C.D.P.J.C.C. Recreational Inspection

• Site conducted

  Select

• Conducted on

  Date

• H.Y.S Recreational Inspection

• Inspection completed by:

  Yes

  No

  N/A

• Inspection completed by?

• Date and time of inspection

  Date

• Weight equipment is inspected prior to use?

  Yes

  No

  N/A

• Safety components of the weight equipment is present and functional?

  Yes

  No

  N/A

• All individuals utilizing weight equipment have received training on each piece of equipment that they are using?

  Yes

  No

  N/A

• Team sports are properly supervised?

  Yes

  No

  N/A

• All individuals participating is sports activities are utilizing proper P.P.E specific to the activity they are participating in?

  Yes

  No

  N/A

• Equipment used for any sport has been inspected prior to issuance. Staff ensure equipment is appropriate for the sport, clean, and in proper condition for use in the intended sport?

  Yes

  No

  N/A

• When appropriate weight lifter utilize spotters?

  Yes

  No

  N/A

• Individuals utilizing the recreational facilities are cautioned when inappropriate behavior is observed?

  Yes

  No

  N/A

• Pool tables and other equipment in safe and in good repair.

  Yes

  No

  N/A

• All doors leading to an egress corridor self- close and positively latch .No door is held open by any device that will not automatically release when the fire alarm is activated.

  Yes

  No

  N/A

• All entrance/exit doors to egress hallways are fully operational and bear the appropriate fire rating. Frame and door have a fire rating tag, free of holes, and breakage.

  Yes

  No

  N/A

• All panic bars are in good condition and function properly.

  Yes

  No

  N/A

• All ceiling tiles are in place and do not have a hole or crack greater than 1/8 " inch.

  Yes

  No

  N/A

• All electrical distribution panel have a 3 foot entryway to panel. All panel doors close and lock.

  Yes

  No

  N/A

• Permanent electrical circuits are utilized rather than extension cords.

  Yes

  No

  N/A

• All exterior light fixtures are operational.

  Yes

  No

  N/A

• G.F.C.I. receptacles are present and operational.

  Yes

  No

  N/A

• Electrical panels are properly labeled.

  Yes

  No

  N/A

• All electrical knockouts are in place.

  Yes

  No

  N/A

• Area is free of missing ceiling or floor tiles.

  Yes

  No

  N/A

• Walking surfaces are free of water or spilled liquids.

  Yes

  No

  N/A

• Area sidewalks are free of cracks greater than 1/4".

  Yes

  No

  N/A

• Walking surfaces are free of trip hazards such as tears, bumps, or carpet sags.

  Yes

  No

  N/A

• Area is free of broken/cracked glass in doors or windows.

  Yes

  No

  N/A

• Materials are safely stacked and not within 18" vertically or 36" horizontally of a sprinkler head.

  Yes

  No

  N/A

• Area is free of missing light lens covers on ceiling/study light fixtures.

  Yes

  No

  N/A

• Cleaning materials are properly stored and not left unattended.

  Yes

  No

  N/A

• All janitorial closets, elevator, and mechanical rooms are closed and locked.

  Yes

  No

  N/A

• All flammable and hazardous materials are properly stored. When not in use all flammable storage cabinets remain closed.

  Yes

  No

  N/A

• All flammable or hazardous storage cabinets are vented to the outside.

  Yes

  No

  N/A

• Dryer vents are clean and appropriate.

  Yes

  No

  N/A

• Area is free from evidence of vermin.

  Yes

  No

  N/A

• S.D.S. or M.S.D.S. information is available to staff and students for the chemicals they are utilizing or exposed to.

  Yes

  No

  N/A

• Restrooms are clean, in good repair, and G.F.C.I present as required.

  Yes

  No

  N/A

• Eye wash station is:<br>Functional <br>Properly adjusted<br>Clean

  Yes

  No

  N/A

Life Safety

• Fire extinguishers are:<br>(A) Present<br>(B) Proper class<br>(C) Properly mounted<br>(D)Adequate in number<br>(E) Unobstructed

  Yes

  No

  N/A

• All egress lighting in functioning and adequate.

  Yes

  No

  N/A

• Area is free of known fire hazards.

  Yes

  No

  N/A

• Fire alarm system is:<br>(A) Properly installed <br>(B) Functional <br>(C) Adequate

  Yes

  No

  N/A

• Emergency lighting is:<br>Exit signage is: <br>(A) Properly installed<br>(B) Adequate<br>(C) Properly

  Yes

  No

  N/A

• All fire egress maps include:<br>(A) Primary and secondary escape routes.<br>(B) You are here marking<br>(C) Location of alarm pull stations and fire extinguishers <br>

  Yes

  No

  N/A

• Exit signage is: <br>(A) Properly installed<br>(B) Adequate<br>(C) Properly functioning<br>(D) Indicates proper egress route

  Yes

  No

  N/A

• CO2 detectors are installed in the proper locations and fully functional.

  Yes

  No

  N/A

• Signature of inspector

  Sign

• Area Supervisor

  Sign