This article introduces a simple, efficient spectral-based approach for rapid preliminary seismic assessment of earthquake-affected structures. Performance is validated using data from three highly earthquake-affected structures in New Zealand, where visual inspection with subjective outcomes missed damage, resulting in inaccurate and delayed decisions with significant social and economic losses. The three structures considered include (1) the instrumented Bank of New Zealand (BNZ) building; (2) the un-instrumented Queensgate Mall (QM) Complex; and (3) the un-instrumented Canterbury Television (CTV) building. This study uses these cases to highlight the importance of structural health monitoring (SHM) instrumentation and reliable quantified post-earthquake assessment methods in earthquake-prone areas, where each damaging earthquake and subsequent further-damaging aftershocks demand continuous monitoring to continuously assess damage and life safety risk. The simple, low-cost spectral analyses in this study clearly show the existence of damage and deterioration not fully discovered with standard visual inspection methods. This outcome highlights the importance of sensor networks and SHM instrumentation so quantitative, post-event analysis can rapidly augment and target further, more subjective visual inspection results.