To save as PDF: use your browser's PrintSave as PDF. This form prints as A4.

Asset Condition Assessment Form

Comprehensive asset condition rating and remaining life evaluation

Company Logo
FORM ACA-01
Asset Information

Rate each item: 1 = Very Poor, 2 = Poor, 3 = Fair, 4 = Good, 5 = Excellent. Record the rating in the Score column and note any deficiencies.

# Assessment Criteria Score Observations / Deficiencies
Physical Condition
1Structural integrity (frame, chassis, body)
2Corrosion or rust condition
3Paint, coating, or surface finish
4Wear on moving parts (bearings, pivots, tracks)
5Tyres, tracks, or ground-engaging components
Functional Performance
6Engine/motor performance and power output
7Hydraulic system (leaks, response, pressure)
8Electrical systems and controls
9Transmission and drivetrain operation
10Braking system effectiveness
11Steering and manoeuvrability
12Cooling system condition
Safety Status
13ROPS/FOPS integrity (if applicable)
14Guards and safety devices in place
15Emergency stop functionality
16Seatbelt condition and latching
17Lighting and visibility aids
18Warning decals and safety signage
Remaining Life
19Estimated remaining useful life (years)
20Estimated remaining hours (if applicable)
21Major overhaul or rebuild due within 12 months
Recommendations
22Continue operation as-is
23Schedule preventive maintenance / repairs
24Plan for replacement within budget cycle
25Remove from service immediately

Overall Condition Rating

Total Score: _____ / 90     Overall Rating: _____ (1-5)     Recommendation: Continue / Repair / Replace / Dispose

Assessor
Name
Signature
Date
Asset Manager Review
Name
Signature
Date