UCSA PPR Site Survey (Test Draft)

• Property Name (Suburb):

• Property Address:
  Address

• Congregation Name (Beneficial user):

• Congregation contact:

• Surveyed by:

  Select John Fong Catherine Stock Wayne Booth Mark Lee

  • John Fong
  • Catherine Stock
  • Wayne Booth
  • Mark Lee

• Surveyed on:

  Date

• Asset Number:

• Certificate of Title (CT) Number:

• Asset type (property use)?

  Church

  Manse

  Commercial

• Main front view photo of site

  Media

• Number of buildings on the property?

• Heritage listed?

  Yes

  No

  Unknown

• Easements (Encumbrances)?

  Yes

  No

  Unknown

Site features

• Cemetery?

  No

  Yes

• Cemetery current condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Gardens, grounds & landscape?

  No

  Yes

• Gardens, grounds & landscape current condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Fencing?

  No

  Yes

• Fencing condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Retaining walls?

  No

  Yes

• Retaining wall condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Paving?

  No

  Yes

• Paving condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Steps/stairs (external)?

  No

  Yes

• Steps/stairs condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Carpark?

  No

  Yes

• Carpark condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Driveway?

  No

  Yes

• Driveway condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Lighting (external)?

  No

  Yes

• Lighting condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Playground and equipment?

  No

  Yes

• Playground and equipment current condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Sports courts?

  No

  Yes

• Sports courts current condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)

• Other

Feature:

• Description?

• Current condition rating?

  1 (Very Good)

  2 (Good)

  3 (Moderate)

  4 (Poor)

  5 (Very Poor)