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Facility Pre-assessment Form
Section 1: Client & Facility Details
Business Type / Industry*
Corp Services
Manufacturing
Educational
Medical Services
Facility Type*
Commercial
Industrial
Residential
Mixed-Use
Section 2: Facility Condition Assessment
Rate each category: ✅ Good | ⚠️ Fair | ❌ Poor | N/A
Structural Integrity
Select Rating
✅ Good
⚠️ Fair
❌ Poor
N/A
Electrical Systems
Select Rating
✅ Good
⚠️ Fair
❌ Poor
N/A
Mechanical Systems
Select Rating
✅ Good
⚠️ Fair
❌ Poor
N/A
Safety & Compliance
Select Rating
✅ Good
⚠️ Fair
❌ Poor
N/A
Aesthetics
Select Rating
✅ Good
⚠️ Fair
❌ Poor
N/A
Section 3: Maintenance Needs
A. Priority Services Needed
Preventive Maintenance
Emergency Repairs
Energy Efficiency Upgrades
Cleaning & Waste Management
Security / Access Control
B. Pain Points
High Operational Costs
Frequent Equipment Breakdowns
Poor Energy Efficiency
Compliance Risks
Aging Infrastructure
Section 4: Energy & Cost Efficiency
Desired Cost-Saving Target
10%
20%
30%+
Section 5: Workforce & Tools
Current Maintenance Team
In-House
Outsourced
None
Training Needs
Technical Skills
Safety
Tech Adoption
Section 6: Client Goals
Extend Asset Lifespan
Reduce Costs
Improve Safety
Enhance Aesthetics
Go Green / Sustainable
Section 7: Additional Notes
Submit Assessment
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