Information
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Document # or RM # :
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Audit Title
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Whare Name:
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Conducted on
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Prepared by:
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Location:
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Personnel
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Is this a H & S Issue for Tangata/Kaimahi ?
- Risk
- Safe
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R & M Rating
- Semi Urgent
- Regular Maintance
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How Did issue occur ?
- Misuse
- wear & tear
- accidental Damage
- damage from incident
Entry
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The defect belongs to the following owner:
- TRT
- HNZ
- PRIVATE
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Who Caused Damage:
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Ceiling - Plaster/paint condition ok
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Walls - Plaster/Paint condition ok
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Flooring condition ok
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Door condition/operation - ok
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Door weatherseals complete
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Window condition/operation - ok
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Electrical - complete
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Silicone/gap filling complete
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Other items required
Kitchen
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The defect belongs to the following owner:
- Yes
- No
- N/A
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Who Caused Damage:
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Ceiling - Plaster/paint condition ok
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Walls - Plaster/Paint ok
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Flooring condition ok
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Door condition/operation ok
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Electrical complete
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Rangehood / ducting installed
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Appliances installed
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Access for dishwasher hoses/wiring provided
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Plumbing complete
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Sink mounted
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Cabinets / Benchtops installed
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Splash back installed
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Window condition/operation ok
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Silicone/gap filling complete
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Other items required
Dining
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The defect belongs to the following owner:
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Who Caused Damage:
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Ceiling - Plaster/paint ok
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Walls - Plaster/Paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Living
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The defect belongs to the following owner:
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Who Caused Damage:
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Ceiling - Plaster/paint ok
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Walls - Plaster/Paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Family
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Other Room
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The defect belongs to the following owner:The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Hall 1
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Hall 2
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Hall 3
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Bedroom 1
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Ensuite
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint complete
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Ceiling - Plaster/paint complete
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Flooring Complete
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Plumbing complete
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Door condition/operation ok (lift-off hinge if req)
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Mirror complete
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Screens complete
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Towel Rails - Soap Dish - Toilet Paper Holder Installed
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Window condition/operation ok
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Electrical complete
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Silicone/gap filling complete
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Other items required
Bedroom 2
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical - complete
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Silicone/gap filling complete
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Robe:<br>doors condition/operation ok
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Robe:<br>hanging rail complete
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Robe:<br>shelf gaps filled
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Other items required
Bedroom 3
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical - complete
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Silicone/gap filling complete
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Robe:<br>doors condition/operation ok
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Robe:<br>hanging rail complete
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Robe:<br>shelf gaps filled
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Other items required
Bedroom 4
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical - complete
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Silicone/gap filling complete
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Robe:<br>doors condition/operation ok
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Robe:<br>hanging rail complete
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Robe:<br>shelf gaps filled
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Other items required
Bedroom 5
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
-
Electrical - complete
-
Silicone/gap filling complete
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Robe:<br>doors condition/operation ok
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Robe:<br>hanging rail complete
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Robe:<br>shelf gaps filled
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Other items required
Study
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Window condition/operation ok
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Electrical - complete
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Silicone/gap filling complete
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Shelving complete
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Other items required
Bath
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok (lift-off hinge if req)
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Window condition/operation ok
-
Electrical - complete
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Plumbing complete
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Tiling complete
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Screens complete
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Towel Rails - Soap Dish - Toilet Paper Holder Installed
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Mirror complete
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Silicone/gap filling complete
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Other items required
WC
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok (lift-off hinge if req)
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Window condition/operation ok
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Electrical - complete
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Plumbing complete
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Toilet Paper Holder Installed
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Silicone/gap filling complete
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Other items required
Powder
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok (lift-off hinge if req)
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Window condition/operation ok
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Electrical - complete
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Plumbing complete
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Towel Holder Installed
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Silicone/gap filling complete
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Other items required
Laundry
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Door weatherseals complete
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Window condition/operation ok
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Electrical - complete
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Plumbing complete
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Tiling complete
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Mirror complete
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Silicone/gap filling complete
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Other items required
Linen/broom/store
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Electrical - complete
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Silicone/gap filling complete
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Other items required
Garage
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Door condition/operation ok
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Electrical - complete
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Silicone/gap filling complete
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Roller/panel door condition/operation
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External door weathersealed
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Other items required
Stairs
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The defect belongs to the following owner:
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Who Caused Damage:
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Walls - Plaster/Paint ok
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Ceiling - Plaster/paint ok
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Flooring condition ok
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Stairs complete /finish ok
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Handrail complete /finish ok
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Balustrade complete
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Door condition/operation ok
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Electrical - complete
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Silicone/gap filling complete
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Other items required
Other internal
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The defect belongs to the following owner:
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Who Caused Damage:
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Other items required
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Other items required
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Other items required
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Other items required
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Other items required
External
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The defect belongs to the following owner:
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Who Caused Damage:
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Wall condition ok
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Eaves condition ok
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Slab condition ok
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Expansion joints complete
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Decking/posts complete
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Electrical complete
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Plumbing complete
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Site clean
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Other items required
Other external
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The defect belongs to the following owner:
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Who Caused Damage:
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Other items required
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Other items required
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Other items required
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Other items required
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Other items required
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