Title Page

  • Client / Site:

  • Prepared By:

  • Prepared By:

  • Survey on:

VDAR - CDW and Minster

    Add Asset
  • Asset Name:

  • Quantity

  • Quantity:

  • Last Service Date:

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Comment for accessibility:

  • Are Controls operating

  • Comment for controls operating:

  • Is the Environment suitable for the plant ?

  • Comment for environment suitability:

  • Are there signs of damage ?

  • Comment for signs of damage:

  • Any health and safety concerns ?

  • Comment for any health and safety concerns:

  • Adequate means of isolation?

  • Comment for adequate means of isolation:

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Single Point of Failure:

  • Give Details:

  • Mitigation:

  • Photo of Asset name plate details

  • Photo of Asset Unit

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.