Audit Information

Audit Information

  • Property address

  • Enter Asset Name

  • Conducted on

  • Prepared by

Site Information

SITE DATA

  • Enter photograph number range

  • Asbestos Register Present?

SERVICES

Services

  • Electrical Switchboard

  • Add Electrical Switchboard?

  • Electrical Switchboard
  • Select Type

  • Select Unit

  • Enter Quantity (number of units)

  • Are there RCDs fitted?

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Hot Water Services

  • Add a Hot Water Service?

  • Hot Water Service
  • Select Type

  • Select Unit

  • Enter Quantity (number of units)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Rainwater Tanks

  • Add a Rainwater Tank?

  • Rainwater Tanks
  • Select Size in litres

  • Select Material type

  • Enter Quantity (number of units)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Solar Panels (Not Hot Water)

  • Add Solar Panel?
  • Enter Size (m2)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Security Systems

  • Add a security systems component?

  • Security System
  • Select Component

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • HVAC

  • Add a HVAC ?

  • HVAC
  • Select HVAC Type

  • Enter Quantity (number of units)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Heating Systems

  • Add a Heating System

  • Heating Systems
  • Select Heating Type

  • Enter Quantity (number of units)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

EXTERIOR

Exterior

  • Wall Structure

  • Add a Wall Structure Type?

  • Wall Structure
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Wall Cladding

  • Add a Wall Cladding Type?

  • Wall Cladding
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Fascia

  • Add a Fascia Type?

  • Fascia
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Soffit

  • Add a Soffit Type?

  • Soffit
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Surface Finishing (excluding floors)

  • Add a Surface Finish

  • Surface Finishing
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Windows

  • Add a Window Type?

  • Windows
  • Select Type

  • Select Skylight type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Roof Structure

  • Add a Roof Structure

  • Roof Structure
  • Select Type

  • Select Material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Roof Cladding

  • Add a Roof Cladding?

  • Roof Cladding
  • Select Material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Guttering

  • Add Guttering

  • Guttering
  • Select Tpye

  • Select Material

  • Enter Quantity (LM)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Downpipes

  • Add Downpipes

  • Down pipes
  • Select Material

  • Enter Quantity (LM)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Doors

  • Add Doors

  • Doors
  • Select Type

  • Select Material

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

External Attached assets

External attached assets

  • External attached Assets?

  • Add an asset Type?

  • Attached assets
  • Select Type

  • Enter description

  • Select Material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Enter Description

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

External free Standing Assets (not attached to the main building)

  • External free standing Assets?

  • Add an asset Type?

  • Free standing assets
  • Select Type

  • Enter description

  • Select Material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Enter Description

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

Grounds

Grounds

  • Pavements

  • Add a Pavement Type?

  • Pavements
  • Select Type

  • Enter description

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Fencing / Boundary

  • Add a fence or boundary Type?

  • Fencing / Boundary
  • Select Type

  • Enter description

  • Select Material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • General Description

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

INTERIOR

Interior

  • Ceilings

  • Add a Ceiling

  • Ceiling
  • Select type

  • Select Material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Ceiling Finish

  • Add a Ceiling Finish

  • Ceiling Finish
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Walls

  • Add a Wall

  • Walls
  • Select Type

  • Select Material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Wall Finish

  • Add a Wall Finish

  • Wall Finish
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Stairs and Landings

  • Add a Stair / Landing

  • Landings
  • Select Type

  • Select material

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Doors

  • Add Doors

  • Doors
  • Select Type

  • Select Material

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Lighting

  • Add lighting

  • Lighting
  • Select Type

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Enter Estimated Remaining Life (years)

  • Fans

  • Add fans

  • Fans
  • Select Type

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Sinks / Basins / Baths

  • Add a Sink / Basin / Bath

  • Sink / Basin / Bath
  • Select Type

  • Select Material

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Toilets

  • Add a Toilet?

  • Toilet
  • Select Type

  • Select Material

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Tapware

  • Add Tapware?

  • Tapware
  • Select Type

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Flooring (Sub floor only)

  • Add Subfloor

  • Subfloor
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Floor Covering

  • Add Floor Covering?

  • Floor Covering
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

  • Fixed Cabinetry

  • Add Fixed Cabinetry

  • Fixed Cabinetry
  • Select Type

  • Enter Quantity (M2)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

Signage

Signage

  • Is there Signage

  • Add a Sign?

  • Signs
  • Select Type

  • Select Material

  • Enter Quantity (Item)

  • Select Condition Rating

  • Enter Estimated Remaining Life (years)

  • Add a Defect?

  • Defect
  • Maintenance Description / Works required

  • Defect Location

  • Select Cause

  • Select Driver

  • Enter Quantity

  • Select Unit of Measure

  • Select Priority Rating

  • Enter Cost

  • Photo

  • Enter Photo number if Camera used

Fire Safety

Fire Safety

  • Is the dwelling a one or two story house of typical domestic style construction with a total floor area lees than or equal to 500 m2?

  • Enter total floor area

  • Enter number of bedrooms

  • Enter number of current residents

  • Does the dwelling have staff on site whenever there is a resident?

Construction

  • Enter the number of storeys the dwelling has.

  • Are there any special features such as basements or split level constructions?

  • Enter details

  • Do the walls have combustible linings? E.g timber paneling, Masonite, MDF board

  • Enter details including approximate Meterage

  • Do the ceilings have combustible linings? E.g timber paneling, Masonite, MDF board

  • Enter details including approximate Meterage

Automatic Sprinkler System

  • Is there an Automatic Sprinkler System?

  • Does the Automatic Sprinkler System installed throughout the building comply with AS2118.4?

  • Please provide detail

  • Is a copy of the certificate indicating compliance with AS 2118.4 available?

  • Please obtain a copy

  • Please provide further details and obtain copies of any certificates of compliance.

  • Booster connection installed?

  • Remote test valve installed with lock

  • Further detail if required

  • Is the automatic sprinkler system monitored?

  • Is the automatic sprinkler system connected to the building alarm system?

  • Is the automatic sprinkler system installed within roof spaces and other concealed spaces?

  • Please provide details of any combustible materials, heating units located within the roof space on other concealed spaces (excluding timber trusses etc.)

Smoke Detection Systems

  • Is there a Smoke Detection System present?

  • Please select the areas served by the smoke detectors / alarms

  • Is the Smoke Detection System consisting of smoke alarms connected to the 240V mains power supply complying with AS3876?

  • Are all the smoke detectors one brand?

  • Add a Smoke detector brand, model and quantity?

  • Smoke detectors
  • Enter make and model number

  • Enter quantity

  • Record details of the non 240V smoke alarms and indicate location of each and every unit

  • Are all of the smoke detectors / alarms interconnected?

  • Is the Smoke Detection System connected to a Brooks Alarm 2000 Fire Panel?

  • Record details of the system (including other Brooks Panels eg RFPP2 / RFPP6 etc.)

  • If staff are located Ina different building or sleep over in a room other than the room fitted with FIP in the same building is there a means for the responsible staff member to be alerted o and be able to identify the location of the fire?

  • Briefly describe how the staff member is alerted with the following conditions.

  • When the panel is in a location other than the sleepover room in a building

  • When the staff is responsible for managing clients in multiple dwellings on the same site

  • Further comments on the smoke detection / alarm system.

  • Is a telephone installed in the Staff area / room or near the primary exit?

  • Please select phone type

  • Are the emergency numbers prominently displayed?

  • Enter location of the phone

  • If there is a Portable cordless phone in the property, is there a fixed line phone also at the location

Emergency Lighting

  • Is the building provided with emergency lighting?

  • Please select the areas served by emergency lighting

  • Is the Emergency lighting linked to the afire Alarm Panel?

  • Are two battery powered torches maintained in an operable state in the evacuation packs

  • Please select locations of evacuation packs

  • Provide details of other emergency pack locations

  • Does the Emergency Lighting System comply with AS 2293.1.

  • Provide details of non-compliance

Manual Fire Extinguishing System

  • Does the kitchen have a fire blanket installed to comply with AS3504?

  • Does the kitchen have a 2.1 kg or 20B(E) fire extinguisher installed to AS1841?

  • Is the extinguisher in plain view?

  • What date was the extinguisher last maintained?

  • What date was the extinguisher last maintained?

  • Is the extinguisher in a locked cabinet fitted with a master key lock for emergency access?

  • Please select type

  • Are there ant other type of fire extinguishers installed

  • Please enter details

  • What date was the extinguisher last maintained?

  • Is the extinguisher in plain view?

  • Further comments on the manual fire extinguishment provisions?

Means of Exit / Floor Plan

  • Is there an accurate and clear floor plan (evacuation plan) in the property located near the exit paths?

  • Are the primary and secondary means of exit from the dwelling identified on an evacuation plan or by other means?

  • Please specify other means.

  • Are all doors along the primary and secondary means exit paths openable without a key from the side that that faces a person attempting to exit the building?

  • Are all the security fly screen doors in the primary and secondary paths openable without a key from the side that faces a person attempting to exit the building?

  • Is the door hardware fitted compliant with BCA / DHS guidelines?

  • Is a secondary means of exit of equivalent design to the primary exit (not via windows) for the dwelling identified on the evacuation plan

  • Is the secondary means of exit via the windows only?

  • Are any of the primary or secondary exits required to be locked for security reasons?

  • Does the exit automatically unlock upon alarm, thereafter being capable of being opened without a key from the side that faces a person attempting to exit the building?

  • Are any bedroom doors capable of being locked by residents?

  • Are all doors readily openable from inside without a key?

  • Does every staff member have a master key capable of opening all bedrooms?

  • Are any staff bedroom doors required to be fitted with a security chain?

  • Please provide details of where and why security chains are required.

  • Are kitchen and lounge areas separated from primary exit paths by non-combustible construction?

Electrical Protection

  • Does the main switchboard contain earth leakage protection?

  • Is earth leakage provided to all circuits?

  • Please specify unprotected circuits and list equipment connected to each unprotected circuit.

Appliance Safety

  • What type of cooking appliances are installed in the building

  • Where the operation of a sprinkler system may extinguish an appliances flame, are those appliances fitted with a flame guard system or a system which will shit off the gas supply to the burner when the flame is extinguished or the sprinkler system activates?

  • Please specify and provide a brief description

  • Are there portable heating units in the dwelling?

  • Please select types

  • List the location, type, manufacturer and model reference of individual heaters within the dwelling. List any faults / hazards observed. Are guards provided?

  • Are gas and electricity meters located externally?

Ducted Heating / Cooling Systems

  • Is there ducted heating / cooling serving the building?

  • Enter type, manufacturer, model references and list any faults / hazards observed.

  • Does the Evaporative cooling / Ducted system automatically shut down upon sprinkler activation?

System Maintenance

  • Is there documentation supporting the existence of maintenance contracts for the fire detection / alarm and suppression systems within the dwelling?

  • Provide brief details of documentation provided / maintenance contract information.

Other fire hazards

  • Are there any other fire hazards?

  • Add a fire hazard?

  • Fire hazards
  • Describe fire hazard

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.