FACILITY CONDITION SURVEY
Alberta Infrastructure Page 1
FACILITY NAME:______BID:______
EVALUATOR (S): (Arch.)______DATE:______
(Mech.)______
(Elec.)______
Number / Building Component / Rating / Comments/Concerns/Problems /1.0 / SITE
1.1 / SITE GENERAL
A print-out of this section is attached. Please review and note any missing, incomplete or inaccurate information.
1.2 / SITE SYSTEMS
1.2.1 / SITE CIRCULATION
1.2.1.1. / Do vehicular roadways provide adequate access and circulation? Provide a general rating for roadways and parking lots.
Describe problem areas.
1.2.1.2 / Rate the condition of pedestrian ramps, steps and sidewalks.
1.2.1.4 / Is outside security and safety adequate with respect to:
- outside lighting Yes q No q N/A q
- fencing, gates Yes q No q N/A q
- barriers, kiosks Yes q No q N/A q
- signage Yes q No q N/A q
1.2.2 / LANDSCAPING
1.2.2.1 / Are patios, terraces, fire lanes and similar hard surfaced areas in good condition?
Yes q N/A q
No q ; % require attention
1.2.2.2 / Are lawns, trees and shrubs in good condition?
Yes q N/A q
No q ; % require attention
1.2.2.3 / Are playfields and equipment in good condition?
Yes q N/A q
No q ; % require attention
1.2.2.99 / Are there any concerns with site furniture, such as: benches, waste receptacles, fountains, etc.?
Yes q N/A q
No q ; % require attention
1.2.3 / Environmental Concerns
Is there fuel storage, toxic/hazardous products, sewage disposal, salt storage, reservoirs, ponds, vegetation, wildlife or pests which are a cause for special attention?
Yes q No q N/A q
1.2.4 / SITE SERVICE DISTRIBUTION
List any problems with utility service distribution outdoors including water/ sewer mains, gas lines, overhead wiring, car plugs, transformers, underground cables, etc.
OTHER CONCERNS
Do you anticipate the need for any significant repairs, upgrade or replacement of any site related items in the next 5 years? If yes, describe briefly.
/ Yes q No q
2.0 / BUILDING
2.1 / BUILDING GENERAL
A print-out of this section is attached. Please review and note any missing, incomplete or inaccurate information.
2.2 / BUILDING SYSTEMS
2.2.1 / STRUCTURE
2.2.1.1 / STRUCTURE GENERAL
Identify and rate any problems such as cracking, sinking, deflection associated with the foundations, slabs on grade, columns, walls or roof elements.
2.2.2 / ENVELOPE
2.2.2.1 / ROOFING
MEMBRANE TYPES
q standard asphalt & gravel
q protected membrane
q shingles
q metal
q S.B.S.
q Other ______
When was the roof last inspected? ______
2.2.2.2. / WALLS
Cladding type is:
q Masonry
q Wood
q Concrete/Pre-Cast
q Stucco
q Metal
q Curtainwall
q Other ______
Do the walls show evidence of:
q Movement?/ Deformation / Cracks
q Deterioration of Caulking
q Dampness, wet spots, rotting
q Efflorescence
q Flashing deficiencies
q Air or water leakage
q Other ______
q None of the above
2.2.2.3 / WINDOWS
Frame material:
q Aluminum
q Wood
q Steel
q Other______
Type:
q Curtainwall
q Strip (i.e. wide; uninterrupted by
cladding)
q Sliders
q Individual
q Storefront
Glazing:
q Single
q Double sealed units
q Other______
Performance:
Do windows have significant problems with:
q Icing
q Condensation
q Air leakage
q Water leakage
q Finish deterioration
q Structural deterioration
q Operation
2.2.2.4 / Doors & Openings
Material:
q Aluminum
q Wood
q Steel
q Other ______
Type:
q Man (m?)_____
q Overhead Wood (m?)_____
q Overhead Metal (m?)_____
q Other ______
(m = motorized )
Performance:
Do any of the doors have significant problems with:
q Hardware
q Seals, weather-stripping
q Icing
2.2.2.5 / SPECIAL FEATURES
Skylights:
q Bubble units
q Sloped glazing
Do any skylights have significant problems with:
q Water leakage
q Air infiltration
q Heat loss
q Excessive solar gain
q Condensation
q Other ______
Identify and rate other exterior building elements which have problems i.e. balconies, soffits, shading devices, porches
OTHER CONCERNS
Do you anticipate the need for any significant building envelope related repairs, upgrading or replacements in the next 5 years? If yes, elaborate. / Yes q No q
2.2.3 / Interior
2.2.3.1 / Interior Circulation
Identify and rate any significant problems with congestion, circulation, etc., in stairs, corridors, etc.
Does the building have?:
q passenger elevators #______
q freight elevators #______
q conveyors #______
q N/A
2.2.3.2 / PARTITIONS
Rate the condition of interior walls and partitions
q fixed or load bearing
q movable/demountable
2.2.3.3.
2.2.3.3.1
2.2.3.3.2
2.2.3.3.3 / FINISHES
Identify the type and rate the condition of interior finishes:
FLOORS
q resilient flooring
q carpet
q other flooring
WALLS
q painted walls
q other wall finishes
CEILINGS
q painted ceilings
q suspended ceilings
q other ceilings
2.2.3.4 / INTERIOR OPENINGS
Identify and rate the condition of interior:
q doors
q frames
q glazing & sidelights
q hardware
q key system
q other openings
2.2.3.5 / INTERIOR CONCEALED SPACES
Does the building have:
q attics?
q crawl spaces?
q ceiling spaces?
Identify and rate any problems associated with the concealed spaces, such as: excessive moisture, fire hazards, poor ventilation.
2.2.3.6 / SPECIAL PURPOSE SPACES
Identify and rate any problems associated with special purpose areas such as: freezers, coolers, computer rooms, saunas, pools, wash bays, etc.
2.2.3.7 / FURNISHINGS & EQUIPMENT
Identify and rate the condition of:
q Counters and built-ins
q Equipment attached to the building
q Blinds/drapes
q Projection screens, other equipment
OTHER CONCERNS
Do you anticipate the need for any significant repairs, upgrade or replacement of interior finishes in the next 5 years? If yes, elaborate. / Yes q No q
2.2.4 / MECHANICAL
2.2.4.1 / MECHANICAL SERVICES
List any problems with utilities such as: domestic or fire fighting water, natural gas, sanitary / storm sewers within the building.
2.2.4.2 / HEATING
2.2.4.2.1 / HEAT SOURCE
q Boilers
q Hot Water #______
q Steam #______
q c/w heat exchangers
#______
q Forced Air Furnaces
q Unit Heater
q Other ______
2.2.4.2.2 / HEAT DISTRIBUTION
Pumps, piping and valves
2.2.4.2.3 / TERMINAL UNITS
Radiation / Coils / Convectors
2.2.4.2.6 / HEATING / BOILER WATER TREATMENT
2.2.4.3 / VENTILATION & AIR CONDITIONING
2.2.4.3.1 / AIR HANDLING UNITS
Types:
q Constant air volume #______
q Variable air volume #______
q Other ______
2.2.4.3.2 / CHILLERS / CONDENSERS
Refrigerant used in chiller(s)______
Chiller type:
q Centrifugal #______
q Reciprocating #______
q Absorption #______
q Other ______
Condenser:
q Air #______
q Domestic water #______
q Water / Air #______
q Cooling tower #______
q Other ______
2.2.4.3.3 / AIR & CHILLED WATER DISTRIBUTION
VAV boxes, ductwork, chilled water piping, diffusers.
2.2.4.3.4 / HUMIDIFICATION
q Steam
q Boiler #______
q Electric #______
q Other______
q Spray
q Nozzle
q Media
q Other ______
2.2.4.4 / EXHAUST & MAKE UP AIR
q Washrooms
q Parking / Loading
q Smoke control
q Fume hood(s)
q Other ______
Dedicated make-up air:
q Gas-fired
q Heat Recovery
q Other ______
2.2.4.5 / CONTROLS & ENERGY MANAGEMENT
q Pneumatic
q Electric / BMCS
q Other ______
2.2.4.5.3 / ENERGY USAGE & MANAGEMENT
List excessive use of energy by mechanical equipment, including operational problems and poor equipment controls.
2.2.4.6 / PLUMBING
2.2.4.6.1 / DOMESTIC WATER HEATER
Type:
q Steam
q Gas
q Electric
q Storage tank(s) #______
q Other ______
2.2.4.6.2 / DOMESTIC WATER TREATMENT
Describe any water treatment problems and associated reports.
2.2.4.6.3 / PIPES & FIXTURES
Identify obsolete and/or defective items.
2.2.4.6.6 / BACKFLOW PREVENTION
Is the building equipped with a BFP on the incoming water and protected from fire fighting water? List any problems of cross connection.
2.2.4.7 / FIRE SUPPRESSION
q Sprinklers
q Wet
q Dry
q CO2
q Halon
q Hose and standpipe
q Portable fire extinguishers
q Fire pump(s)
q Water reservoir(s)
q Other ______
2.2.4.8 / SPECIAL SYSTEMS
2.2.4.8.1 / EMERGENCY GENERATOR
q Fuel Source ______
______Volts ______Amps
q Tested Monthly
Date of last full load test ______
2.2.4.8.2 / ELECTRICAL HEATING
2.2.4.8.3 / INFARED HEATING
2.2.4.8.4 / UNDER SLAB HEATING
2.2.4.8.5 / UTILITY COMPRESSED AIR
2.2.4.8.6 / WASTE DISPOSAL
2.2.4.8.7 / HOSPITAL / LAB SYSTEMS
OTHER CONCERNS
Do you anticipate the need for any significant repairs, upgrade or replacement of mechanical systems in the nest 5 years? If Yes, describe briefly. / Yes q No q
2.2.5 / ELECTRICAL
2.2.5.1. / POWER & DISTRIBUTION
The incoming service is rated at:
______volts
______amps
______phase
Describe the major components of the power distribution system (i.e. transformers, major distribution centers, motor control centers, etc.)
2.2.5.1.99 / ENERGY PERFORMANCE
This facility has:
q Load shedding equipment
q Power factor correction capacitors
q Co-generation equipment
q Adopted other energy reduction
measures (describe)
2.2.5.2. / LIGHTING
2.2.5.2.1 / BUILDING EXTERIOR
Type:
q Pole mounted
q Wall mounted
q Soffit mounted lights
q Other ______
2.2.5.2.2 / INTERIOR LIGHTS
Type:
q Fluorescent (with imperial lamps)
q Fluorescent (with metric lamps)
q Incandescent
q High intensity discharge (HID)
q Other special lighting fixtures ______
Lights are controlled by:
q Low voltage switching
q Line voltage switching
q Photocells
q Computerized management system(s)
q Other ______
The lighting levels are generally:
q Lower q Higher than necessary
q Adequate
2.2.5.2.3 / SPECIAL LIGHTING
q There is special lighting in this
facility: (i.e. pool lights, stage lights,
etc.) Please describe.
2.2.5.2.99 / LIGHTING PERFORMANCE
The following bulbs are in use:
q Wattmiser fluorescent (T-8)
q Mini-fluorescent
q Other energy efficient bulbs______
The fluorescent ballasts are:
q Standard core and coil
q Wattmiser core and coil
q Electronic
2.2.5.3. / EMERGENCY SYSTEMS
2.2.5.3.1 / EXIT/EMERGENCY LIGHTING
Type of exit light used is:
q Luminescent (no electrical conn.)
q Incandescent (wall or ceiling mtd)
q Other ______
Emergency lighting is fed from:
q Battery packs
q Emergency generator
2.2.5.3.2 / FIRE ALARM AND DETECTION
Type:
q Single or multiple zone 120 volts
q Multiple zone hard wired (with
annunciators
q Multiplexed (computer controlled)
q Other ______
q Signal is transmitted to fire dept.
Is an initial verification certificate available? q Yes q No
q Has an audit been completed?
Date: ______
2.2.5.3.3 / SECURITY
This facility has:
q Intrusion alarm
q Mechanical failure alarm
q CCTV
The alarms are monitored by:
q On-site staff
q An outside agency
q Government Centre
2.2.5.3.99 / EMERGENCY SYSTEMS - OTHER
Describe any other special emergency systems (Halon extinguishing systems, etc.)
2.2.5.4 / COMMUNICATIONS
2.2.5.4.1 / TELEPHONE / FAX
This facility has the following phone system:
q Centrex
q Leased / Owned PBX
q Utility owned
q Other ______
2.2.5.4.2 / TV / COMPUTER
This facility has a TV System connected to:
q Cable TV
q Satellite dish
q Other ______
Type of local area computer network (LAN)
q IBM token ring
q Coaxial (arcnet)
q Ethernet
q Other ______
2.2.5.4.3 / INTERCOM
Describe type of intercom system installed
2.2.5.4.4 / PAGING & PUBLIC ADDRESS
Describe type of public address system
2.2.5.4.99 / COMMUNICATIONS OTHER
Describe any other communications systems
OTHER CONCERNS
Do you anticipate the need for any significant repairs, upgrades, or replacement of electrical, data, or communication systems in the next 5 years? If Yes, describe briefly. / Yes q No q
2.3 / SERVICEABILITY & PERFORMANCE
2.3.1 / REGULATORY ISSUES
2.3.1.1 / CURRENT BUILDING CODE
Indicate building code issues that need to be addressed.
Is accessibility to the facility for persons with limited mobility a concern?
2.3.1.2 / OCCUPATIONAL HEALTH & SAFETY
Identify and rate any concerns associated with hazardous materials, first aid or general safety.
2.3.1.3 / RELATED REGULATIONS
Are there statutes or bylaws (apart from the Alberta Building Code) that are a source of concern? (e.g. Environmental Protections Act)
q No
q Yes List and describe.
Are there any outstanding requests from Risk Management on this facility?
q No
q Yes List and describe.
2.3.2 / USER / OCCUPANT ISSUES
2.3.2.1 / INDOOR ENVIRONMENTAL
Identify and rate user / operator concerns associated with:
q Temperature
q Humidity
q General air quality
q Lighting
q Acoustics
q Maintenance / Cleanliness
q Energy performance (as it relates to
control / requirements of the occupants)
Describe any flagged items
2.3.2.2 / SERVICEABILITY & OPERATION
Identify and rate user / operator concerns associated with:
q Equipment accessibility
q Storage or floor loading
q Wire management / cabling
q Security and operation, hours, etc.
q Lighting control
q Public image
q Amenities for users (smoking areas,
etc.)
q Traffic and arrangement of spaces,
work stations, etc.
q Energy performance as it relates to the
operations
Describe any flagged items
OTHER CONCERNS
Do you anticipate the need for any significant repairs, upgrades, or replacement of systems because of Code Environmental or user operational issues in the next 5 years? If Yes, elaborate. / Yes q No q
RATING GUIDE 1 = Emergency 2 = Unsatisfactory 3 = Poor 4 = Poor/Monitoring
5/6 = Acceptable 7/8 = Good 9 = Excellent FI = Further Investigation NA = Not Applicable
TPM 009 – 2008-08-05