Title Page

  • Client / Site:

  • Survey on:

  • Prepared by:

VDAR - WS

  • Site

  • Asset (1) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • Asset Tag:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Is asset Internal or External?

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (2)?

  • Asset (2) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (3)?

  • Asset (3) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (4)?

  • Asset (4) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (5)?

  • Asset (5) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (6)?

  • Asset (6) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (7)?

  • Asset (7) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (8)?

  • Asset (8) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (9)?

  • Asset (9) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code:

  • Floor:

  • Floor:

  • Asset Tag:

  • 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:

  • Photo of Asset name plate details

  • Photo of Asset Unit

  • Do you wish to add another Asset (10)?

  • Asset (10) Name:

  • Quantity

  • Last Service Date:

  • Asset System:

  • SFG20 Code: