Property & Facilities Known Issues Report - 2017 -

• Known Issues Report

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Facilities Manager

  Select Lindy Esslemont Paul Peralta Keiron Humbler Adam Sutton Daryl Bone Stephanie Tabone Saber Ansari Conrad D'Costa

  • Lindy Esslemont
  • Paul Peralta
  • Keiron Humbler
  • Adam Sutton
  • Daryl Bone
  • Stephanie Tabone
  • Saber Ansari
  • Conrad D'Costa

• Inspection date

  Date

• Location Manager

• Location Address
  Address

• Add media

  Media

Overview

• 1. It is the intention of this report to identify R&M issues in consultation with the Location Manager.
  2. Provide an Overall Condition of the Building & General Workplace including known issues for the purpose of reporting to the NBO.
  
  

Number Of Structures

• Are there multiple buildings ?

  1

  2

  3

  4

  5

• Yes

  No

  N/A

• Add media

  Media

Reception / Foyer

• Add media

  Media

Corridors

• Add media

  Media

Kitchen / staffroom.

• Add media

  Media

Bathrooms / toilets.

• Add media

  Media

Plumbing

• Add media

  Media

Workstations / Open Area

• Add media

  Media

Offices

• Add media

  Media

Utilities / Storage Areas

• Add media

  Media

Doors

• Add media

  Media

Coffin Selection room

• Does this location have a coffin selection room ?

  Yes

  No

  N/A

• Add media

  Media

Meeting Rooms / Arrangement Rooms

• Add media

  Media

Catering/Celebration Lounge

• Does this location have a Catering Lounge ?

  Yes

  No

  N/A

• Add media

  Media

Viewing Rooms

• Does this location have a Viewing Room ?

  Yes

  No

  N/A

• Add media

  Media

Flooring

• Add media

  Media

Chapel

• Does this location have a Chapel ?

  Yes

  No

  N/A

• Add media

  Media

Mortuary / Cold Rooms.

• Does this location have a Mortuary or Cold room ?

  Yes

  No

  N/A
Mortuary


• Add media

  Media
Cold room

• Add media

  Media

Ceiling Tiles / solid ceilings

• Add media

  Media

• Is ceiling insulated ?

  Yes

  No

  Unable to determine

Electrical / Lighting

• Add media

  Media

Evacuation Signage.

• Is there evacuation signage (Exit signs)

  Yes

  No

• Illuminated Running Man.

• Illuminated wording

• Non-illuminated wording.

• Add media

  Media

Mechanical Plant

• Add media

  Media

Landscaping

• Add media

  Media

Carpark.

• Add media

  Media

External of building/s

• Add media

  Media

External Signage

• Add media

  Media

High Risk issues

• Add drawing

  Drawing

• Add media

  Media

• Add drawing

  Drawing

Known Compliance issues

• are there any known compliance issues ?

  Yes

  No

• List issue/s

• Add media

  Media

Are Fire Equipment records available ?

• Yes

• No

Condition Assessment-Summary

• Add media

  Media

• Add drawing

  Drawing

• Add signature

  Sign

• Select date

  Date
• Add location
  Address