Title Page

  • Site conducted

  • Site Name:

  • Asset reference number

  • Conducted on

  • Assessor

  • Location

QPWS CONDITION ASSESSMENT Functionally Focussed Buildings (note: use 1 assessment per structure)

Substructure

  • Foundation/footings - Specified Condition = 3

  • Posts/piers/beams- Specified Condition = 3

  • Ground slab/apron/damp-proofing- Specified Condition = 3

  • Sub-soil drainage/pits- Specified Condition = 3

  • Ground level steps/ramps - Specified Condition = 3.5

  • Retaining walls - Specified Condition = 3

Superstructure

  • Columns/upper floor support - Specified Condition = 3.5

  • Upper floors - Specified Condition = 3.5

  • Staircases (internal/external) - Specified Condition = 3.5

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

  • External walls (inc balustrade) - Specified Condition = 3.5

  • Windows (inc screens/grilles/locks)- Specified Condition = 4

  • External doors (inc screens/grilles/locks)- Specified Condition = 4

  • Internal walls (inc screens/partitions)- Specified Condition = 3.5

  • Internal doors (inc screens/grilles/locks) - Specified Condition = 3.5

  • Deck/verandah support & fixings - Specified Condition = 3.5

Finishes

  • Wall finishes (internal & external)- Specified Condition = 3.5

  • Floor finishes (internal & external) - Specified Condition = 3.5

  • Ceiling finishes (internal & external) -Specified Condition = 3.5

Fittings

  • Fitments (inc benches/cupboards/shelves) - -Specified Condition = 3.5

  • Special equipment (inc fixed electrical equip)- -Specified Condition = 4

Services (External & Internal)

  • Sanitary fixtures (inc toilets/sinks/showers) -Specified Condition = 4

  • Sanitary plumbing (traps/floor waste/pipes) -Specified Condition = 4

  • Water supply (inc tanks/pumps/plumbing) -Specified Condition = 4

  • Gas services (portable & fixed) -Specified Condition = 4

  • Heating/ventilation/air conditioning -Specified Condition = 4

  • Electrical light & power (Inc Solar) -Specified Condition = 4

  • Communications (inc phone/data/CCTV/PA) -Specified Condition = 4

  • External sewer drainage (inc trap/septic) -Specified Condition = 3.5

  • External stormwater drainage -Specified Condition = 3.5

Statutory requirements

  • Electrical test & tag (inc RCD's)

  • Fire protection (hydrant/hose reel/extinguish)

  • Exit & emergency lighting

  • Fire Alarm System (including detectors)

  • Asbestos Register/Management Plan

  • Reduced pressure zone valve testing certificates (RPZV)

  • Environmentally Relevant Activity (ERA) compliance certificates

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 element specified condition 3.58

  • Average element actual condition

  • Task list (Condition based maintenance)
  • Asset Elements

  • Sub element

  • Sub element

  • Sub element

  • Sub elements

  • Sub elements

  • Sub element

  • 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)

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

  • Indicative Price (ex GST)

Engineering

  • Engineering or other higher level inspections required ?

  • Signature
  • Sign

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