Technical Inspection Report Spar Group - Tops - REV 2

• Site conducted

  Select

• Conducted on:

  Date

• Workorder Number:

• Report Designation:

  Main Report

  Retailer Report

  Landlord Report

• Conducted By:

• Conducting Company:

  CBRE Excellerate
• Location
  Address

• Billing Allocation

• Is the Tops within he same building or proximity of the Spar retail outlet:

  Yes

  No

• Contact Details:

Landlord Details

• Landlord Name

• Landlord E-mail and Contact Numbers

• Head Lease

  Yes

  No

Retailer Details

• Retailer Name

• Retailer E-mail and Contact Number

• Detailed Report

• Retailer Responsibility

Retailer Responsibility

• Areas of Responsibility:

• All Interior Building Fabrication and Equipment

Retailer Report

• Detailed Report

• Detailed in Retailer Report

• Detailed description of findings:

• Landlord Responsibility

Landlord Responsibility

• Areas of Responsibility:

• All Exterior Building Fabrication

Landlord Report

• Detailed Report

• Detailed in Landlord Report

• Detailed description of findings:

• P1 - Critical - Replacement

• P2 - Severe - Rehabilitation

• P3 - Bad - Repairs Required

• P4 - Fair Condition Based Maintenance

• P5 - Good - Preventative Maintenance

• Retailer Responsibility

• Admin Offices

Admin Offices

• Is the electrical installation in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the electrical installation compliant with SANS10142?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Non-Compliance Issues:

  Select

• Plumbing

• Is the plumbing in good order and good working condition?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the plumbing compliant?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is there fire protection installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Fire Detection

• Are there fire detection sensors installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Does all fire protection equipment comply with SANS codes?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1

• Non-Compliance Issues:

  Select

• is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Extraction

• Is all extraction/fresh air in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any OHS concerns?

  Yes

  No

• OHS Concerns:

• Ablutions

Ablutions

• Is the electrical installation in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the electrical installation compliant with SANS10142?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Non-Compliance Issues:

  Select

• Plumbing

• Is the plumbing in good order and good working condition?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the plumbing compliant?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Fire Protection and Detection:

• Fire Protection

• Is there fire protection installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Does all fire protection equipment comply with SANS codes?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1

• Non-Compliance Issues:

  Select

• Fire Detection

• Are there fire detection sensors installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Extraction

• Is all extraction/fresh air in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any OHS concerns?

  Yes

  No

• OHS Concerns:

• Canteen

Canteen

• Is the electrical installation in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the electrical installation compliant with SANS10142?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Non-Compliance Issues:

  Select

• Plumbing

• Is the plumbing in good order and good working condition?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the plumbing compliant?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Fire Protection and Detection:

• Fire Protection

• Is there fire protection installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Does all fire protection equipment comply with SANS codes?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1

• Non-Compliance Issues:

  Select

• Fire Detection

• Are there fire detection sensors installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Extraction

• Is all extraction/fresh air in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any OHS concerns?

  Yes

  No

• OHS Concerns:

• Trade Floor

Trade Floor

• Is the electrical installation in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the electrical installation compliant with SANS10142?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Non-Compliance Issues:

  Select

• Plumbing

• Is the plumbing in good order and good working condition?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the plumbing compliant?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is there fire protection installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Fire Detection

• Are there fire detection sensors installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Does all fire protection equipment comply with SANS codes?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1

• Non-Compliance Issues:

  Select

• is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Extraction

• Is all extraction/fresh air in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Flammable Refrigerants

• R290

• Please take note that the refrigerant used within these refrigerators is highly flammable. Please
  make sure to maintain these units on a regular basis to prevent any incidents from occurring.

  

• R600

• Please take note that the refrigerant used within these refrigerators is highly flammable. Please
  make sure to maintain these units on a regular basis to prevent any incidents from occurring.

  

• Are there any OHS concerns?

  Yes

  No

• OHS Concerns:

• Shop Fronts

Shop Fronts

• Are all shop fronts in good operation condition?

  Good

  Fair

  Poor

  N/A

• Priority Level:

  P1 - CRITICAL

  P2 - SEVERE

  P3 - BAD

  P4 - FAIR

  P5 - GOOD

• Remedial Action Required:

• Is all glazing in good order?

  Yes

  No

  N/A

• Priority Level:

  P1 - CRITICAL

  P2 - SEVERE

  P3 - BAD

  P4 - FAIR

  P5 - GOOD

• Remedial Action Required:

• Are all night latches in good working order?

  Yes

  No

  N/A

• Priority Level:

  P1 - CRITICAL

  P2 - SEVERE

  P3 - BAD

  P4 - FAIR

  P5 - GOOD

• Remedial Action Required:

• Are all bulkheads in good order?

  Good

  Fair

  Poor

  N/A

• Priority Level:

  P1 - CRITICAL

  P2 - SEVERE

  P3 - BAD

  P4 - FAIR

  P5 - GOOD

• Remedial Action Required:

• Are all guides, rails and rollers in good operating order and free of obstruction?

  Yes

  No

  N/A

• Priority Level:

  P1 - CRITICAL

  P2 - SEVERE

  P3 - BAD

  P4 - FAIR

  P5 - GOOD

• Remedial Action Required:

• Back Of House

Back of House

• Is the electrical installation in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the electrical installation compliant with SANS10142?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Non-Compliance Issues:

  Select

• Plumbing

• Is the plumbing in good order and good working condition?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the plumbing compliant?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is there fire protection installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Fire Detection

• Are there fire detection sensors installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Does all fire protection equipment comply with SANS codes?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Please refer to SANS 10400t; Sans 1910; SANS 1475-1; SANS 10105-1

• Non-Compliance Issues:

  Select

• is the building fabrication in acceptable and safe conditions (tiles, doors, windows, concrete, ceilings)?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Extraction

• Is all extraction/fresh air in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any OHS concerns?

  Yes

  No

• OHS Concerns:

• Retailer Responsibility

Building Infrastructure

Internal structures

• Is the building structurally sound?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the building free of any concrete spalling or structural cracks?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the steel structures sound and free of rust or distortion?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the buildings paint coverings in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the building free of any structural hazards or notices?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is there currently any construction or alterations in progress?

  Yes

  No

Aesthetics & Appearance

• Is all signage in good working order, inclusive of general signage?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Electrical Reticulation

Electrical Reticulation

• Electrical Distribution

Electrical Distribution

• Are the LV/LT boards secure and safe?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all distribution boards marked and have updated legend cards displayed?

  Yes

  No

• Are all cable ways correctly installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Do all electrical reticulated installations comply with SANS10142?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Non - Compliance Issues:

  Select

• 

• Power Factor Correction

• Is the power factor correction in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all electrical installations and distribution boards free of obstruction?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Metering

Metering

• Are all meters and sub-meters working correctly?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any signs of visible tampering?

  Yes

  No

• Generator

Generator

• Is the generator secure from tampering and unauthorized personnel?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all safety signage installed warning of moving parts, electrical shock and correct PPE required?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• Is there fire protection Installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the generator free of leaks, obstructions and any visible concerns?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has the generator been serviced in the specified hours or date?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Service Hours

• Last Service Date

  Date

• Fire, Security & Access

Fire, Security & Access

• Fire Detection

Fire Detection

• Is there fire detection installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has all the relevant fire detection equipment been inspected?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all the fire detection equipment in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has all the fire detection equipment been serviced within the specified service dates?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Next Service Date:

• Non-Conformity Concerns:

• Square Meterage:

  Less than 500 sqm

  Greater than 500 sqm

• Any building containing an occupancy classified as:

  Select

• In accordance with SANS 10400-T:
  
  shall be equipped with a fire detection system and alarm system that is designed, installed and maintained by competent persons in accordance with SANS 10139.

• Fire Protection

Fire Protection

• Has all the relevant fire protection been inspected?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all fire protection equipment in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has all the fire protection equipment been serviced within the specified service dates?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Fire equipment next service date:

  Date

• Fire Sprinkler System

• Has the fire sprinkler valve been serviced within the 3 year window and are there spare gaskets attached to the valve?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Fire sprinkler valve next service date:

• Non-Conformance concerns:

• Non-Conformance concerns:

  Select

• Security

Security

• Is the store fitted with an alarm system?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

Mechanical & Plant Equipment

• HVAC

HVAC

• Has all HVAC been inspected?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the HVAC systems operating as designed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has the HVAC been serviced as per manufacturer specifications?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

Refrigeration

• Tops Connected to Spar Refrigeration System

  Yes

  No

• Is the refrigeration plant room secure from tampering and unauthorized personnel?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all safety signage installed warning of moving parts, electrical shock and correct PPE required?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• Is there fire protection installed within the plant room?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is there fire detection installed within the plant room?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any points of concern within the refrigeration plant?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has the refrigeration been serviced as per manufacturer specifications?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Vertical Transport-Lifts/Hoists/Conveyors/Dock Levellers

Vertical Transport-Lifts/Hoists/Conveyors/Dock Levellers

• Are there lifts, conveyors, dock levellers or hoists installed in the shop?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all lifts, conveyors, dock levellers and hoists in good working order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all lifts, conveyors, dock levellers and hoists free of obstruction and hazards?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Have all lifts, conveyors, dock levellers and hoists been serviced?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Last Service Date:

  Date

• Are all dock levellers safe and access restricted during operation?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

Water Reticulation

Plumbing

• Is all reticulated plumbing in good working order and compliant with SANS code?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all Drainage clear and free of obstruction?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all water supplies functioning correctly?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Hazardous Substances

Hazardous Substances

• LP Gas Storage

LP Gas Storage

• Are all cylinders secured from tampering by unauthorized personnel?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is area clear of all combustible materials?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all Cylinders located on a firm, clean, well drained and level base?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all safety signage installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• Are all change over valves and isolation valves functional?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are regulators and manifolds in good working condition?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all copper piping in good order and protect through walls?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is there a fire protection device installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Does the LPG installation comply with SANS 10087-1:2008?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Non-Compliance Issues:

  Select

• Fuel Storage

Fuel Storage

• Is the Fuel storage area secure from tampering and unauthorized personnel?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the area free of debris and other materials?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the ground clean and dry, free from spills or leaks?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all of the containers in good condition?(free of dents and corrosion, not bulging, or otherwise deteriorating?)

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all containers properly sealed closed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are containers hazardous labels legible and facing forward?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the containers compatible with their contents?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there spill kits readily available?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• Are there fire protection devices installed?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is all safety signage installed warning of hazard, its effects and correct PPE required?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• Landlord Responsibility

• Building Exterior

Building Exterior

Plumbing

External Drainage

• Are all manhole covers in place?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all drains and manholes visibly clear?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all run-offs and open drainage systems clear of obstruction and damage?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Perimeter Fences & Walls

Perimeter Fences & Walls

• Inspect condition of all perimeter fencing and walls?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• List perimeter wall or fencing type:

  Select

• Access Control

• Are there booms or controlled access?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Condition of the booms/Controlled Access:

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

Building Infrastructure

Roofing & Gutters

• Have all visible and accessible roofs/gutters been inspected?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any signs of roof damage?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any signs of gutter damage?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all down pipes intact and secure?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all overhangs and canopies in good order and free of damage and rust?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

External Structures

• Is the building structurally sound?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the building free of any concrete spalling or structural cracks?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the steel structures sound and free of rust or distortion?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the building free of any structural hazards?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there currently any construction or alterations in progress?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Car Park and Pavings

• Car Park

Car Park

• Is the car park in good order - Paving and tarred surfaces?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are all the parking bays painted?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there sufficient parking bays for disabled persons?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the car park clean?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has the car park got lighting, and are the lights in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Rear Paving

Rear Paving Areas

• Is the rear paving in good order - Paving and tarred surfaces?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Is the rear paving clean?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Has the rear paving area got lighting, and are the lights in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

Cleaning & Hygiene

• Is the building perimeter clean and hygienic?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Public Ablutions

• Are there public ablutions?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the public ablutions clean and secure?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the general areas/entrance to spar clean and hygienic?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any cleaning and hygiene hazards visible?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

Aesthetics & Appearance

• Building Paint Work

• Is the building paint work in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are the tiled/floor coverings in good order?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Retailer

Retailer

• Are all fire escape routes clearly marked and free of obstruction?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• 

• Is all fire protection equipment clearly marked and designated for ease of access?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• Is the fire escape plan visible to all employees and patrons and marked with assembly points?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Landlord

Landlord

• Are all fire escape routes clearly marked and free of obstruction?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• 

• Is all fire protection equipment clearly marked and designated for ease of access?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• 

• Is the fire escape plan visible to all employees and patrons and marked with assembly points?

  Select YES NO GOOD FAIR POOR P1 - CRITICAL P2 -SEVERE P3 - BAD P4 - FAIR P5 - GOOD REPLACE REPAIR SERVICE UPDATE CLEANING REQUIRED BLOCKAGE REMOVAL COMPLIANT NON - COMPLIANT YES NO

  • YES
  • NO
  • GOOD
  • FAIR
  • POOR
  • P1 - CRITICAL
  • P2 -SEVERE
  • P3 - BAD
  • P4 - FAIR
  • P5 - GOOD
  • REPLACE
  • REPAIR
  • SERVICE
  • UPDATE
  • CLEANING REQUIRED
  • BLOCKAGE REMOVAL
  • COMPLIANT
  • NON - COMPLIANT
  • YES
  • NO

• Are there any General Operational Health and Safety concerns?

  Yes

  No

• OHS Concerns: