Information sheet for the annual verification of a multistorey garage
Name of owner: ____________________________________________
Address of building: ______________________________________________
______________________________________
Date of verification: _________________ Verified by: ________________________
Identification of slab: ___________
_________________________________________________________________________________
| | | | | | |
| Element | Yes | No | Location | Photograph | Description |
| | | | | # | and remarks |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| Slab | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Subsidence/deformation | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| Upper surface of slab | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Membrane worn | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Potholes | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Superficial cracks | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Deterioration of | | | | | |
| concrete | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Reinforcement exposed | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Rust spots | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| Lower surface of slab | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Moisture spots, water | | | | | |
| infiltration | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Efflorescence | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Reinforcement exposed | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Rust spots | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Deterioration of | | | | | |
| concrete | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| Walls | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Bulging/deformation | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Cracks | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Water infiltration | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| Beams and columns | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Cracks | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Reinforcement exposed | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Rust spots | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| Expansion joints | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Deterioration of | | | | | |
| expansion joints | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| Drains | | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Poor operating condition| | | | | |
|___________________________|_______|_______|__________|____________|_____________|
| | | | | | |
| - Accumulation of water | | | | | |
|___________________________|_______|_______|__________|____________|_____________|