Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Insurance fact finder

Commercial Insurance Comprehensive Review

Material Damage - Business Package

  • Click here to add a location

  • Location
  • Add location

Fire and Defined events

  • Is cover required for this section at this location?

  • Building declared value

  • Contents declared value

  • Stock of vehicles or watercraft

  • Customers vehicles or watercraft

  • Stock of cigarettes, tabacco or liquor

  • Total value of any live stock such as lobsters and fish

  • Other Stock

  • Other section 1 declared values

  • Total declared value section 1

  • Preferred excess

  • Is cover required for flood?

Burglary

  • Is cover required for this section at this location?

  • Contents sum insured

  • Stock excluding tobacco and alcohol sum insured

  • Tobacco sum insured

  • Alcohol sum insured

  • Customers goods

  • Customers vehicles or watercraft

  • Goods in the open air (outside of the building)

  • What is the preferred excess

Glass section

  • Is cover required for this situation?

  • Type of premise

  • What is the size of the largest pane of glass in m2

  • Is cover required for internal glass

  • Is cover required for external glass?

  • Is cover required for external glass, plastic or neon signs?

  • What is the replacement value of the external sign(s)

  • Preferred excess for this section

Money / cash

  • Under this section money and cash can also mean pre paid gift cards such as coles myer gift cards or similar items redeemable for cash. It is important to ask if the client keeps such items on the premise as they are not considered stock.

  • Is cover required for this section

  • Cash in transit

  • Cash at the office during business hours

  • Cash at the location after business hours

  • Cash in private residence

  • Cash in a locked safe

  • Damage to safe

  • Preferred excess for this section

  • If available add photos of the current insurance policies

Business interruption

  • Is cover for this section required?

  • Tick here if client knows the sum insured and terms they require for this section.

  • What is the indemnity period

  • What type of cover does the client require

  • Gross Profit Sum Insured

  • Does this include payroll?

  • Payroll Sum Insured

  • What percentage of the payroll is insured

  • Rental income sum insured

  • Increased Cost of Working (subject to financial condition)

  • Additional Increased Cost of Working (not subject to a financial condition)

  • Professional fees for Claims preparation costs

  • Accounts receivable

  • Gross income sum insured

  • Does this include payroll?

  • Payroll sum insured

  • What percentage of the payroll is insured

  • Rental income sum insured

  • Increased Cost of Working (subject to financial condition)

  • Additional Increased Cost of Working (not subject to a financial condition)

  • Professional fees for Claims preparation costs

  • Accounts receivable

  • What is the weekly income maximum sum insured?

  • Does this include payroll?

  • What is the payroll weekly sum insured?

  • What percentage of the payroll is insured

  • Increased Cost of Working (subject to financial condition)

  • Additional Increased Cost of Working (not subject to a financial condition)

  • Professional fees for Claims preparation costs

  • Accounts receivable

  • Increased Cost of Working (subject to financial condition)

  • Additional Increased Cost of Working (not subject to a financial condition)

  • Professional fees for Claims preparation costs

  • Accounts receivable

  • List all uninsured working expenses

  • List any customer or supplier premises for which the client wishes to insure their directly related income.

  • List details of any nearby attraction (other business, natural attraction, hotels etc) which directly attributes income for which the customer wishes to insure threir lost income related to that attraction. List the type of attraction, location, proximity in km, construction details.

  • Tick here if the client would like for us to calculate and recommend a sum insured (limit of indemnity) based upon their financials and detailed information?

  • Date of the financials used

  • Date of the policy commencement

  • Indemnity period required

  • Total income / revenue / turnover

  • Growth rate past 12 months as a percentage

  • Estimated Growth rate as a percentage for the next 12 to 36 months

  • Opening stock

  • Closing stock

  • Wages estimate including PAYG and super

  • List all variable expenses that vary directly with income

  • Details of customer or supplier premise, location, construction, fire safety equipment, and percentage of income or stock

  • List details of any nearby attraction (other business, natural attraction, hotels etc) which directly attributes income for which the customer wishes to insure threir lost income related to that attraction. List the type of attraction, location, proximity in km, construction details.

  • Is cover required for loss of income, payroll or other limits in this section following a flood?

  • If available add photos of the existing policies

Equipment Breakdown Insurance

  • There are two options. The client can insure for motor breakdown or electronic breakdown in a business pack with a maximum limit of $20,000 with no loss of income or payroll covers. Or client can cover both types of breakdown and consequential loss of income cover, the second type is more expensive but offers far greater cover.

  • Does the client use any of the following types of equipment: <br>- cnc routers or CAD / CAM machinery<br>- temperature controlled environments or servers<br>- equipment that is reliant on computer controls in addition to motors or machinery

  • What is the average age of the equipment?

  • What is the total value of the machinery

  • Does the business have redundant machines or equipment to protect the business financially if the equipment breaks down?

  • In the event of an outage what would be the estimated recovery time to order, install, callibrate and recommence operations if the machine could not be repaired.

  • Would such an outage cause loss of income or inability to pay wages?

  • Would the client like simplified business pack cover?

  • What is the sum insured required?

  • Please list the total number of each machine type locatedat the premise that the customer wishes to insure

  • Cool rooms

  • Freezer rooms

  • Display or drink fridges

  • Any other type of fridge unit

  • Coffee machines or grinders

  • Mixers, blenders, processors

  • Mincers

  • Air conditioners - split system (wall mount)

  • Air Conditioners - ducted system (number of motors)

  • Would client like a comprehensive breakdown cover combining mechanical breakdown and electrical failures and resulting loss of income or payroll?

  • The fire and business interruption figures above will be used for this section if this option is selected unless otherwise specified below.

  • Breakdown limit of indemnity. List machines if specific machine only coveris preferred

  • Breakdown consequential loss. List loss of income limit and increasedcost limits following a breakdown.

  • Preferred excess for this section

  • If available add photo of existing policies

General / portable property cover

  • Is cover for this section required

  • Unspecified items are typically only covered up to $1000 per item

  • Unspecified tools of trade sum insured

  • Unspecified stock or travel samples

  • Click to add specified items

  • Specified item
  • Describe item, include manufacturer details and model description / model number

  • What is the replacement value for a similar item

  • What is the serial number for this item

  • What is the preferred excess

  • If available add photo of existing policies

Marine cargo

  • Is cover for importing required?

  • Describe the goods imported

  • How are they packed and shipped (air sea road rail etc)

  • What are the INCOTERMS of the imports?

  • What is the maximum value any one import?

  • What will be the average value of each import

  • Total number of imports in 12 months

  • Is cover for exports required?

  • Describe goods exported

  • Describe how goods exported are packed and sent (air sea rail road etc)

  • What are the INCOTERMS of the export?

  • What is the maximum value of any one export

  • What is the average value of each export

  • What is the total number of exports planned in 12 month period

  • Is cover for transits within australia required?

  • Describe goods sent within australia

  • Describe the packaging and how the items are sent (road, sea, air, rail etc)

  • For what purpose is the deliveries in australia (purchases, sales, stock transfers and or returns)

  • What will be the maximum transit value within australia

  • What will be the average transit value within australia

  • How many transits are expected each week within australia?

  • If available add photos of existing policies

Other risks and insurance options

  • Take notes below about other insurances required. Where possible take a photo of the existing policies.

  • Management Liability, statutory liability insurance and Employment Liability cover

  • Workers compensation nsw, act, vic, nt, sa or wa?

  • Wages NSW for all employees and directors where wages includes PAYG and super

  • Is journey cover or a griup personal accident supplement required to add value to employees?

  • Wages VIC for all employees and directors where wages includes PAYG and super

  • Wages QLD for all employees only where wages includes PAYG and super, directors are not covered in QLD

  • Would directors like a referral to review their life insurance, keyman, business expenses or income protectin insurance?

  • Wages WA employees where wages includes PAYG and super

  • Optional: Are directors to be covered by workers comp? If yes list the wages of directors below incl PAYG and super

  • Wages NT for all employees and directors where wages includes PAYG and super

  • Corporate travel insurance and, extra territorial workers comp

  • For the below questions, a trip is defined as one return journey per person. A family of four travelling to china with a stop over at manilla before returning home is one trip.

  • Estimated number of trips within australia and australian territories?

  • Estimated number of trips within pacific region

  • Estimated number of trips within asian region

  • Estimated number of trips within european region (includes Russia)

  • Estimated trips to Africa

  • Estimated trips to South America

  • Estimated Trips to USA, Canada, Alaska, united Mexican States, Greenland or elsewhere in North America

  • Worldwide Trips

  • Estimated number of trips using chartered aircraft

  • Estimated number of trips using chartered helicopters

  • List specific covers or take a photo in media of the existing schedule(s)

  • Online or cyber crime cover

  • Product recall

  • Trade Credit and Political Risks insurance

  • Event management or organisers liability including corporate product or development conventions or seminars

  • Professional indemnity insurance for design, conduct and services?

  • Motor fleet

  • Ctp and fleet ctp

  • Aviation risks

  • Keyman, life insurance or income protection - refer to a financial planner

  • Common due date

  • Premium funding required?

End of section

  • This information does not represent the schedule of insurance simply the information collected which may be used to produce a sample schedule of insurance. Contact the writer of this document for a copy of the schedule of insurance.

Property survey

  • This section is a risk survey for each location. The factfinders for sums insured is in the next section.

General business details

  • Estimated annual turnover (if applicable to survey)

  • Number of staff including directors ( if applicable to survey)

  • Number of years in operation or year established

  • Does the business export?

  • List countries exported to and percentage of sales to each country.

  • Does the business directly Import?

  • List countries imported from and percentage of products imported from each

  • Number of outlets or locations

  • Tick if the client has a seasonal increase during the year where they have a higher than normal turnover?

  • List all date ranges through the year when the business has a seasonal increase

Locations

  • Click here to add a new location

  • Location
  • Add location

Construction

  • What are the walls made of

  • What is the ground floor made of?

  • What is the upper floor made of

  • What are the stairs made of?

  • What is the age of the building

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

  • 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?

  • Photo of the front of the building

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

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

  • Photo of the rear of the building

Fire safety

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

  • Did the site have extinguishers

  • What type of extinguisher was present?

  • What was the date of last service?

  • Photo of extinguisher or the service tag

  • Does the site have hose reels?

  • Does the site have a hydrant point?

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

  • Does the site have single source sprinklers?

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

  • Was there an escape plan on the wall?

  • Photo of the fire safety or evacuation plans

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

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

  • Are emergency exits marked with correct signage?

  • Other fire safety notes

Security measures

  • Describe door security

  • Describe window security

  • Do all display windows have 11mm plate glass?

  • Type of alarm system

  • Described security guard useage

  • Does the business utilise CCTV

  • Is there a 2m high full perimiter fence

  • Does the business have bollards or other ram raid prevention measures?

  • Is there after hours security lighting

  • Other security notes

Housekeeping and external risk questions

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

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

  • 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?

  • Photo of any potential drainage risks

  • Photo of any potential drainage risks

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

  • 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?

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

  • How frequently is the waste removed from the location

  • 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?

  • A photograph of the waste storage area

Carparks

  • Does the restaurant have a car park for which they are responsible for?

  • How many car park spaces are there?

  • Is each car space clearly marked and well defined?

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

  • 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?

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

  • Does the car park have sufficient drainage?

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

  • Notes on the carpark

  • Photo of the carpark

Locale risks

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

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

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

  • Type of location

  • 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

  • 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?

  • Photo of any graffiti

  • Notes

Office risk questions

  • Does the restaurant have an office of more than 3 desks?

  • Was there evidence of testing and tagging on electrical appliances such as computers and laptops.

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

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

  • 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?

  • Is the server isolated within a temperature controlled environment?

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

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

  • Other notes about the office

  • Photo of the server room if applicable

  • General photo of the office or reception

Commercial kitchen risks

  • Is there deep frying?

  • Are fryers thermostatically controlled with an automatic shut off at 218 degrees celcius?

  • What is the total capacity of fryers in litres?

  • Does the business use wok cooking?

  • 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?

  • What type of canopy is installed in the cooking area?

  • How frequently is the canopy and filters cleaned?

  • Are canopies professionally cleaned by external contractors or internally by staff?

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

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

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

  • Is there an emergency exit?

  • 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)

  • Other notes about the kitchen

  • General Photo of the kitchen area

  • Photo of the deep fryers or wok area

  • Photo of the waste area in the kitchen

Cold Storage

  • Are there any cool rooms, freezer rooms or temperature controlled areas made from any kind of sandwhich panneling or insulating materials?

  • What is the size of the cool room in m2?

  • Add photos of all cool rooms

  • Draw a map of the location of the cool room or freezer room relative or within the restaurant to determine overall floorspace

  • Notes

Electronics and machinery

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

  • Photo of the electrical mains board

  • Is the power mains or switchboard protected by a UPS

  • Does the premise have a backup generator

  • Is the backup generator manually started?

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

  • What type of fuel is used in the generator?

  • When was the generator system last serviced and tested?

  • 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?

  • What is the toal number of cool rooms or freezer rooms, plus any domestic style or drink fridges, and chilled displays? Total refrigeration units:

  • 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

Completion

  • General notes

  • Add any final notes

  • Signature of surveyor

  • Signature of client

  • Time completed

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