MPT Property Repair & Maintenance Report

• Audit Title

• Client

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Condition Description

• Add media

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• Sites Observed

• What is the general condition of the building envelope?

Roof

• What is the general condition of the roof?

• Issue Detail (Check box if no material issues)

• Identify roof issues

Issue

• Issue Description

• Photo below:

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Elevations

• What is the general condition of the elevations

• Issue Detail (Check box if no material issues)

• Identify elevation issues

Issue

• Issue Description

• Photo below:

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Openings

• What is the general condition of the openings?

• Issue Detail (Check box if no material issues)

• Identify opening issues

Issue

• Issue Description

• Photo below:

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Sealant and Flashings

• What is the general condition of the sealant and flashings?

• Issue Detail (Check box if no material issues)

• Identify sealant and flashing issues

Issue

• Issue Description

• Photo below:

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Horizontal Structure (Slabs, Floors, Joists and Beams, and Roof Framing)

• What is the general condition of the horizontal structure?

• Issue Detail (Check box if no material issues)

• Identify horizontal structure issues

Issue

• Issue Description

• Photo below:

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Vertical Structure (Columns)

• What is the general condition of the vertical structure?

• Issue Detail (Check box if no material issues)

• Identify vertical structure issues

Issue

• Issue Description

• Photo below:

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• What is the general condition of the interior?

Ceiling

• What is the general condition of the ceiling?

• Issue Detail (Check box if no material issues)

• Identify ceiling issues

Issue

• Issue Description

• Photo below:

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Flooring

• What is the general condition of the flooring?

• Issue Detail (Check box if no material issues)

• Identify flooring issues

Issue

• Issue Description

• Photo below:

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Walls

• What is the general condition of the walls?

• Issue Detail (Check box if no material issues)

• Identify wall issues

Issue

• Issue Description

• Photo below:

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Millwork

• What is the general condition of the millwork?

• Issue Detail (Check box if no material issues)

• Identify millwork issues

Issue

• Issue Description

• Photo below:

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Patient Rooms

• What is the general condition of the patient rooms?

• Issue Detail (Check box if no material issues)

• Identify patient room issues

Issue

• Issue Description

• Photo below:

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Cafeteria

• What is the general condition of the cafeteria/food prep area?

• Issue Detail (Check box if no material issues)

• Identify cafeteria issues

Issue

• Issue Description

• Photo below:

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Common Areas

• What is the general condition of the common areas?

• Issue Detail (Check box if no material issues)

• Identify common area issues

Issue

• Issue Description

• Photo below:

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Elevators

• What is the general condition of the elevators?

• Issue Detail (Check box if no material issues)

• Identify elevator issues

Issue

• Issue Description

• Photo below:

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Treatment Areas

• What is the general condition of the treatment areas?

• Issue Detail (Check box if no material issues)

• Identify treatment area issues

Issue

• Issue Description

• Photo below:

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• What is the general condition of the MEP systems?

Plumbing

• What is the general condition of the plumbing?

• Issue Detail (Check box if no material issues)

• Identify plumbing issues

Issue

• Issue Description

• Photo below:

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HVAC

• What is the general condition of the HVAC system?

• Issue Detail (Check box if no material issues)

• Identify HVAC issues

Issue

• Issue Description

• Photo below:

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Electrical

• What is the general condition of the electrical system?

• Issue Detail (Check box if no material issues)

• Identify electrical issues

Issue

• Issue Description

• Photo below:

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Life Safety

• Issue Detail (Check box if in compliance to the knowledge of the Tenant)
Identify life safety issues

• Issue Description

• Photo below:

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Hospital Licensing

• Issue Detail (Check box if in compliance to the knowledge of the Tenant)
Identify hospital licensing issues

• Issue Description

TJC/DNV

• Issue Detail (Check box if in compliance to the knowledge of the Tenant)
Identify TJC/DNV issues

• Issue Description

ADA

• Issue Detail (Check box if in compliance to the knowledge of the Tenant)
Identify ADA issues

• Issue Description

Elevator Licensing

• Issue Detail (Check box if in compliance to the knowledge of the Tenant)
Identify elevator licensing issues

• Issue Description

Environmental

• Issue Detail (Check box if in compliance to the knowledge of the Tenant)
Identify environmental issues

• Issue Description

Capital Additions or Improvements

• Detail (Check box if no Capital Additions or Improvement information needs to be provided to MPT)
Identify Capital Additions or Improvements

• Description

• Photo below:

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Other

• Issue Detail (Check box if in compliance to the knowledge of the Tenant)
Identify other issues

• Issue Description

• Photo below:

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Parking Surfaces

• What is the general condition of the parking surfaces?

• Issue Detail (Check box if no material issues)

• Identify parking surface issues

Issue

• Issue Description

• Photo below:

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Sidewalks and Hardscapes

• What is the general condition of the sidewalks and hardscapes?

• Issue Detail (Check box if no material issues)

• Identify sidewalk and hardscape issues

Issue

• Issue Description

• Photo below:

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Landscaping

• What is the general condition of the landscaping?

• Issue Detail (Check box if no material issues)

• Identify landscaping issues

Issue

• Issue Description

• Photo below:

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Water Detention Areas

• What is the general condition of the water detention areas?

• Issue Detail (Check box if no material issues)

• Identify water detention issues

Issue

• Issue Description

• Photo below:

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• Photo 8

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