Information
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Site conducted
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Facility Name:
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Assessment Number:
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Conducted on
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Prepared by
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Attendees:
Condition (Quality) Assessment
Building Envelope/Structure
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What is the general condition of the building form?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo's:
Building Fitout
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What is the general condition of the ceilings and internal walls?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
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What is the general condition of the kitchen facilities?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
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What is the general condition of the toilet facilities?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
Electrical Services
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What is the general condition of the lighting system(s)?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
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What is the general condition of the electrical boards (ie switchboards, sub boards, main boards etc)?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
Fire Services
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What is the general condition of the fire service elements (ie smoke detectors, fire panels, sprinkers etc)?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
Hydraulic Services
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What is the general condition of the hydraulic service elements?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
Mechanical Services
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What is the general condition of heating, cooling and/or ventilation system(s)?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
Flooring
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What is the general condition of the floor structure (ie subfloor etc)
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
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What is the general condition of the floor coverings?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
Roof
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What is the general condition of the roof structure?
- N/A
- Very Poor
- Poor
- Fair
- Good
- Excellent
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Notes:
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Photo/s:
Fit for Purpose Assessment
Functionality
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Does the facility have adequate space/area for the services associated?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Can the facility be adapted to suit other services/purposes?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Configuration
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Are the facility spaces/areas effectively connected and positioned?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Amenity
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Is the facility modern and attractive?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Is the facility compatible with its surrounds?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Does the facility have complementary peripheral infrastructure?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Environmental Sustainability
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Does the facility have appropriate ESD elements incorporated?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Services
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Does the facility have adequate amenities (ie kitchen, toilets etc)?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Does the facility have adequate heating/cooling/ventilation?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Does the facility have an adequate internal and external lighting?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Does the facility have an adequate security system?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Location and Accessibility Assessment
Site Topography
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Is the site suitable (ie taking account of levels or other constraints) for the services associated with the facility?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Geography
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Is the facility located within the precinct or vicinity of its target user group(s)?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Is the facility close to necessary amenities for which its users may require (ie shops, schools etc)
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Public Transport
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Is the facility accessible via public transport?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Carparking
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Does the facility have adequate carparking?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Is the facility carparking within close proximity?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Crime Prevention Through Environmental Design (CPTED)
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Is there appropriate natural access control associated with the facility?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Does the facility have appropriate natural surveillance?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Is there appropriate territorial reinforcement (ie demarcation of spaces)?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Utilisation/Capacity Assessment
User Numbers
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Is the facility's utilisation (ie based on numbers) similar to its capaciy?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
User Diversity
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Is the facility utilised by a range of groups?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Frequency of Use
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Is the facility utilised for the majority of the day and/or night?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Service Criticality
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Are the risks associated with the non-delivery of services from the facility high?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Legislative/Compliance Assessment
Access and Egress
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Are disabled toilets provided?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Are disabled parking bays provided?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Is there compliant access and egress? (Including ramps, exit signs, door hardware etc)
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Fire Resistance
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Does the facility have an effective fire evacuation plan on display?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Health and Amenity
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Does the kitchen comply with the community health department's regualations?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
General Compliance
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Are the essential safety measures maintained and measured as per the regulations?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
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Is there appropriate roof access hardware?
- N/A
- Not at all
- Partially
- Moderately
- Predominantly
- Fully
Works Required
Works Required
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Work Order #1
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Photo/s:
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Work Order #2
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Work Order #3
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Work Order #4
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Work Order #5
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Work Order #6
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Photo/s:
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Work Order #7
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Photo/s:
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Work Order #8
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Photo/s:
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Work Order #9
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Photo/s:
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Work Order #10
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Photo/s:
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Work Order #11
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Photo/s:
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Work Order #12
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Photo/s:
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Work Order #13
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Photo/s:
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Work Order #14
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Photo/s:
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Work Order #15
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Photo/s:
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Work Order #16
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Photo/s:
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Work Order #17
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Photo/s:
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Work Order #18
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Photo/s:
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Work Order #19
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Photo/s:
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Work Order #20
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Photo/s:
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Work Order #21
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Photo/s:
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Work Order #22
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Photo/s:
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Work Order #23
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Photo/s:
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Work Order #24
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Photo/s:
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Work Order #25
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Photo/s:
Additional Notes
Additional Notes:
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Note #1
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Note #2
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Note #3
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Note #4
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Note #5
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