QPWS CONDITION ASSESSMENT S3 SHELTER

• Site conducted

  Select

• Site Name:

• Asset reference number

• Conducted on

  Date

• Assessor

• Location
  Address

Substructure

• Foundation/footings (eg: undercutting erosion, concrete cracking, movement, not visible) - Specified Condition = 3

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

• Retaining walls (e.g. rot, rust, splitting, movement, not visible for inspection) - Specified Condition = 3

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

• Ground slab/ Apron/ Floor - Specified Condition = 3

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

Superstructure

• Roof (inc gutters & downpipes) - Specified Condition = 3.5

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

• Posts (e.g. rot, rust, splitting, movement, not visible for inspection) - Specified Condition = 3.5

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

• Frame (e.g. rot, rust, splitting, movement, not visible for inspection) - Specified Condition = 3.5

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

• Walls/Cladding - Specified Condition = 3.5

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

Furniture & fittings

• Seating/Table/Signage mounts etc. (e.g. rot, splintering, rust, protruding fixings, warping, loose boards) - Specified Condition = 3

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

• Brackets & fasteners (connector plates, bolts, etc. e.g. rust, lack of washers, movement, rusted triple grips, not as specified) - Specified Condition = 3.5

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

• Electrical (eg: lighting, power etc.) - Specified Condition = 3.5

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

Finishes

• Protective finish (timber preservative, oil, galvanising, powder coat, paint e.g. blistering, cracking, lack of applied finish) - Specified Condition = 3

  Select 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required 5 - Excellent - no defects; as new condition & appearance N/A

  • 1 - Very poor - Asset has failed; not operational; not viable; unfit for occupancy or normal use, environmental / contamination /pollution issues exist
  • 2 - Poor - badly deteriorated; potential structural problems; inferior appearance; major defects; components fail frequently
  • 3 - Fair - average condition; defects are evident; worn finishes require maintenance; services are functional but need attention; deferred maintenance work exists
  • 4 - Good - minor defects; superficial wear & tear; some deterioration to finishes; major maintenance not required
  • 5 - Excellent - no defects; as new condition & appearance
  • N/A

CRITICAL INFRASTRUCTURE SPECIFIC QUESTIONS:

• Have site conditions altered the structures effective fall height (heff)?

  Yes

  No

  N/A

• In Metres, what is the current heff ? "Effective Fall Height (heff) shall be calculated from the following: heff = hf + hi where: hf = maximum actual fall height within a distance of 2 metres from the edge of structure hi = the impact surface value (Extract from AS 2156.2-2001)"

GENERAL SITE CONDITIONS (including vegetation encroachment, drainage; site stability e.g. slip planes, rock fracturing etc.)

• Description

OTHER NOTES/LIMITATIONS/SERIOUS HAZARDS (e.g. vegetation restricts access or views, trees against structure, vandalism, doesn’t match original drawings, elements obscured attach additional notes if not enough space):

• Description

AVERAGE ELEMENTSPECIFIED CONDITION 3.27

• Actual condition

Task list (Condition based maintenance)

• Asset Elements

  Select

• Sub element

  Foundation/footings

  Retaining walls

  Ground slab/apron/floor

• Sub element

  Roof

  Posts

  Frame

  Walls/Cladding

• Sub element

  Select

• Sub element

  Seating/Table/Signage mounts

  Brackets & Fasteners

  Electrical

• Defect description

• Task description (Note, include any specific location notes)

• Task scope (i.e. Area/quantity involved; type of materials; service provider type required etc.)

• Priority (1-4)

  Select 1- Works needed to: meet maintenance related statutory obligation and due diligence requirements; ensure the health and safety of users; prevent serious disruption of activities and/or may incur higher costs if not addressed within 1 year 2 - Works that: affect the operational capacity of the asset; are likely to lead to serious deterioration & therefore higher future repair costs if not addresses between 1 to 2 years 3 - Works that: have minimal effect on the operational capacity of the asset but are desirable to maintain the quality of the workplace; are likely to require rectification within 3 years 4 - Works that: can be safely and economically deferred beyond 3 years and reassessed at a future date Caution - Do not program critical maintenance items which require immediate rectification. These items warrant urgent action as unplanned maintenance and should be reported to the relevant asset officer ASAP

  • 1- Works needed to: meet maintenance related statutory obligation and due diligence requirements; ensure the health and safety of users; prevent serious disruption of activities and/or may incur higher costs if not addressed within 1 year
  • 2 - Works that: affect the operational capacity of the asset; are likely to lead to serious deterioration & therefore higher future repair costs if not addresses between 1 to 2 years
  • 3 - Works that: have minimal effect on the operational capacity of the asset but are desirable to maintain the quality of the workplace; are likely to require rectification within 3 years
  • 4 - Works that: can be safely and economically deferred beyond 3 years and reassessed at a future date
  • Caution - Do not program critical maintenance items which require immediate rectification. These items warrant urgent action as unplanned maintenance and should be reported to the relevant asset officer ASAP

• (A,S,E) Risk Type: the area of risk created by the defect. A = the asset, S = health and safety, E = the environment

  A

  S

  E

• Indicative Price (ex GST)

Engineering

• Engineering or other higher level inspections required ?

  Yes

  No

  N/A
Signature

• Sign

  Sign