Information
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Property Name
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Conducted on
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Prepared by
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Location
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Persons present
Claim Info/Premise Security
Claim Information - Incident Reports
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Are files available? Review and note any concerns or patterns.
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Premise Security Liability
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Is Key Control present? Note KeyTrac/Handy Trac/Manual.
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If manual, is key log present?
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Does property have a security program, onsite officers, patrol? Note vendor and if armed.
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Does property have a security system? If monitored, note vendor.
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Does property have cameras? Note if monitored.
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Are cameras serviced regular? Note vendor.
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Is property lighting adequate?
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Does property have electronically controlled access gates or sidewalk gates? Note type of entry, i.e. gate fobs, cards, etc.
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Is height of shrubs/trees such appropriately trimmed to limit hiding areas?
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Are doors and windows secured?
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Is property free of underground water wells?
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Is property free of underground storage tanks?
Mold/Moisture
Mold Risk Exposures/Moisture
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Does property have a mold/moisture policy or O&M program?
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Does property have an abatement/remediation team?
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Does property regularly schedule inspections for wet areas? Note any concerns.
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Any chronic foundation and/or water infiltration issues? Note concerns.
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Any evidence of chronic roof/gutter deficiencies? Note concerns.
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Are vents cleaned regularly? Note any specific concerns.
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Does property have bathroom exhaust fans?
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Review log for mold/moisture records. Note specific concerns or patterns.
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Is flow/site drainage adequate? Note concerns or deficiencies.
Fitness Center/Tanning Beds
Fitness Center
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Is equipment in acceptable/safe condition. Note deficiencies or concerns.
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Are cables in good condition? Note deficiencies, or concerns.
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Are electrical power sources grounded?
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Is fitness center free of trip hazards.? Note concerns.
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Are outlets on GFI if water present?
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Is entry secured/code functioning (if applicable)?
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Are treadmills on 20 AMP dedicated circuit?
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Does fitness center have appropriate signage? Rules, warnings, et.
Tanning Beds
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Are all users required to sign waiver/release?
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Does property have a sign in sheet? Does tanning bed have property signage?
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Does property comply with local jurisdiction operator certification and licensing requirements? Note requirements.
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Is disinfectant available?
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Are goggles available?
Slip/Trip & Retaining Walls
Slip, Trip and Fall Hazards
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Are carpets/rugs secured and free of trip hazards? (in all common areas)
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Are bolts in stair treads secure and free of rust?
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Are grounds maintained free of trip hazards, holes, uneven ground conditions?
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Is parking lot free of holes, cracks and gaps?
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Is property free of tiled or slick surfaces or are they appropriately marked when wet?
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Are sidewalks/walk areas free of obstacles?
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Are building numbers visible and lighted?
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Is property free of oil and grease accumulations?
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Does property have adequate outside lighting, including parking, pathways, walkways, garages and carports?
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Retaining Areas
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Are rails present on all drop offs?
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Are retaining areas free of exposed pipes?
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Are all drain covers present and installed properly?
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Are stairs free from crumbling, unsecured joints, and rust areas?
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Fire / Winter Hazards
Fire Hazards
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Is property free from exposed wiring?
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Does property have a "no grills on patios" policy?
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Are electrical outlets secured and free from electrical hazards?
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Are flammables appropriately stored?
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Fire Sprinkler System
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Does property have fire sprinkler system? Note wet or dry.
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Is system tested monthly or as required by manufacturer. Review test records, note last test.
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Is system inspected annually? Note date of last inspection.
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Is backflow inspected annually (or as required by local jurisdiction)? Note date of las inspection.
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Is gylcol system present? Note any concerns.
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Are closet heaters in working condition?
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Are spare heads/tools available?
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Is condition of riser rooms acceptable?
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Are riser rooms accessible or locked- does it comply with local jurisdictional requirements?
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Are 5-year gauges present and working?
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Are isolation valves present and working?
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Is fire pump in good condition?
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Is fire pump fuel present if applicable?
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Is a fire system generator present?
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Note # of floors.
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If dry system, is air compressor system present? Note any vendor/maintenance agreements.
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Is property a mid-rise or high rise builidng?
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Are exits marked?
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Are emergency exit routes posted at elevators?
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Is emergency lighting present and in working condition?
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Are fire extinguishers present as required by local jurisdiction (in each unit or each building)?
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Are fire extinguishers inspected annually or as required by local jurisdiction? Note date of last inspection.
Winter Hazards
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Are exterior controls present to mitigate winter risks?
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Does the property have freeze/thaw and/or black ice condition potential (bridges, etc.)?
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Are mopping and melt control procedures in place for interior space?
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Are freeze sensors present on irrigation systems?
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Does property have barricades and warning signage?
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Does property have appropriate equipment (snow plow, etc)?
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Does property have contracts in place for snow/ice removal?
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Pools / BBQ Areas / Sport or Tennis Court
Pools
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Are permits present and up to date?
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Is Emergency (911) Phone present and working?
Pool Safety
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Is life ring with floating rope present and in good condition?
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Is shepherd's hook/fiberglass pole present and in good condition?
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Does pool have emergency shutoff?
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Does pool have approved drain covers (including spares) on site>
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Is pool area free of trip hazards?
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Are gates self locking, self closing?
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Are gate latches compliant with local height requirements (to prevent reach over)?
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Are pool lights present and working?
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Is pool fence in good condition, rust free?
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Is fence free of stepholds?
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Is pump room and seals in good condition?
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Is electrical grounded in pump room?
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Are pressure gauges present ad in working condition?
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Are flow meters present and in working condition?
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Are all pipes labeled?
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Does property have appropriate chemical storage?
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Is pump area properly secured?
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Does pump area have required signage (HazCom, employee only)?
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Does pump area have adequate ventilation?
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Is equipment in acceptable/safe condition?
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Is backwash operable?
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Is filter in acceptable condition?
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Is sand maintained properly? Note date of last change.
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Is sight glass clear and in good condition?
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Are Vac alerts present and in working condition?
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Are vacumn breakers present and in working condition?
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Are GFCI's placed where needed/required?
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Are steps/ladders in good condition?
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Is tile/coping, interior of pool in good condition?
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Are depth markers/universal symbols present?
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Is belly band at 5'?
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Is toe tile in good condition?
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Are heater(s) in working condition?
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Are heaters over 200,000 BTU's inspected? Note date of last inspection.
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Are gas connections in good condition?
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Does pool signage include:
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No diving?
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Pool Rules?
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No lifeguard on duty?
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Emergency Phone?
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Emergency (911) phone directional signage?
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Pool Furniture
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Is furniture in good condition?
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Are frames stable and free of sharp edges?
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Are straps in good condition?
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Are umbrellas in proper bases?
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BBQ Grills
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Is fire extinguisher in close proximity?
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Note whether gas, charcoal, propage.
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Are grills on a shutoff timer?
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Are shutoff's located away from grills?
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Is overall condition acceptable? Grates, knobs, counters, burners, etc?
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Is metal ash bucket present?
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Sports/Tennis/Basketball Courts
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Is appropriate signage present?
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Is lighting appropriate and in working condition?
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Are wind screens present and in good condition?
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Are gates present and in good condition?
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Is fencing in good condition?
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Is decking in good condition?
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Parking Structures
Parking Structures - Note type of structure (i.e. common concrete structure, attached individual garages, detached individual garages)
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Is parking structure sprinklered? Note wet or dry system.
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Does parking structure have carbon monoxide system? Adequate in and working condition?
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Is parking structure a multiple-space concrete structure?
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Is parking structure lighting adequate?
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Are speed bumps in good condition?
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Does parking structure have adequate drainage?
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Are speed limit signs posted?
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Is parking structure free of blind spots?
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Is parking structure frame in good condition and free of rust?
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Is decking in good condition?
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Is flashing present and in good condition?
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Is striping/sealant in good condition?
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Are barrier cables in good condition?
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Is floor surface in good condition? Specify concrete or asphalt?
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Is max height limit sign present and accurate?
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Is structure free of any evidence of leaking on vehicles (check incident reports)?
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Is transition are of garage to building appropriate?
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Is structure free of shifting issues and/or trip hazards?
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Is structure free of any pedestrian hazards?
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Is emergency lighting present and in working condition?
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Is the structure clean and well maintained?
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Trash Compactors
Compactor Areas
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Does property have trash compactors?
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Are compactors owned or leased?
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Is appropriate signage present?
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Are service records maintained? Note age of motor/manufacturer.
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Are dumpster tracks in good condition?
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Are dumpster wheels in good condition?
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Note method of transport from trash chute to compactor, or compactor to pick up location. (manual/vehicle)
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Is dumpster/compactor well maintained and in good condition?
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Are enclosures present and in good condition?
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Are electrical components free from hazards?
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Is compactor motor well maintained an in working conditioin?
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Are hoses adequate and in good condition?
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Are fluids maintained? Note last inspection.
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Is access limited to employees only?
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Does compactor have start lockout for non-employees?
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Is compactor area properly ventilated?
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Is compactor area adequately lighted?
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Has compactor been tested as required by manufacturer/city?
Trash Chutes
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Does property have trash chutes?
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Are fire doors in good condition and working properly?
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Are chutes well maintained and clean? Do chutes have wash down system?
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Are chutes sprinklered? (head and tail)
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Are extinguishers present?
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Are drains present?
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Are doors free from damage?
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Boilers
Boiler System
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Does property have a boiler system?
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Is access restricted to employees only and proper signs posted on entry door?
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Is equipment well maintained and in working condition?
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Is boiler room well maintained and in clean condition?
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Are boiler rooms free from debris (not used as storage, no flammables)?
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Is boiler room adequately ventilated?
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Is emergency cutoff signage present?
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Does property maintain an inspection log? Note date of last inspection.
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Are permits up to date?
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Is fire extinguisher present?
Safety - Preventative Maint - Tools - Cat Exposures
Safety Program
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Does property currently have programs in place?
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Does property have a MSDS books in all chemical storage areas and is it up to date?
Preventative Maintenance
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Review preventative maintenance programs and note any concerns or deficiencies.
Tools
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Request/Review inventory list that will convey.
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Does property have fireproof safe/chemical storage?
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Will golf carts convey? Note specific carts.
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Are carts in good condition? Note concerns. (Brakes, tires, batteries, lights, horn, fire ext., chargers)
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Are fiberglass ladders available?
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Does property have a GFI extension cord?
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Does property have an appliance dolly and will it convey?
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Does property have a hot water heater lift set and will it convey?
PPE
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Are back braces available?
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Respirators and appropriate cartridges available?
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Gloves available?
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First aid kit present and stocked?
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Eye wash kit available and stocked?
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Goggles available?
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Is rain gear available?
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Is LOTO available and in use?
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Are bloodborne pathogen kits available?
Catastrophe Exposures
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Note earthquake exposure, if any.
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Note flood hazard, if any.
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Note hurricane exposure, if any.
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Does property have emergency response in place?
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Are emergency tools/equipment available?
Exterior - Playgrounds
Property Exterior
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Is siding in good condition? Note type.
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Is stucco in good condition?
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Is masonry in good condition?
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Is siding/stucco free from tree/landscape damage or potential damage?
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Is siding/stucco free from any evidence of water intrusion at trim areas?
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Wood Trim
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Is wood trim in good condition and free from rot? Note concerns.
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Any evidence of water damage present on trim?
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Evidence of termites?
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Evidence of carpenter ant damage?
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Foundations
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Any deficiencies? Note specific concerns.
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Soil at acceptable levels?
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Any cracks visible?
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An exposed rebar?
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Miscellaneous
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Condition of electrical boxes acceptable?
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Condition of cable boxes acceptable?
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Site map of cutoffs available. Make copy.
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Water cutoffs in good condition?
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Condition of sewer clean outs acceptable?
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Condition of electrical shutoffs acceptable?
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Condition of gas shutoffs acceptable?
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Is irrigation adequate and on separate meter?
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Is property free from water pooling/low areas?
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Are sidewalks in good condition, free of cracks and crumbles?
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Is property free of metal or plastic edging at walk areas? Note locations
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Are exterior storage areas free of damage?
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Is shop clean and organized? Stocked?
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Are laundry rooms clean and vents free of lint?
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Are dog parks well maintained and free of hazards? Have proper signage?
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Are fountains maintained and in working condition?
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Does property have exterior fencing?
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Is fence in good repair?
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Mail center available? Note condition of boxes and accessibility.
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Car washes in good condition?
Playgrounds
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Does property have a playground/playscape?
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Is playground well maintained and in good condition? Note approximate age of equipment, last inspection.
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Acceptable level of ground cover present?
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Is appropriate signage present?
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Is playground from any urgent safety concerns?
Roofing
Roofing
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Is roof in good condition. Note approximate age.
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Is decking in good condition?
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Shingles in good condition? Note type of shingle.
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Is siding in good condition?
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Are metal caps in good condition?
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Is flashing in good condition?
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Is roof edging in good condition?
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Are gutters present and in good condition? Free of debris?
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Are downspouts present and in good condition? Splash blocks present?
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Free from visible tree rubs?
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Does roof have adequate attic ventilation?
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Are dryer vents installed and free of debris/lint?
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Are ridge vents present and in acceptable condition?
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Are soffit vents in acceptable condition?
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Is attic access secure and for employees only?
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Are chimney's in acceptable condition?
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Does property conduct annual fireplace inspections? Note date of last inspection.
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Is flashing in acceptable condition?
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Is roof free from water pooling?
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Does property have stairs/wall mounted ladders to roof? Note condition.
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Are electrical disconnects/wiring for AC disconnects present, in good condition and secure?
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Are electrical disconnects/wiring for AC disconnects in conduit?
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Are cable/TV antennae's sealed and mounted appropriately?
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Are any other items mounted or connected to roof?
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Access Gates
Access Gates
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Does property have access gates? Note how many.
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Are knox locks present and in working condition?
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Does each gate have indemnification signs posted?
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Are gates free from exposed bolts or other hazards?
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Are appropriate/required guards in place?
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Is overall condition of gates acceptable?
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Are loop detectors present and in working condition?
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Are safety eyes present and in working condition?
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Are maintenance logs kept? Note last inspection.
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Is a maintenance agreement in place for gates?
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Note type and brand of opener (swing, rollup or slide)
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Are appropriate permits in place, if applicable?
Confined Spaces
Confined Spaces
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Identify all confines spaces (lift stations, meter vaults, etc.)
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Are lift stations present?
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Covers/secured?
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Note Vendor/maintenance agreement.
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Monitored? Note vendor.
Budget Items/Equipment
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Metal glass cans
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Face shields
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Moisture meter
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First aid kit
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LOTO
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Respirators
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Chemical gloves
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Hearing PPE
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Cart caddy
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Flammables cabinet
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Fiberglass ladders
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Appliance dolly
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GFI extension cord
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Back braces
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Eye wash station
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Signage -pool
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Signage - boiler rooms
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Signage-access gates
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Signage - fitness center
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Signage -cameras
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Pool safety equipment-fiberglass shepherd hook
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Pool safety - coast guard approved life ring with rope
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911 phone -working
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Golf cart fire extinguishers
Summary
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Does property have immediate repair concerns? List below.