Maintenance Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

BUILDING MAINTENANCE REPORT FORM Please attach Photos for each Maintenance related matter reported. Ensure that the Maintenance relater matter is explained in full-detail

• Maintenance Issue # 1

• Add media

  Media

• Maintenance Issue # 2

• Add media

  Media

• Maintenance Issue # 3

• Add media

  Media

• Maintenance Issue # 4

• Add media

  Media

• Maintenance Issue # 5

• Add media

  Media

• Maintenance Issue # 6

• Add media

  Media

• Maintenance Issue # 7

• Add media

  Media

• Maintenance Issue # 8

• Add media

  Media

• Maintenance Issue # 9

• Add media

  Media

• Maintenance Issue # 10

• Add media

  Media

• Have you attached a photo for each Maintenance related matter? If not please explain why this has not been done

  Yes

  No

  N/A

• Does any Maintenance related issue reported pose an OH&S hazard

  Yes

  No

  N/A

• If the Maintenance related matter poses an OH&S issue, what steps have you put in place to help minimise the hazard

• Is there a need to escalate the matter Immediately for URGENT attention/ actioning

  Yes

  No

  N/A

• Date and Time of report

  Date

• Name of Individual reporting matter

  Select S/M Wayne S/o James S/o Sajjad S/o Luke S/o Casual Guard S/o Gagandip

  • S/M Wayne
  • S/o James
  • S/o Sajjad
  • S/o Luke
  • S/o Casual Guard
  • S/o Gagandip

• Name & Signature

  Sign