Title Page

  • Client / Site:

  • Survey on:

  • Prepared by:

VDAR

  • Site Address

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Asset Name:

  • Quantity

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Is asset Internal or External?

  • Location (Plant room name):

  • Manufacturer:

  • Model/Type:

  • Serial Number:

  • CONDITION REPORT

  • Is the plant accessible?

  • Are Controls operating

  • Is the Environment suitable for the plant ?

  • Are there signs of damage ?

  • Any health and safety concerns ?

  • Adequate means of isolation?

  • Condition Grade

  • Priority Grade

  • Estimated cost repair:

  • Included in contract Scope?

  • Included in Comp Liability?

  • Comments:

  • 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.