DOT Hurricane Sandy Site Assessment

• Document No.

• Audit Title

• Address

• Conducted on

  Date

• Prepared by

• Select date

  Date

• Division

  Select Bridges Roadway Repair Sidewalk and Inspection Management Ferries Traffic and Planning Other

  • Bridges
  • Roadway Repair
  • Sidewalk and Inspection Management
  • Ferries
  • Traffic and Planning
  • Other
• Enter address
  Address

• Borough

  Select Brooklyn Bronx Manhattan Queens Staten Island

  • Brooklyn
  • Bronx
  • Manhattan
  • Queens
  • Staten Island

Water Damage

• Is there any flood water observed inside the building?

  Yes

  No

  N/A

• Is there evidence of water damage observed?

  Yes

  No

  N/A

• Is wet sheetrock observed?

  Yes

  No

  N/A

• Is there any sewage observed?

  Yes

  No

  N/A

• Are there any signs of contamination observed?

  Yes

  No

  N/A

• Is there a wet, musty odor detected?

  Yes

  No

  N/A

• Is there any physical mold observed?

  Yes

  No

  N/A

Exterior Physical damage

• Is there any physical damage observed such as hanging gutters, pipes, shingles, damaged roof?

  Yes

  No

  N/A

• Are any beams observed bent, broken or leaning?

  Yes

  No

  N/A

Safety hazards

• Does the facility have power?

  Yes

  No

  N/A

• Are any electrical wires down?

  Yes

  No

  N/A

• Are any exposed wires observed?

  Yes

  No

  N/A

• Are any fallen or hanging trees or branches observed?

  Yes

  No

  N/A

• Are there any blocked entrances or exits?

  Yes

  No

  N/A

Comments

• Add further information