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  • NBN Facilities Maintenance Inspection

  • Date/Time of Inspection*
     - - :
  • Score Definition
    5 Exceeds requirements - Service delivery far exceeds SOW Requirements
    4 Meets every requirement - Each and every SOW requirement has been met throughout the entire period
    3 Meets most requirements - Audit findings indicate good compliance with Service Outcomes at the site
    2 Improvement required - Service is only just aligned to the Service outcomes.  Service is about to fail
    1 No requirements met - The service has failed to meet the minimal requirements of the Service Outcomes
  • 1. Electrical

  • 1.1 General Electrical

  • 1.1 Inspect all powerpoints, light switches, switchboards for damage*
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  • 1.2 Test and Tag

  • 1.2a Tags must be valid.*
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  • 1.3 General Lighting

  • 1.3 Inspect all lights and document lamps requiring replacement.*
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  • 1.4 Emergency & Exit Sign

  • 1.4a Is a hard copy of testing record available onsite? Inspect all exit signs and document lamps requiring replacement.*
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  • 1.5 RCD Testing

  • 1.5a Is a hard copy of the test record available onsite?*
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  • 1.6 Switchboard

  • 1.6 Check switchboard cabinet. Inspect for cleanliness*
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  • 1.7 Lifts

  • 1.7a Check lift operation and cleanliness*
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  • 1.8 Other Lifting appliances

  • 1.8a Check and record any damage*
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  • 2. Hydraulics

  • 2.1 Roofs and Gutters

  • 2.1 Visual check for any vegetation grown out from gutter*
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  • 2.2 Zip Hot Water Filter

  • 2.2a Check filter under the sink for sticker indicating last service date*
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  • 2.3 Bathrooms and Toilets

  • 2.3 Inspect all bowls, sinks*
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  • 2.4 Kitchens and Breakout Areas

  • 2.4 Inspect for any water leakage*
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  • 2.5 Pits and Pumps

  • 2.5 Visually inspect the overall condition of the pump and pit for any debris*
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  • 2.8 Roof Safety Systems

  • 2.8a Check for onsite certification, last service date must be current*
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  • 3. Building Maintenance

  • 3.1 Cupboards & doors - Inspect alignment*
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  • 3.2 Door furniture - Inspect operation*
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  • 3.3 Door closers - Inspect operation*
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  • 3.4 Walls & Partitions - Inspect for damage and cleanliness*
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  • 3.5 Fixtures & Fittings - Inspect for damage*
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  • 3.6 Furniture - Inspect all desks, chairs and tables for damage*
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  • 3.7 Windows & coverings - Check for any abnormal wear and tear*
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  • 3.8 Floor covering - check for any abnormal wear and tear*
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  • 4. Automatic Doors and Gates

  • 4.1 Check operation of all Auto doors/ turn stiles*
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  • 4.2 Check operation of all Auto gates/ boom gates*
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  • 4.3 Check operation of all roller shutters/ roll fast doors*
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  • 5. Diesel Fuel Storage Tanks

  • 5.1 Visually inspect the access point, pit observation wells, dipsticks etc for corrosion, damage or leakage*
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  • 5.2 Visually inspect the fuel dispenser pump covers, pumps, piping, filters, gauging, dial gauges, nozzles and hoses etc for corrosion, damage or leakage. Check service record onsite and assess the overall condition of the equipment*
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  • 5.3 Visually inspect above ground tank for sign of leakage, damage and corrosion*
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  • 5.4a Visually inspect associated fuel pump for leakage, damage and corrosion.*
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  • 6. Heating, Ventilation, and Air Conditioning

  • 6.1 Centralised System

  • 6.1a Check for any water leakage from condensate drain, look for water stain marks on ceiling tiles. Check filter conditions if accessible.*
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  • 6.2 Ducted Split System

  • 6.2a Check for any water leakage from condensate drain, look for water stain marks on ceiling tiles. Check filter conditions if accessible.*
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  • 6.3 Split System

  • 6.3a If access is available, check outdoor unit for any blockage on condenser coil/fins. Check indoor unit location for any water stain mark on ceiling tiles for possible water leakage from condensate drain.*
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  • 6.4 CRAC System

  • 6.4a If access is available, check outdoor unit for any blockage on condenser coil/fins. Lift up raised floor tile and sample check for any water leakage under CRAC unit.*
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  • 6.5 Mechanical Services Switchboard

  • 6.5 Visual check on mechanical services switchboard for any alarm or warning light*
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  • 6.6 Thermostat

  • 6.6 Visual check control thermostat for any dislocation or obstruction by other fixtures*
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  • 7. Fire Services

  • 7.1 Fire Indicating Panel

  • 7.1a Check tag current, check for damage, document defects. Check for appropriate signage including fire protection zones*
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  • 7.2 Sprinkler System

  • 7.2a Check for any water dripping from any sprinkler head*
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  • 7.3 Fire Hydrant

  • 7.3a Check tag current, check for damage, document defects. Check for appropriate signage*
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  • 7.4 Fire Hydrant Pump

  • 7.4a Check tag current, check for damage, document defects. Check for appropriate signage*
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  • 7.5 Fire Extinguishers

  • 7.5a Check Anti Tamper Device intact. Check tag current, check for damage, document defects. Check for appropriate signage*
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  • 7.6 Hose Reels

  • 7.6a Check tag current, check for damage to hose & nozzle, document defects. Check for appropriate signage*
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  • 7.7 Fire Doors

  • 7.7a Check for any visible damage to doors and lockset/handles. Check for Fire Door Signage. Document any Defects*
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  • 7.8 Fire Blanket

  • 7.8a Check tag current, check for damage, document defects. Check for appropriate signage*
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  • 8. Generator

  • 8.1 Visual check on control panel for warning light*
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  • 8.2a Visual check on generator unit for any sign of fuel and water leakage. Visual check starter battery terminals for any sign of corrosion.*
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  • 9. Uninterruptible Power Supply

  • 9.1 Check local display panel for any warning lights*
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  • 9.2 Check battery compartment if accessible, for any signs of leakage*
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  • UPS and DC Power Load Reading

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  • Average:

  • Other comments:

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  • Work Order Audit

  • Work is completed, compliant, and has been undertaken in a tradesman like and acceptable manner?
  • Work is completed, compliant, and has been undertaken in a tradesman like and acceptable manner?
  • Work is completed, compliant, and has been undertaken in a tradesman like and acceptable manner?
  • Work is completed, compliant, and has been undertaken in a tradesman like and acceptable manner?
  • Work is completed, compliant, and has been undertaken in a tradesman like and acceptable manner?
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  • FORM NBN-FM2 January 2015
    Revision 1.0 

  • Should be Empty: