Title Page
-
Conducted on
-
Prepared by
-
Location
-
Please select location. If location isn't listed, please select NOT LISTED and enter the ORFAC and Location name in the box below.
-
Enter ORFAC and Location Name:
Instructions
-
1. Include photos of each of the areas requested below. Also, be sure to take one photo that will go on the front cover of the report. 2. Include a photo of each area in need of repair. 3. All items that rate “poor” or “immediate attention required” must have a narrative explaining the reason for the poor condition. 4. Please be sure to described in the comment section the location of key assets/components of the building that first responders after a hurricane related event will need to find in order to trouble shoot the condition of the property and determine needed repairs. Rate each item as follows: Satisfactory / Poor / Immediate Attention Required / N/A – Not Applicable
Exterior
Lighting/Electrical
-
Pole Lights Functioning?
-
Pole Lights Functioning Comments:
-
Pole Lights Appearance
-
Pole Lights Appearance Comments:
-
Soffit/Undercanopy Lights
-
Soffit/Undercanopy Lights Comments:
-
Wall Units
-
Wall Units Comments:
-
Ground Lights
-
Ground Lights Comments:
-
Other
-
Other Comments:
-
Lighting/Electrical Photos (please be sure to get photos of the major components)
Parking Lots/Sidewalks
-
Sidewalks
-
Sidewalks Comments:
-
Pavements
-
Pavements Comments:
-
Curbs
-
Curbs Comments:
-
Concrete dock apron
-
Concrete dock apron Comments:
-
Potholes Repairs Asphalt/Crack Filling and Sealing
-
Potholes Repairs Asphalt/Crack Filling and Sealing Comments:
-
Area Drains/Catch Basins
-
Area Drains/Catch Basins Comments:
-
Lot Striping
-
Lot Striping Comments:
-
Safety Rails
-
Safety Rails Comments:
-
Signage
-
Signage Comments:
-
Parking Lots/Sidewalks Photos (please be sure to get photos of the major components)
Landscaping
-
Irrigation/Drainage
-
Irrigation/Drainage Comments:
-
Beds
-
Beds Comments:
-
Trees
-
Trees Comments:
-
Shrubs
-
Shrubs Comments:
-
Flowers
-
Flowers Comments:
-
Litter
-
Litter Comments:
-
Lawn Areas
-
Lawn Areas Comments:
-
Flag Pole
-
Flag Pole Comments:
-
Grounds/Grass
-
Grounds/Grass Comments
-
Landscaping Photos (please be sure to get photos of the major components)
Roof
-
Gravel Stop
-
Gravel Stop Comments:
-
Coping
-
Coping Comments:
-
Flashings
-
Flashings Comments:
-
Roof Membrane
-
Roof Membrane Comments:
-
Stone Ballast Coverage
-
Stone Ballast Coverage Comments:
-
Drains
-
Drains Comments:
-
Gutters and Downspouts
-
Gutters and Downspouts Comments:
-
Debris/Litter
-
Debris/Litter Comments:
-
Access Hatch
-
Access Hatch Comments:
-
Vent Openings
-
Vent Openings Comments:
-
Chimney or Stack
-
Chimney or Stack Comments:
-
Penetrations
-
Penetrations Comments:
-
Pitch Pockets
-
Pitch Pockets Comments:
-
Scuppers
-
Scuppers Comments:
-
Surface Conditions
-
Surface Conditions Comments:
-
Signs of water intrusion
-
Signs of water intrusion Comments:
-
Miscellaneous
-
Miscellaneous Comments:
-
Roof Photos (please be sure to get photos of the major components)
HVAC
-
Location (roof, ground, other)
-
Location (roof, ground, other) Comments:
-
Equipment Curbs
-
Equipment Curbs Comments:
-
Power Feeds
-
Power Feeds Comments:
-
Condensate Drains
-
Condensate Drains Comments:
-
Access Panels
-
Access Panels Comments:
-
Exhaust Fans
-
Exhaust Fans Comments:
-
Other
-
Other Comments:
-
HVAC photos (please be sure to get photos of the major components)
Building Shell
-
Exterior Walls
-
Exterior Walls Comments:
-
Caulking/Expansion Joints
-
Caulking/Expansion joints Comments:
-
Painted Surfaces
-
Painted Surfaces Comments:
-
Storefronts/Glass/Caulk
-
Storefronts/Glass/Caulk Comments:
-
Hose Bibs
-
Hose Bibs Comments:
-
Foundation
-
Foundation Comments:
-
Doors/Paint/Stain
-
Doors/Paint/Stain Comments:
-
Door Frames
-
Door Frames Comments:
-
Windows & Frames
-
Windows & Frames Comments:
-
Signage
-
Signage Comments:
-
Overhangs
-
Overhangs Comments:
-
Exterior Building Lighting
-
Exterior Building Lighting Comments:
-
Cleanliness of Surface
-
Cleanliness of Surface Comments:
-
Signs of water intrusion
-
Signs of water intrusion Comments:
-
Soffit/Undercanopy Lights
-
Soffit/Undercanopy Lights Comments:
-
Building Shell photos (please be sure to get photos of the major components)
Truck Docks
-
Doors/Paint/Stain
-
Doors/Paint/Stain Comments:
-
Door Frames
-
Door Frames Comments:
-
Weather-striping
-
Weather-striping Comments:
-
Dock Seals
-
Dock Seals Comments:
-
Dock Levelers
-
Dock Levelers Comments:
-
Miscellaneous
-
Miscellaneous Comments:
-
Truck Dock Photos (please be sure to get photos of the major components)
Drive-In Doors
-
Door Panels/Paint/Stain
-
Door Panels/Paint/Stain Comments:
-
Door Frames
-
Door Frame Comments:
-
Weather-striping
-
Weather-striping Comments:
-
Miscellaneous
-
Miscellaneous Comments:
-
Drive-In Doors photos (please be sure to get photos of the major components)
Exterior Items
-
Trash Containers/Dumpsters
-
Trash Containers/Dumpsters Comments:
-
Handrails/Railings
-
Handrails/Railings Comments:
-
Steps/Ramps
-
Steps/Ramps Comments:
-
Perimeter Fence/Gates
-
Perimeter Fence/Gates Comments:
-
Miscellaneous
-
Miscellaneous Comments:
-
Exterior Items photos (please be sure to get photos of the major components)
Interior
Life Safety
-
Fire Department Knox Box
-
Fire Department Knox Box Comments:
-
Exit Signs
-
Exit Signs Comments:
-
Exit Doors
-
Exit Doors Comments:
-
Door Panic Hardware
-
Door Panic Hardware Comments:
-
Fire Extinguishers
-
Fire Extinguishers Comments:
-
Fire Hose Drops
-
Fire Hose Drops Comments:
-
Eye Wash
-
Eye Wash Comments:
-
Life Safety photos (please be sure to get photos of the major components)
Fire Suppression System
-
Alarm Panel
-
Alarm Panel Comments:
-
Pump Controller
-
Pump Controller Comments:
-
Risers/Valves/Flow Alarms
-
Risers/Valves/Flow Alarms Comments:
-
Inspectors Test Drains
-
inspectors Test Drains Comments:
-
Spare Sprinkler Heads
-
Spare Sprinkler Heads Comments:
-
Fire Pump Certification
-
Fire Pump Certification Comments:
-
Room Appearance
-
Room Appearance Comments:
-
Fire Suppression photos (please be sure to get photos of the major components)
Office/Clinic Area
-
Ceiling Tile
-
Ceiling Tile Comments:
-
Walls
-
Walls Comments:
-
Doors/Paint/Stain
-
Doors/Paint/Stain Comments:
-
Door Hardware/Frame
-
Door Hardware/Frame Comments:
-
Floor/Carpet/Tile
-
Floor/Carpet/Tile Comments:
-
Windows
-
Windows Comments:
-
Painted Surfaces
-
Painted Surfaces Comments:
-
Lighting
-
Lighting Comments:
-
Cleanliness
-
Cleanliness Comments:
-
Signs of water intrusion
-
Signs of water intrusion Comments:
-
Office/Clinic Area photos (please be sure to get photos of the major components)
Washrooms
-
Ceiling
-
Ceiling Comments:
-
Walls
-
Walls Comments:
-
Door/Paint/Stain
-
Door/Paint/Stain Comments
-
Door Hardware/Frame
-
Door Hardware/Frame Comments:
-
Floor Tile
-
Floor Tile Comments:
-
Plumbing Fixtures
-
Plumbing Fixtures Comments:
-
Light Fixtures
-
Light Fixtures Comments:
-
Painted Surfaces
-
Painted Surfaces Comments:
-
Cleanliness
-
Cleanliness Comments:
-
Washroom photos (please be sure get photos of the major components)
