FS on the WWW Engineering on the WWW WO Engineering Contacts

Complex Form For Web Viewing

Facility Condition Assessment Form - Complex Buildings
Unit:_________________________________(RRFFDD)    
Site Name:____________________________________ Bldg. Cat.:___________________________ Inspector Name:__________________________________
Bldg ID #:_____________________________________ Bldg. Sub Cat:_______________________ Inspection Date:__________________________________
Bldg Name:___________________________________ Maint Level: _________________________ Estimated Travel Time (Hours): _____________________
Size (GSF):___________________________________ Date of Last Inspection: _______________  
CRV: ________________________________________ Historic Status: ______________________  
Year Constructed: _____________________________ Master Plan: ________________________  
Real Property Inventory Required: Yes/No    
Work Item # 1st Level Work Items   Typical Life Cycle (Yrs) Measurements   Reason 1 -Resource 2 -Mission 3 - H&S Date Needed (mm/dd/yyyy) Critical (If yes, check box)
          Quantity Units      
01001 Other Building Replacment, Complete #REF! N/A   LS      
02001 Site Improvements Parking Lot, Repair and Seal coating. #REF! 5   10 MSF      
02002 Site Improvements Parking Lot, Repair and Resurface: #REF! 10   MSF      
02003 Site Improvements Concrete, Sidewalk or Curb, Remove/Replace #REF! 25   LF      
02004 Site Improvements Fence, All Types, Remove/Replace or Install New #REF! 20   LF      
02005 Site Improvements Electric, Outdoor Pole lights, Remove/Replace or Install New #REF! 20   EA      
03001 Foundation Concrete Slab or Stem Wall, Minor Repair Spalls & Cracks #REF! 15   SF      
04001 Roofing Basic Roof, Fiberglass Shingles, Removal and Replacement #REF! 20   SQ      
04002 Roofing Premium Roof, Metal/Membrane/Shakes, Removal and Replacement #REF! 30   SQ      
04003 Roofing Skylight, Remove/Replace #REF! 30   EA      
04004 Roofing Gutters/downspouts, Remove/Replace #REF! 15   LF      
05001 Superstructure Steps, Exterior, Remove/Replace   20   STEP, EA      
05002 Superstructure Wood Deck, Removal/Replace #REF! 20   SF      
05003 Superstructure Railing, Porch & Deck, Remove/Replace #REF! 20   LF      
06001 Exterior Closure Siding, All Types, Remove/Replace #REF! 25   CSF      
06002 Exterior Closure Door, Exterior, Remove/Replace #REF! 20   EA      
06003 Exterior Closure Door, Garage, Overhead Door, Remove/Replace #REF! 20   EA      
06004 Exterior Closure Painting, Exterior, Includes prep, prime and paint #REF! 5   SF      
07001 Interior Construction Doors, Interior, Remove/Replace #REF! 30   EA      
07002 Interior Construction Toilet Partitions, Per Stall, Remove/Replace #REF! 20   EA      
07003 Interior Construction Drywall, Install & Taped, Remove/Replace #REF! 75   SF      
07004 Interior Construction Cabinets, Kitchen, Office, & Lavatory, Remove/Replace #REF! 30   LF      
07005 Interior Construction Cabinets, Laboratory, Remove/Replace #REF! 40   LF      
07006 Interior Construction Window, Remove/Replace #REF! 30   EA      
08001 Stairs Stairs, Interior, Remove/Replace #REF! 40   STEP, EA      
08002 Stairs Railing, Stair, Guards and Handrails, Remove/Replace #REF! 45   LF      
09001 Interior Finishes Painting, Interior Walls/Ceiling, Includes prep, prime, one coat paint #REF! 5   SF      
09002 Interior Finishes Flooring, Carpet, Repair/Replacement #REF! 8   SF      
09003 Interior Finishes Flooring, Tile, Remove/Replace #REF! 30   SF      
09004 Interior Finishes Flooring, Wood, Sand and refinish #REF! 10   SF      
09005 Interior Finishes Flooring, Vinyl, Remove/Replace #REF! 18   SF      
09006 Interior Finishes Ceiling, Acoustic, Remove/Replace #REF! 20   CSF      
10001 Plumbing Toilet/urinal Fixture, Remove/Replace #REF! 35   EA      
10002 Plumbing Lavatory Fixture, Remove/Replace #REF! 35   EA      
10003 Plumbing Tub/Shower Complete, Remove/Replace #REF! 25   EA      
10004 Plumbing Drinking Fountain, Remove/Replace #REF! 10   EA      
10005 Plumbing Eye Wash, Remove/Replace #REF! 25   EA      
10006 Plumbing Water Heater, Remove/Replace #REF! 15   EA      
10007 Plumbing Gas/Oil/LP Yard Line, Remove/Replace #REF! 30   LF      
11001 HVAC Pump, Circulation, Water or HVAC, Remove/Replace #REF! 20   EA      
11002 HVAC Boiler, Remove/Replace #REF! 30   EA      
11003 HVAC Cooling Tower, Remove/Replace #REF! 15   EA      
11004 HVAC Chiller, Water Cooled, Remove/Replace #REF! 20   EA      
11005 HVAC Chiller, Air cooled, Remove/Replace #REF! 15   EA      
11006 HVAC Condenser, Air Cooled, Remove/Replace, 5 Ton or Less #REF! 15   EA      
11007 HVAC Furnace/Wood & Pellet Stoves, Remove/Replace   15   EA      
11008 HVAC Replace Package Terminal HVAC Unit #REF! 10   EA      
11009 HVAC Unit Heater, Remove/Replace #REF! 15   EA      
12001 Equipment Compressor, Air, Remove/Replace #REF! 25   EA      
12002 Equipment Elevator, Remove/Replace #REF! 50   EA      
12003 Equipment Laboratory Fume Hood/Exhaust Hood, Remove/Replace #REF! 30   EA      
13001 Electrical Main Service Switchgear, < 1200 Amps, Remove/Replace #REF! 20   EA      
13002 Electrical Disconnects or Enclosed Circuit Breakers, Remove/Replace #REF! 25   EA      
13003 Electrical Electrical Panel, Remove/Replace #REF! 30   EA      
13004 Electrical Light Fixtures, Remove/Replace #REF! 20   EA      
13005 Electrical Emergency Light Fixture, Remove/Replace #REF! 20   EA      
13006 Electrical Fire Alarm and/or Security system, Remove/Replace #REF! 20   SYSTEM      
13007 Electrical Lightning Protection System, Remove/Replace #REF! 25   SYSTEM      
14001 Fire Protection Fire Sprinkler System, Remove/Replace #REF! 40   SF      
15001 Accessibility ADA Mitigation #REF! N/A   LS      
16001 Hazard Lead Based Paint/Asbestos Mitigation #REF! N/A   LS      
16002 Hazard Environmental Mitigation #REF! N/A   LS      

 
https://www.fs.usda.gov/eng/facilities/complex.htm