Affinity Insurance - Hospitality Survey

• Site conducted

  Select

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General business details

• Select all activities undertaken by the insured at this location

  Select Motel Hotel Resort Tavern Bottleshop Gaming / TAB Wine Bar Manufacture (own label) Manufacture (direct importing) Manufacture (brewery / alcoholic) Manufacture (other) Restaurant Cafe Accommodation Live Music Dance Floor Nightclub Day Spa / Beauty Therapy Other

  • Motel
  • Hotel
  • Resort
  • Tavern
  • Bottleshop
  • Gaming / TAB
  • Wine Bar
  • Manufacture (own label)
  • Manufacture (direct importing)
  • Manufacture (brewery / alcoholic)
  • Manufacture (other)
  • Restaurant
  • Cafe
  • Accommodation
  • Live Music
  • Dance Floor
  • Nightclub
  • Day Spa / Beauty Therapy
  • Other

Activities / Entertainment

• Do you provide any tour operator services?

  Yes

  No

  N/A

• Are the services provided by contractors?

• Describe Tours offered

• Do you provide packed lunches for tours?

• List all activities you have available

  Select Tennis Squash Indoor Pool / Spa Outdoor Pool / Spa Sauna Mini-Golf Canoes / Kayaks / Water Activities Lawn Bowls / Bowling Greens Golf Course Child Care or Kids Club Facilities Children's Playground Gymnasium (Free Weights) Gymnasium (Weight Machines) Gymnasium (Electronic Machines) Gymnasium (Classes) Gymnasium (Personal Trainers) Gymnasium (Yoga)

  • Tennis
  • Squash
  • Indoor Pool / Spa
  • Outdoor Pool / Spa
  • Sauna
  • Mini-Golf
  • Canoes / Kayaks / Water Activities
  • Lawn Bowls / Bowling Greens
  • Golf Course
  • Child Care or Kids Club Facilities
  • Children's Playground
  • Gymnasium (Free Weights)
  • Gymnasium (Weight Machines)
  • Gymnasium (Electronic Machines)
  • Gymnasium (Classes)
  • Gymnasium (Personal Trainers)
  • Gymnasium (Yoga)

Accomodation

• Number of Rooms

• Type of Kitchen in Rooms

  Select No Kitchen / Cooking Equipment No Kitchen (Kettle Supplied) No Kitchen (Kettle + Toaster Supplied) No Kitchen in Rooms but a Common Area Kitchen Room Service Available to the Rooms Kitchenette in Room Full Kitchen Available in Room / Suite

  • No Kitchen / Cooking Equipment
  • No Kitchen (Kettle Supplied)
  • No Kitchen (Kettle + Toaster Supplied)
  • No Kitchen in Rooms but a Common Area Kitchen
  • Room Service Available to the Rooms
  • Kitchenette in Room
  • Full Kitchen Available in Room / Suite

• Are smoke detectors in rooms

  Select Not fitted Local Alarms (Battery) Local Alarms (Hard Wired) Local Alarms (Hard Wired with Backup Power) Back to Base Monitored Alarms

  • Not fitted
  • Local Alarms (Battery)
  • Local Alarms (Hard Wired)
  • Local Alarms (Hard Wired with Backup Power)
  • Back to Base Monitored Alarms

• Photo of Room

  Media

• Photo of Hallways and Emergency Exits

  Media

Commercial kitchen risks

• Is there deep frying?

  Yes

  No

  N/A

• What is the total capacity of fryers in litres?

• Are fryers thermostatically controlled with an automatic shut off?

  Yes

  No

  N/A

• Does the business use wok cooking?

  Yes

  No

  N/A

• What is the total number of wok burners?

• Is the cooking or deep frying area protected by an automatic fire retardant or foam supression system such as the ANSUL system?

  Yes

  No

  N/A

• Is there a readily accesible fire blanket in the kitchen?

  Yes

  No

  N/A

• Are the extinguishers in the kitchen the correct type for oil or cooking fires?

  Yes

  No

  N/A

• Describe the condition of the floor with respect to oily, wet, or slippery floors in the kitchen area

• Is there an emergency exit?

  Yes

  No

  N/A

• Is the exit free from rubbish or stock, easy to open and escape on both sides of the exit (check if locked and external access to door)

  Safe

  At Risk

  N/A

• How frequently are the filters cleaned?

  Select Daily Twice Weekly Weekly Monthly Quarterly Half Yearly Annually No Commercial Filters

  • Daily
  • Twice Weekly
  • Weekly
  • Monthly
  • Quarterly
  • Half Yearly
  • Annually
  • No Commercial Filters

• How frequently are the ducts and flues cleaned?

  Select Daily Twice Weekly Weekly Monthly Quarterly Half Yearly Annually No Commercial Filters

  • Daily
  • Twice Weekly
  • Weekly
  • Monthly
  • Quarterly
  • Half Yearly
  • Annually
  • No Commercial Filters

• Are the ducts and flues cleaned by a professional contractor

• Other notes about the kitchen

• General Photo of the kitchen area

  Media

• Photo of the deep fryers or wok area

  Media

• Photo of the waste storage area

  Media

Gaming

• Number of Gaming Machines

• Are Gaming Machines cleared of cash, note acceptors removed and door left open after close?

  Yes

  No

  N/A

• Describe Security whilst cars is counted (strong room, number of guards, number of staff, distance to safe from counting room etc)

• Number of ATMs

• Describe ATM Location and Security

• What is the venue capacity

• Is an entry fee or cover charge applied?

  Yes

  No

  N/A

• How many nights per week?

• What is the size of the dance floor (____m x ____m)

• Do you record all cleaning and inspections of spills on all surfaces?

  Yes

  No

  N/A

• Do you have a policy around drinks or glass on the dance floor?

  Yes

  No

  N/A

• Describe the policy

• Total Annual Revenue / Turnover / Gross Receipts

• Bar Receipts

• Gaming Receipts

• Bottleshop

• Restaurant / Cafe

• Accomodation

• Entertainment / Ticket Sales

• Advertising

• Rental Income (Property Owners)

• Other

• Number of Staff (Including Principals & Directors)

• Wages Estimate - Next 12 Months

Construction

• What are the walls made of

  Select Brick Veneer Concrete / Block Tilt Slab Concrete steel / iron / metal Aluminum Cladding Plastic / Poly cladding Timber Cladding Timber Fibro Cement Sheets Asbestos (unconfirmed) Asbestos (confirmed) Other

  • Brick Veneer
  • Concrete / Block
  • Tilt Slab Concrete
  • steel / iron / metal
  • Aluminum Cladding
  • Plastic / Poly cladding
  • Timber Cladding
  • Timber
  • Fibro Cement Sheets
  • Asbestos (unconfirmed)
  • Asbestos (confirmed)
  • Other

• What is the ground floor made of?

  Select Concrete Ashphalt Timber on piers Timber on poles Dirt / Unsealed

  • Concrete
  • Ashphalt
  • Timber on piers
  • Timber on poles
  • Dirt / Unsealed

• What is the upper floor made of

  Select Timber Concrete Metal Unable to Confirm

  • Timber
  • Concrete
  • Metal
  • Unable to Confirm

• What are the stairs made of?

  Select Concrete Metal Timber No Stairs

  • Concrete
  • Metal
  • Timber
  • No Stairs

• What is the age of the building (If hose reels are present, check date stamp on hose reel, or look for other dates on the building)

• When was the building last renovated?

• Is there any internal or external use of sandwhich panels?

  Yes

  No

  N/A

• Does the client know what type of materials are inside the sandwhich panels as the insulator? (EPS, XPS, MWRF, PIR, LPBC) some are fire resistant, is there a fire authority certificate to prove the materials?

• As a percentage of the total wall space, what percentage is constructed from sandwhich panels?

  0% to 5%

  5% to 10%

  10% to 15%

  15% to 30%

  Greater than 30%

• Use sliding scale as a percentage of total floor space

• Photo of the front of the building

  Media

• Photo of the left of the building (standing from the front of the building looking toward the rear of the property)

  Media

• Photo of the right of the building (standing from the front of the building looking toward the rear of the property)

  Media

• Photo of the rear of the building

  Media

• Photo of cool room or any EPS on site

  Media

Housekeeping and external risk questions

• Are all roof gutters free from debris and free flowing?

  Yes

  No

  N/A

• Are all roof downpipes connected to a drain system, unblocked and free flowing?

  Yes

  No

  N/A

• Is there any evidence of lime, moss, or calcium buildup on the external walls or ground around the premise which may indicate a long term water flow problem with guttering or drainage?

  Yes

  No

  N/A

• Photo of any potential drainage risks

  Media

• Photo of any potential drainage risks

  Media

• Is there any evidence of smoking adjacent to the building, check gardens and directly outside staff exits?

  Yes

  No

  N/A

• Where there are truck deliveries or pickups; is there a designated turning area and is it sufficient? I.e. is there any evidence of impact damage to the building perhaps by a delivery vehicle or garbage truck or tyre marks through the dirt or garden off the concrete?

  Yes

  No

  N/A

• Are bollards installed in delivery areas to mitigate risk of impact damage?

  Yes

  No

  N/A

• How frequently is the waste removed from the location

  Daily

  Weekly

  Fortnightly

  Monthly

  Other

• What is the distance of the waste area to the main building?

• Are any pallets or flammable items stored against or adjacent to the building?

  Yes

  No

  N/A

• A photograph of the waste storage area

  Media

Locale risks

• What is the occupation and distance to the neighbouring building (right)

• What is the occupation and distance to the neighbouring building (left)

• What is the occupation and distance to the neighbouring building (rear)

• Type of location

  Select Main Road Shopping Centre with ext access Shopping centre no ext access office complex /tower ground floor office complex / tower above ground floor suburban street industrial complex

  • Main Road
  • Shopping Centre with ext access
  • Shopping centre no ext access
  • office complex /tower ground floor
  • office complex / tower above ground floor
  • suburban street
  • industrial complex

• Are there any immediate neighbours or businesses in the same complex that have a late friday or saturday trading hours such as dominos, kfc, mcdonalds etc

  Yes

  No

  N/A

• Is there any graffiti or other evidence of a high pass through pedestrian traffic such as general rubbish buildup like drink bottles, snack foods or mcdonalds wrappers?

  Yes

  No

  N/A

• Photo of any graffiti

  Media

• Notes

• Crude site map

  Drawing

Carparks

• How many car park spaces are there?

• Is each car space clearly marked and well defined?

  Yes

  No

  N/A

• Is the surface of the car park ashphalt or concrete ?

  Yes

  No

  N/A

• Is the car park surface in good condition with no pot holes or divets that may cause scratches to cars or trip hazards to pedestrians?

  Yes

  No

  N/A

• Are all handrails or balustrades in good condition solidly fixed into the ground or walls?

  Yes

  No

  N/A

• Are the drains of the car park free free flowing and unlikely to be blocked by organic growth such as weeds or dirt buildup?

  Yes

  No

  N/A

• Does the car park have sufficient drainage?

  Yes

  No

  N/A

• Notes on the carpark

• Photo of the carpark

  Media

Fire safety

• Are there monitored heat or smoke alarms hardwired at the site<br>

  Yes

  No

  N/A

• Did the site have extinguishers

  Yes

  No

  N/A

• What type of extinguisher(s) are present?

  Select water wet chemical foam Powder ABE Powder BE Carbon Dioxide Vaporising Liquid Fire Blanket

  • water
  • wet chemical
  • foam
  • Powder ABE
  • Powder BE
  • Carbon Dioxide
  • Vaporising Liquid
  • Fire Blanket

• What was the date of last service?

• Photo of extinguisher or the service tag

  Media

• Does the site have hose reels?

  Yes

  No

  N/A

• Does the site have a hydrant point?

  Yes

  No

  N/A

• What is the distance to the nearest fire station if known

• Does the site have single source sprinklers?

  Yes

  No

  N/A

• Does the site have dual source sprinklers? (Mains and a backup supply)

  Yes

  No

  N/A

• Was there an escape plan on the wall?

  Yes

  No

  N/A

• Photo of the fire safety or evacuation plans

  Media

• Has the business conducted a fire drill or emergency evacuation drill in past 12 months

  Yes

  No

  N/A

• Were there any obstructions blocking free access to equipment or fire exits

  Yes

  No

  N/A

• Are emergency exits marked with correct signage?

  Yes

  No

  N/A

• Other fire safety notes

Security measures

• Door Security

  Select No Locks Deadlocks Padlocks Electronic /keyless Entry Biometric Locks Security Door / External Bars fixed Bollards / Ram Raid Fixtures Removable Bollards

  • No Locks
  • Deadlocks
  • Padlocks
  • Electronic /keyless Entry
  • Biometric Locks
  • Security Door / External Bars
  • fixed Bollards / Ram Raid Fixtures
  • Removable Bollards

• Window Security

  Select Fixed Windows 11mm Thick Display Windows key locks on some opening ground level windows key locks on all opening ground level windows key locks on all windows External Fixed Bars Internal Fixed Bars Security Shutters No Windows

  • Fixed Windows
  • 11mm Thick Display Windows
  • key locks on some opening ground level windows
  • key locks on all opening ground level windows
  • key locks on all windows
  • External Fixed Bars
  • Internal Fixed Bars
  • Security Shutters
  • No Windows

• Type of alarm system

  Select No Alarm Local Alarm Back to owners mobile back to base monitored alarm back to base with securetel technology Personal Panic Buttons (Worn by Staff) Panic / Duress Button under Bar Panic / Duress Button in TAB Room

  • No Alarm
  • Local Alarm
  • Back to owners mobile
  • back to base monitored alarm
  • back to base with securetel technology
  • Personal Panic Buttons (Worn by Staff)
  • Panic / Duress Button under Bar
  • Panic / Duress Button in TAB Room

• Described security guard useage

• Are guards internal staff members?

  Yes

  No

  N/A

• Are guards external contractors?

  Yes

  No

  N/A

• Does the business utilise CCTV

  Yes

  No

  N/A

• What type of CCTV is used?

  Select internal cctv external cctv Internet / Cloud / Remote Viewing Cloud Recording

  • internal cctv
  • external cctv
  • Internet / Cloud / Remote Viewing
  • Cloud Recording

• Total Number of CCTV Cameras

• What percentage of floor space coverage?

• Tick to confirm the office & safes have cctv

• Tick to confirm the money counting room has cctv

• How many days is the recorded footage recorded?

• Is there a 2m high full perimiter fence

  Yes

  No

  N/A

• Is there after hours security lighting

  Yes

  No

  N/A

• Other security notes

Office risk questions

• Was there any evidence of the use of power leads, double or multi point adapter boards?

  Yes

  No

  N/A

• Do any power leads, extension cables, or powerboards cross over walkways which may present a tripping hazard?

  Yes

  No

  N/A

• Where there is use of multi point adapter boards, are they surge protected and to what voltage or surge level?

• Was there a server for the office?

  Yes

  No

  N/A

• Is the server isolated within a temperature controlled environment?

  Yes

  No

  N/A

• Is it secured by UPS systems that have been tested within the last 3 months?

  Yes

  No

  N/A

• Was there evidence of testing and tagging?

  Yes

  No

  N/A

• Is there any evidence of water damage to the ceiling nearby to the server?

  Yes

  No

  N/A

• Other notes about the office

• Photo of the server room if applicable

  Media

• General photo of the office or reception

  Media

Flammables and hazardous goods storage

• Is the storage internal or external?

  internal

  external

• Describe the storage area, include details about whether it is isolated, ventilation of the area, construction of area, and security of area

• Is the storage unit AS(1940:2004) compliant?

  Yes

  No

  N/A

• Describe the type of flammabe gasses stored, the use or purpose of the gas, and the quantity or volume of the gas

• Describe the type of flammable liquids stored, the use or purpose of the liquid, and the quantity or volume of the liquid stored

• Describe the type of hazardous gases, liquids or goods stored, the purpose, and the quantity stored

• Are all areas correctly signposted with clean visable signage?

  Yes

  No

  N/A

• Is there any evidence of smoking nearby the flammable or hazardous storage areas?

  Yes

  No

  N/A

• Flammable gas storage

  Media

• Flammable liquid storage

  Media

• Hazardous item storage

  Media

• Notes

Electronics and machinery

• Please indicate type of Electrical switchboard or mains system that best describes the system in use at the location

  analogue

  digital

• Is the power mains or switchboard protected by a UPS

  Yes

  No

  N/A

• Does the premise have a manually started generator?

  Yes

  No

  N/A

• Does the business or occupier have access and training sufficient enough to turn on the generator if manual?

  Yes

  No

  N/A

• Does the premise have an automatic generator power system?

  Yes

  No

  N/A

• When was the generator system last serviced and tested?

• What type of fuel is used in the generator?

  Petrol

  Gas

  Diesel

• What is the total number of overhead cranes, elevators, lifts and hoists?

• What is the total number of escalators, travellators, or conveyor belts in use?

• Are there any cold or freezer rooms that have been installed within a room?

• Other than the cold rooms above, Are there any temperature controlled environments or rooms, what is the total mumber of areas and an approximate total floorspace %

• Describe the Space heating or cooling?

• Notes

• Photo of the electrical mains board

  Media

Completion

• Name of surveyor

• Signature of surveyor

  Sign

• Name of client

• Position in company

• Signature of client

  Sign

• Time completed

  Date