Asset Maintenance, Facilities Management and Cleaning Service Report
Work Category
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Please Select
Preventative Maintenance
Reactive Maintenance
Service Activity
NBN Site
*
Please Select
ACT 16 National Circuit Canberra
ACT 65 Tennant Street Fyshwick
NSW 100 Arthur Street, North Sydney
NSW Bourke
NSW Asquith
NSW 423 Pennant Hills Road Pennant Hills
NSW 50 Miller St North Sydney
NSW Eastern Creek
NSW 6 Elbow Street Coffs Harbour
NSW 67 King Street Warrawong
NSW 8 Kings Road New Lambton
NSW Broken Hill
NSW Wolumla
NT 6/396 Stuart Highway Darwin
NT 8/396 Stuart Highway Darwin
NT Alice Springs
QLD Varsity Lakes
QLD 35-37 Macaree St Rockhampton
QLD 38 Southgate Avenue Cannon Hill
QLD Acacia Ridge
QLD 508 Woolcock Street Townsville
QLD Roma
QLD Aspley
SA 33 Richmond Road Keswick
SA Lonsdale
SA Green Fields
SA Ceduna
TAS Scottsdale
TAS East Tamar Highway, Bell Bay (George Town)
TAS 54 Victoria Street Hobart
TAS Smithton
TAS Level 1, 113 Cimitiere Street, Launceston
TAS Castle Forbes Bay
VIC 1010 Latrobe Street Melbourne
VIC 2/21 Glenville Drive Melton
VIC Lorimer Street Port Melbourne
VIC 360 Elizabeth Street Melbourne
VIC 380 Docklands Drive Docklands
VIC Nunawading
VIC 655 Collins Street, Melbourne
VIC 960 Stud Road Rowville
WA 1 Tanunda Drive Rivervale
WA Bentley
WA Carnarvon
WA Wangara
WA Wagerup
WA Binduli, Kalgoorlie
WA Moonyoonooka (Geraldton)
WA Suite 1 / 4 Pollard Street Geraldton
NATIONAL Wireless Site
OFFICE National Circuit (ACT)
OFFICE Tennant Street, Fyshwick (ACT)
OFFICE Arthur Street, North Sydney (NSW)
OFFICE Pennant Hill Road, Pennant Hill (NSW)
OFFICE Miller Street, North Sydney (NSW)
OFFICE Warrawong, Wollongon (NSW)
OFFICE New Lambton (NSW)
OFFICE Unit 6, Winnellie (NT)
OFFICE Unit 8, Winnellie (NT)
OFFICE Varsity Lakes (QLD)
OFFICE Rockhampton (QLD)
OFFICE Cannon Hill (QLD)
OFFICE Woolcock Street, Townsville (QLD)
OFFICE Richmond Road, Keswick (SA)
OFFICE Victoria Street, Hobart (TAS)
OFFICE Cimitiere Street, Launceston (TAS)
OFFICE 1010 Latrobe Street, Docklands (VIC)
OFFICE Elizabeth Street, Melbourne (VIC)
OFFICE Docklands Drive, Docklands (VIC)
OFFICE Collins Street, Docklands (VIC)
OFFICE Stud Road, Rowville (VIC)
OFFICE Tanunda Drive, Rivervale (WA)
OFFICE Pollard Street, Geraldton (WA)
Date / time work commenced
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AM/PM Option
Work Order Number
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AVF / Incident Number
If not applicable (e.g. for office locations), please put N/A
Change Request number (CRQ)
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If no CRQ, please put N/A
Name
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First Name
Last Name
Company
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Email Address
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Phone Number
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Service
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Please Select
General Building Maintenance
Electrical
HVAC
Hydraulics
Automatic doors/gates
Generators
UPS
Fire Services
Pest Control
Fuel Tanks
Other
Description of work, including location
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0/250
Has work been completed?
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Yes
No
Time work completed
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When is the expected completion date?
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What further work is required?
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0/250
Quality Self Audit:
All materials comply with contract specifications?
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Yes
No
Comments:
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(max 250 characters)
0/250
All workmanship complies with contract specifications?
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Yes
No
Comments:
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(max 250 characters)
0/250
Have excess materials been removed from site?
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Yes
No
Comments:
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(max 250 characters)
0/250
Have all workers signed in and out of the facility?
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Yes
No
Comments:
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(max 250 characters)
0/250
Is the site safe and fit for its intended use?
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Yes
No
Comments:
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(max 250 characters)
0/250
Have all hazards been made safe?
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Yes
No
Comments:
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(max 250 characters)
0/250
Contractor Details:
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Were any materials used?
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Yes
No
Materials
Upload photo (optional)
Upload photo (optional)
Upload photo (optional)
Contractor’s sign off
*
The above labour, materials and equipment were used on this job.
Name
*
Signature
*
Site Representative or Facilities Manager available for sign off?
*
Yes
No
Submit
FORM NBN-SER Apr 2015
Revision 1.1
Transfield Services use only
Site Representative or Facilities Manager sign off
I confirm that the above work as been attended
Name
Position
Signature
Date
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Day
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Month
Year
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