8/30/2020 Facility Condition Assessment Template Checklist - SafetyCulture

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Inspection

Item status guide:

5 Excellent - Brand new and no issues to report - Plan for 8 to 10 year span
4 Good - No immediate issues or concerns - Consider replacement in 6 to 8 years
3 Fair - Average wear for building age. Not new but no immediate issues. - Replace within 5 to 6
years
2 Poor - Worn from use. Nearing end of expected life cycle. - Replace within 2 to 4 years
1 Critical - Extremely worn or damaged - Replace within the next 2 years

Sitework

Roads

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Parking

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Pavement

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Signage

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Fencing

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Irrigation

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Stormwater drainage

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Sewerage

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Erosion control

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Landscaping

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Building Structure

Foundations

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Walls

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Columns

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Beams

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Slabs

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Building Interior

Furniture

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Appliances

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Floors

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Floor nishes

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Walls

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Wall nishes

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Ceilings

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Casework (cabinets, bookcases, nightstands)

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Fixtures

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Doors

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Hardware (bolts, nails, screws, hinges, locks, bolts, latches)

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Building Exterior

Roo ng structures

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Balconies

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Breezeways

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Stairs

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Exterior walls

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Exterior windows.

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Mechanical Systems

Heating, ventilation and air conditioning (HVAC) systems

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Electrical Systems

Electrical wiring

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Sockets

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Lighting

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Emergency generators.

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Plumbing

Piping

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Water pressure

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Toilets

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Plumbing xtures

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Vertical Transportation

Escalators

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Passenger elevators

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Freight elevators

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

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Health and Fire Safety

Air quality

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Water quality

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Fire alarms

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Fire suppression systems

5 - Excellent 4 - Good 3 - Fair 2 - Poor

1 - Critical

Compliance with Building Codes & Regulations

The facility complies with the International Building Code (IBC)

Yes No N/A

The facility complies with the International Residential Code (IRC)

Yes No N/A

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The facility complies with the International Existing Building Code (IEBC)

Yes No N/A

Name and Signature of inspector 

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things,
workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to
determine if the use of such checklist is permissible in your workplace or jurisdiction.

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