Annual Facility Inspection (B)

• Inspection Date

  Date

• Last Inspection Date

  Date

• Age Of Facility

• Mandir Coordinator

• P. Vicharan Sant

• Facility Admin

• Inspection's Team Name

• Are 'As-built' drawings stored on the One Drive folder?

  Yes

  No

  N/A

• Are Operation and Maintenance Manuals stored in the Maintenance Room online in OneDrive?

  Yes

  No

  N/A

• Health Dept Permits for the Kitchen (add Photo of the Certificate)?

  Yes

  No

  N/A

• Fire Permit/Sprinkler System (add photo of the Certificate)?

  Yes

  No

  N/A

• Water Backflow Inspection completed?

  Yes

  No

  N/A

Maintenance Contracts (with external vendor)

• Sprinkler Systems

  Yes

  No

  N/A

• Fire Suppression System

  Yes

  No

  N/A

• Pest Control

  Yes

  No

  N/A

• Boiler

  Yes

  No

  N/A

• Kitchen Hoods

  Yes

  No

  N/A

• Grease Trap Removal

  Yes

  No

  N/A

• Garbage Removal

  Yes

  No

  N/A

• Landscaping

  Yes

  No

  N/A

• Snow Removal

  Yes

  No

  N/A

• Elevator Maintenance

  Yes

  No

  N/A

• Heating/Oil Supply

  Yes

  No

  N/A

• General Maintenance

  Yes

  No

  N/A

• Any general comments/notes for this section?

Exterior building elements condition

• Steps, Railings & Ramps

  Good

  Fair

  Not Compliant

  N/A

• Walkways

  Good

  Fair

  Not Compliant

  N/A

• Siding/Stucco/Masonry/Paint

  Good

  Fair

  Not Compliant

  N/A

• Doors & Windows

  Good

  Fair

  Not Compliant

  N/A

• Gutter & Downspouts

  Good

  Fair

  Not Compliant

  N/A

• Emergency Exits

  Good

  Fair

  Not Compliant

  N/A

• Signage

  Good

  Fair

  Not Compliant

  N/A

• Parking Lot (Lighting, Condition)

  Good

  Fair

  Not Compliant

  N/A

• Parking Bumpers & Speed Bump

  Good

  Fair

  Not Compliant

  N/A

• External Water Faucets (frost free, std)

  Good

  Fair

  Not Compliant

  N/A

• Decks (Stairs, Railing, Flooring, Wood condition, Awning, Egress)

  Good

  Fair

  Not Compliant

  N/A

• Security Camera

  Yes

  No

  N/A

• General Comments/Notes

Roof

• Type of Roof

  Shingles

  Rubber

  Hot Tar

  Metal

  Insulated Membrane

• Condition of Roof

  Good

  Fair

  Poor

  N/A

• Roof Pitch

  Compliant

  Non-Compliant

  N/A

• Security Camera

  Yes

  No

  N/A

Roof elements condition

• Sky Lights

  Good

  Fair

  Poor

  N/A

• HVAC Units

  Good

  Fair

  Poor

  N/A

• Condensate Drains

  Good

  Fair

  Poor

  N/A

• Decoration or Loose Items

  Good

  Fair

  Poor

  N/A

• Ventilations/Exhaust Fans/Kitchen Hood Exhaust

  Good

  Fair

  Poor

  N/A

• Roof Drains

  Good

  Fair

  Poor

  N/A

• Chimeny

  Good

  Fair

  Poor

  N/A

• General Comments/Notes

Entrance (building elements condition)

• Signage

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Floor

  Good

  Fair

  Not Compliant

  N/A

• First Aid Kit

  Compliant

  Non-Compliant

  N/A

• Security Cameras

  Yes

  No

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Aksharpith/Shayona (building elements condition)

• Signage

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Racks/Shelfs

  Good

  Fair

  Not Compliant

  N/A

• Floor

  Good

  Fair

  Not Compliant

  N/A

• Freezer/Coolers

  Good

  Fair

  Not Compliant

  N/A

• Security Cameras

  Yes

  No

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Bathrooms (building elements condition)

• Walls (Paint)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights)

  Good

  Fair

  Not Compliant

  N/A

• Floor

  Good

  Fair

  Not Compliant

  N/A

• Urinals/Toilets/Shower Stalls

  Good

  Fair

  Not Compliant

  N/A

• Mirrors/Hand Sinks/Soap Dispensers/Hand Dryers

  Good

  Fair

  Not Compliant

  N/A

• Ventilation/Exhaust Fan

  Good

  Fair

  Not Compliant

  N/A

• ADA Compliant

  Yes

  No

  N/A

• Diaper Station

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Sabha Hall (building elements condition)

• Floor (Carpet, Tiles, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, Light Fixtures, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Windows/Drapes

  Good

  Fair

  Not Compliant

  N/A

• Stage (Steps, Curtains, folding partitions, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Security Cameras

  Yes

  No

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Grabagruh/Sinhasan (building elements condition)

• Floor (Carpet, Tiles, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, Light Fixtures, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Curtains/Railings/Banisters

  Good

  Fair

  Not Compliant

  N/A

• Security Cameras

  Yes

  No

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Dining Hall (building elements condition)

• Floor (Carpet, Tiles, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, Light Fixtures, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Storage

  Yes

  No

  N/A

• Doors

  Good

  Fair

  Not Compliant

  N/A

• Water Fountain/Hand washing station

  Good

  Fair

  Not Compliant

  N/A

• Security Cameras

  Yes

  No

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Classrooms & Other Rooms

• Have Classrooms number?

  Yes

  No

  N/A

• Floor (Carpet, Tiles, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, Light Fixtures, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Doors

  Good

  Fair

  Not Compliant

  N/A

• Windows/Drapes

  Good

  Fair

  Not Compliant

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• Projector / TV condition

  Good

  Fair

  Not Compliant

  N/A

• AV System

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Kitchen (building elements condition)

• Floor

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, Light Fixtures, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Emergency Shut Offs

  Safe

  At Risk

  N/A

• Grease Build Up

  Safe

  At Risk

  N/A

• Fire Suppression System

  Yes

  No

  N/A

• Grease Trap

  Good

  Fair

  Not Compliant

  N/A

• Exhaust / Ventilation / Hood

  Good

  Fair

  Not Compliant

  N/A

• First Aid Kit

  Yes

  No

  N/A

• Freezer/Coolers

  Good

  Fair

  Not Compliant

  N/A

• Cooking Equipment

  Good

  Fair

  Not Compliant

  N/A

• Plumbing

  Good

  Fair

  Not Compliant

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• Overall Cleanliness/Sanitation

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Pujari Ashram (building elements condition)

• Floor (Carpet, Tiles, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, Light Fixtures, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Doors

  Good

  Fair

  Not Compliant

  N/A

• Windows/Drapes

  Good

  Fair

  Not Compliant

  N/A

• Bathroom

  Good

  Fair

  Not Compliant

  N/A

• Other Rooms (Bedroom/Family Room)

  Good

  Fair

  Not Compliant

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• Security Monitoring available

  Yes

  No

  N/A

• General Comments/Notes

Sant Nivas (building elements condition)

• Floor (Carpet, Tiles, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Walls (Paint, Light Fixtures, frames/decoration elements, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Ceiling (Tiles, Lights, Decoration, etc..)

  Good

  Fair

  Not Compliant

  N/A

• Doors

  Good

  Fair

  Not Compliant

  N/A

• Windows/Drapes

  Good

  Fair

  Not Compliant

  N/A

• Bathroom

  Good

  Fair

  Not Compliant

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Basement ( if applicable) (building elements condition)

• Floor

  Good

  Fair

  Not Compliant

  N/A

• Walls/Paint

  Good

  Fair

  Not Compliant

  N/A

• Window

  Good

  Fair

  Not Compliant

  N/A

• Lights

  Good

  Fair

  Not Compliant

  N/A

• Steps/Railings

  Select Good Fair Not Compliant N/A

  • Good
  • Fair
  • Not Compliant
  • N/A

• Ventilation

  Good

  Fair

  Not Compliant

  N/A

• Dampness/Moisture

  Safe

  At Risk

  N/A

• HVAC Ductwork

  Good

  Fair

  Not Compliant

  N/A

• Electrical Panels

  Good

  Fair

  Not Compliant

  N/A

• Sump Pump

  Good

  Fair

  Not Compliant

  N/A

• Drainage

  Good

  Fair

  Not Compliant

  N/A

• Emergency Exits/Pull Stations/Fire Extingushers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Mechanical Room (if applicable) (building elements condition)

• Boiler

  Good

  Fair

  Not Compliant

  N/A

• Last Boiler Inspection Date

  Date

• Water Heater

  Good

  Fair

  Not Compliant

  N/A

• HVAC Units

  Good

  Fair

  Not Compliant

  N/A

• Filters

  Good

  Fair

  Not Compliant

  N/A

• Ductworks and Grills

  Good

  Fair

  Not Compliant

  N/A

• Dehumidifiers

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Plumbing (building elements condition)

• Main Water Valves

  Good

  Fair

  Not Compliant

  N/A

• Meter

  Good

  Fair

  Not Compliant

  N/A

• Sprinkler Valves & Pressure Reading

  Good

  Fair

  Not Compliant

  N/A

• General Comments/Notes

Electrical Room(s) (building elements condition)

• Main Switch Gear

  Good

  Fair

  Not Compliant

  N/A

• Distribution Panel Access ( 36" clearance)

  Pass

  Fail

  N/A

• Backup Power Generator

  Yes

  No

  N/A

• All breakers Labeled

  Yes

  No

  N/A

• General Comments/Notes

• Number of Cameras - Inside

• Number of Cameras - Outside

• Can the Security feed be accessed remotely by Mandir Coordinator & Facility Admin?

  Yes

  No

  N/A

• Is Feed Recording Working?

  Yes

  No

  N/A

• Is Security Feed access secure (Password)?

  Yes

  No

  N/A

• Are Door Locks of Secure quality?

  Yes

  No

  N/A

• Are External Doors closing properly?

  Yes

  No

  N/A

• Monoxide Sensors/Alarms (for each Water heater, boiler etc)

  Yes

  No

  N/A

• Emergency Action Plan Available/Posted

  Yes

  No

  N/A

• Emergency Exit Plan in Each Room/Classroom/Hall

  Yes

  No

  N/A

• Are there any Gaps in security coverage (Please list them)

• General Comments/Notes

• Overall Summary

• Action to be taken immediately

• Action to be taken within next 6 months

• Action to be taken within next 12 months

• Action to be taken within 12 - 24 months