, breakdowns expected on the asset indicating probability of failure?

  • 12 - Maintenance and Repair Cost - Current State<br>Are Asset maintenance and repair costs Low, Normal or High as per maintenance expectations, when compared with manufacturer or industry recommended operating standards to ensure reliable operations?

  • 13 - Maintenance and Repair Cost Trend<br>Do Asset maintenance and repair trends show stable or increasing costs?

  • 14 - Energy Consumption<br>Is Asset Energy consumption / usage Low, Normal or High, when compared with manufacturer or industry recommended operating standards to ensure reliable operations?

  • 15 - Spare Parts Easily Available<br>Are Asset spare parts readily available if required?

Asset Data Collection for CMMS Loading

  • Enter local asset name:

  • Enter building name:

  • Enter floor:

  • Enter room name or area description:

  • Enter manufacturer or "unknown":

  • Enter model number or "unknown":

  • Enter serial number or "unknown":

  • Enter installation date (if available):

  • Enter last major overhaul date (if available):

  • Upload photo of equipment.

Asset Condition Assessment

  • 1 - Operating Environment <br>Do Asset Operating Conditions such as Ambient Temperature, Humidity and Environmental Conditions conform to recommended manufacturers installation / operational specifications?

  • 2 - Asset Operating Profile (Correct Capacity Sizing, Correct Application)<br>Is Asset appropriately sized and does the application of the asset efficiently and effectively conform to overall system performance and functionality?

  • 3 - Asset Utilization (Run Time)<br>Are Asset run times Low, Normal or High when compared with manufacturer recommendation or industry standards?

  • 4 - Is Asset new (less than 2 yrs old) or still under warranty?

  • 5 - Asset Degradation (Wear and Tear, Damage, Corrosion)<br>Are Asset Degradation characteristics such as wear and tear, damage, corrosion etc, Low, Normal or High when compared with manufacturer or industry recommended operating standards to ensure reliable operation?

  • 6 - Asset Operating Characteristics (Leaks, Noise, Vibration)<br>Are Asset Operating characteristics such as Leaks, Noise, Vibration etc, Low, Normal or High, when compared with manufacturer or industry recommended operating standards to ensure reliable operations?

  • 7 - Is Asset impacting Customer's Operational Efficiency or Throughput?

  • 8 - Prior Maintenance History - Known Deferred Maintenance, Insufficient Maintenance<br>Do Asset records indicate deferred maintenance, insufficient maintenance etc, when compared with manufacturers recommendations and/or industry standards?

  • 9 - Prior Maintenance History - Known Breakdowns, Repairs or Failures Exist<br>Do Asset records indicate breakdowns, high or repetitive failures impacting operational reliability?

  • 10 - Maintenance Focus - PM Frequencies or Maintenance Tasks to be Increased or Upgraded<br>Does Asset require increased maintenance frequencies or enhanced maintenance job plans to ensure reliable operation?

  • 11 - Probability of Failure - Repairs/Breakdowns Expected in the Short Term<br>Are additional repairs, breakdowns expected on the asset indicating probability of failure?

  • 12 - Maintenance and Repair Cost - Current State<br>Are Asset maintenance and repair costs Low, Normal or High as per maintenance expectations, when compared with manufacturer or industry recommended operating standards to ensure reliable operations?

  • 13 - Maintenance and Repair Cost Trend<br>Do Asset maintenance and repair trends show stable or increasing costs?

  • 14 - Energy Consumption<br>Is Asset Energy consumption / usage Low, Normal or High, when compared with manufacturer or industry recommended operating standards to ensure reliable operations?

  • 15 - Spare Parts Easily Available<br>Are Asset spare parts readily available if required?

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.