New Zealand Transport Agency

• Property Number

• Property Name

• Client

  Tenant

  Colliers

  NZTA

• Conducted on

  Date
• iPad Location
  Address

• Inspector

  Carl Raumati

  Naomi Bray

  Alex Harris

  Christian Sturm

  Duncan Campion

• Property Number

• iPad Location
  Address

• Select date

  Date

• Map

  Media

• Currently Tenanted?

  Yes

  No

• Tenant Name

• Tenant Number

• Rent p.a.

• Tenant Notified

  Yes

  No

  N/A

  Attention Required

• Tenant Present

  Yes

  No

  N/A

  Attention Required

• Tenant Cooperative

  Yes

  No

  N/A

  Attention Required

• Internal Access

  Yes

  No

  N/A

  Attention Required

• Weather

  Sunny

  Cloudy

  Raining

Grounds

• Fencing / gate

  Good

  Average

  Poor

  N/A

  Attention Required

• Aerials

  Good

  Average

  Poor

  N/A

  Attention Required

• Garden

  Good

  Average

  Poor

  N/A

  Attention Required

• Driveway / car park

  Good

  Average

  Poor

  N/A

  Attention Required

• Lawn

  Good

  Average

  Poor

  N/A

  Attention Required

• Drainage

  Good

  Average

  Poor

  N/A

  Attention Required

• Outbuildings

  Good

  Average

  Poor

  N/A

  Attention Required

• Photos

  Media

• Property access

  Good

  Average

  Poor

  N/A

  Attention Required

• Photos

  Media

• Land comments

• Layout sketch of any items of significance

  Drawing

Exterior

• Roof

  Good

  Average

  Poor

  N/A

  Attention Required

• Spouting

  Good

  Average

  Poor

  N/A

  Attention Required

• Cladding

  Good

  Average

  Poor

  N/A

  Attention Required

• Joinery

  Good

  Average

  Poor

  N/A

  Attention Required

• Photo's

  Media

• Exterior Comments

Foyer

• Ceiling / walls

  Good

  Average

  Poor

  N/A

  Attention Required

• Flooring

  Good

  Average

  Poor

  N/A

  Attention Required

• Joinery

  Good

  Average

  Poor

  N/A

  Attention Required

• Photo's

  Media

• Foyer Comment

Common Areas

• Ceiling / walls

  Good

  Average

  Poor

  N/A

  Attention Required

• Flooring

  Good

  Average

  Poor

  N/A

  Attention Required

• Joinery

  Good

  Average

  Poor

  N/A

  Attention Required

• Door/windows

  Good

  Average

  Poor

  N/A

  Attention Required

• Photo's

  Media

• Common Area Comments

Stairwell

• Stairwell

  Yes

  No

  N/A

• Ceiling / walls

  Good

  Average

  Poor

  N/A

  Attention Required

• Door/window's

  Good

  Average

  Poor

  N/A

  Attention Required

• Photo's

  Media

• Flooring

  Good

  Average

  Poor

  N/A

  Attention Required

• Joinery

  Good

  Average

  Poor

  N/A

  Attention Required

• Stairwell Comments

Bathroom/s

• Toilet/s

  Good

  Average

  Poor

  N/A

  Attention Required

• Mirror

  Good

  Average

  Poor

  N/A

  Attention Required

• Flooring

  Good

  Average

  Poor

  N/A

  Attention Required

• Joinery

  Good

  Average

  Poor

  N/A

  Attention Required

• Ceiling / walls

  Good

  Average

  Poor

  N/A

  Attention Required

• Photos

  Media

• Bathroom Comments

Kitchen if applicable

• Kitchen sink

  Good

  Average

  Poor

  N/A

  Attention Required

• Kitchen bench

  Good

  Average

  Poor

  N/A

  Attention Required

• Kitchen cupboards

  Good

  Average

  Poor

  N/A

  Attention Required

• Oven

  Good

  Average

  Poor

  N/A

  Attention Required

• Kitchen ceilings / walls

  Good

  Average

  Poor

  N/A

  Attention Required

• Kitchen flooring

  Good

  Average

  Poor

  N/A

  Attention Required

• Kitchen joinery

  Good

  Average

  Poor

  N/A

  Attention Required

• Photos

  Media

• Kitchen Comments

Services

• Plumbing

  Select Good Average Poor N/A Attention Required

  • Good
  • Average
  • Poor
  • N/A
  • Attention Required

• Electrical

  Good

  Average

  Poor

  N/A

  Attention Required

• Lighting

  Good

  Average

  Poor

  N/A

  Attention Required

• Sewerage

  Good

  Average

  Poor

  N/A

  Attention Required

• Stormwater

  Good

  Average

  Poor

  N/A

  Attention Required

• HVAC

  Good

  Average

  Poor

  N/A

  Attention Required

• Locks

  Good

  Average

  Poor

  N/A

  Attention Required

• Working Smoke Detectors

  1

  2

  3

  4

• Fire Protection

  Good

  Average

  Poor

  N/A

  Attention Required

• Fire Equipment

  Good

  Average

  Poor

  N/A

  Attention Required

• Security System

  Yes

  No

  N/A

  Attention Required

• BWOF

  Yes

  No

  N/A

  Attention Required

• BWOF - Expiry Date

  Date

• BWOF - Comments/Certifications

• Lifts

  Good

  Average

  Poor

  N/A

  Attention Required

• Cleaning

  Good

  Average

  Poor

  N/A

  Attention Required

• Photo's

  Media

• Services Comments

General

• Ceiling/Walls

  Good

  Average

  Poor

  N/A

  Attention Required

• Joinery

  Good

  Average

  Poor

  N/A

  Attention Required

• Flooring

  Good

  Average

  Poor

  N/A

  Attention Required

• Comment

• Photo's

  Media

• Tenant Issues?

  Select Yes No N/A Attention Required

  • Yes
  • No
  • N/A
  • Attention Required

• Details

• Photo's

  Media

• General Comments

Defect list

• Defect Noted

  Yes

  No

  N/A

• Item

• Who is responsible to remedy

  Tenant

  Colliers

  NZTA

• Remedy Notice

  Yes

  No

  N/A

  Attention Required

• Priority

  Urgent H & S

  Current

  Deferred 1 yrs

  Deferred 2 yrs

• Cost

  Below $250

  Between $251-$500

  Between $501-$1000

  Between $1001-$2000

  Over $2001

• Photo

  Media

• Defect Noted

  Yes

  No

  N/A

• Item

• Who is responsible to remedy

  Tenant

  Colliers

  NZTA

• Remedy Notice

  Yes

  No

  N/A

  Attention Required

• Priority

  Urgent H & S

  Current

  Deferred 1 yrs

  Deferred 2 yrs

• Cost

  Below $250

  Between $251-$500

  Between $501-$1000

  Between $1001-$2000

  Over $2001

• Photo

  Media

• Defect Noted

  Yes

  No

  N/A

• Item

• Who is responsible to remedy

  Tenant

  Colliers

  NZTA

• Remedy Notice

  Yes

  No

  N/A

  Attention Required

• Priority

  Urgent H & S

  Current

  Deferred 1 yrs

  Deferred 2 yrs

• Cost

  Below $250

  Between $251-$500

  Between $501-$1000

  Between $1001-$2000

  Over $2001

• Photo

  Media

• General Comments

• Signature of Inspector

  Sign