EVFPD Camp Inspection Form

• Program:

• Program number:

• Client / Site

• Camp name or number:

• Conducted on

  Date

• Prepared by

• Location
  Address

• Camp Director:

• Camp staff:

General Camp Standards

• A 5M clearance from the bush line around entire camp?

  Yes

  No

  N/A

• Explosives magazine at least 240M away from camp?

  Yes

  No

  N/A

• Trailers reasonably level?

  Yes

  No

  N/A

Electrical & Fire

• Has the electrical system been inspected by a qualified electrician?

  Yes

  No

  N/A

• When was the last inspection?

  Date

• Power lines elevated and marked in camp?

  Yes

  No

  N/A

• Are all damp areas ground fault protected?

  Yes

  No

  N/A

• Does the electrical system conform to the electrical code?

  Yes

  No

  N/A

• Do the electrical panel boxes conform to the electrical code?

  Yes

  No

  N/A

• Proper grounds on all electrical?

  Yes

  No

  N/A

• Are all fire extinguishers conforming to NFPA No. 10? (Standard for portable fire extinguishers)

  Yes

  No

  N/A

Sump or Holding Tanking

• Is the sump or holding tank fenced in or covered and marked?

  Yes

  No

  N/A

• Sewage pipes entering into holding tanks?

  Yes

  No

  N/A

Propane

• Is propane bullet properly labelled as per TDG/ WHMIS Regulations?

  Yes

  No

  N/A

• Are all ends of propane tanks and relief valves facing away from trailers?

  Yes

  No

  N/A

• Are propane supply lines protected from routes of travel?

  Yes

  No

  N/A

Fuel storage

• Does it have proper product identification on all 4 sides?

  Yes

  No

  N/A

• Is it 7.5 meters away from the nearest corner of any structure?

  Yes

  No

  N/A

• Does it have 110% containment or a spill plan?

  Yes

  No

  N/A

• Does it contain environment clean up equipment?

  Yes

  No

  N/A

• Does it contain fire extinguishers (min 2)

  Yes

  No

  N/A

Miscellaneous

• Are all camp steps, landings and walkways clear of ice, snow and debris?

  Yes

  No

  N/A

• All outside doorways have adequate lighting?

  Yes

  No

  N/A

• Are all windows clear of affixed coverings?

  Yes

  No

  N/A

• Do all windows open with ease?

  Yes

  No

  N/A

Health and Hygiene

• Has the water been tested by a local health board prior to use?

  Yes

  No

  N/A

• Date water was tested

  Date

• Are all bed linens and mattresses sanitary?

  Yes

  No

  N/A

• Is there adequate shower facilities? (1 shower per 11 people)

  Yes

  No

  N/A

• Is there an adequate amount of urinals? (1 urinal per 25 people)

  Yes

  No

  N/A

• Women's facility provided as needed?

  Yes

  No

  N/A

• Is there a laundry service?

  Yes

  No

  N/A

• Is the pest control adequate?

  Yes

  No

  N/A

• Is there an adequate number of toilets? (1 toilet per 5 people)

  Yes

  No

  N/A

• Is the heating and ventilation adequate?

  Yes

  No

  N/A

• Is the sewage system properly maintained and in good working order?

  Yes

  No

  N/A

• Is there adequate garbage disposal facilities to prevent accumulation of garbage?

  Yes

  No

  N/A

Generator Room

• Is the area well marked with signs?

  Yes

  No

  N/A

• Does it have restricted access?

  Yes

  No

  N/A

• Is hearing protection available?

  Yes

  No

  N/A

• Does it have safety glasses available?

  Yes

  No

  N/A

• Are hard hats available?

  Yes

  No

  N/A

• Does it have emergency lighting?

  Yes

  No

  N/A

• Does it have a 10A fire extinguisher mounted near the entrance?

  Yes

  No

  N/A

• Is there a first aid kit available?

  Yes

  No

  N/A

• Is the adequate ventilation?

  Yes

  No

  N/A

• Eye wash station available?

  Yes

  No

  N/A

• Is the generator grounded?

  Yes

  No

  N/A

Kitchen and Dinning Room

• Is there a hood flood system?

  Yes

  No

  N/A

• Date it was inspected:

  Date

• Is there a high output exhaust fan?

  Yes

  No

  N/A

• Are facilities present to keep food cold during serving time?

  Yes

  No

  N/A

• Is the temperature at 4C?

  Yes

  No

  N/A

• Are facilities present to keep food hot during serving time?

  Yes

  No

  N/A

• Is the temperature at 60C?

  Yes

  No

  N/A

• Is food being stored outside?

  Yes

  No

  N/A

• Is the food protected from the elements and vermin's in sealed containers?

  Yes

  No

  N/A

• Does the walk in freezers have a fire axe on the inside?

  Yes

  No

  N/A

• Does the catering staff comply with local health codes?

  Yes

  No

  N/A

• Is the floor clear of flammable liquids caused by leaks from lines or containers?

  Yes

  No

  N/A

• Are all chemicals and cleaning agents properly labelled and stored away from food preparation areas?

  Yes

  No

  N/A

• Fire alarm pull stations in kitchen and dinning room?

  Yes

  No

  N/A

• Garbage cans away from food preparation areas with lids on them?

  Yes

  No

  N/A

• Covers over light sources under hood?

  Yes

  No

  N/A

• All dry food storage off the floor?

  Yes

  No

  N/A

• Adequate washing areas for food preparation and dish washing?

  Yes

  No

  N/A

• Is there hand soap for kitchen personnel and latex gloves?

  Yes

  No

  N/A

End to End Camps

• Is there 2 fire exits in rooms with occupancy greater than 20?

  Yes

  No

  N/A

• Are the exit signs illuminated?

  Yes

  No

  N/A

• Emergency lighting available in rooms with occupancy greater than 20?

  Yes

  No

  N/A

• Service rooms in sleeping units have heat detector connected to an outside alarm?

  Yes

  No

  N/A

• Service rooms have a cold air intake?

  Yes

  No

  N/A

• Do all doorways have steps?

  Yes

  No

  N/A

• Do all steps have handrails?

  Yes

  No

  N/A

Enclosed Camps (Additional Requirement's)

• Has every module had the fire detection system inspected?

  Yes

  No

  N/A

• Date of last inspection:

  Date

• 10A mounted fire extinguisher at each entrance?

  Yes

  No

  N/A

• Does every entrance have a pull station?

  Yes

  No

  N/A

• Does every entrance have a landing?

  Yes

  No

  N/A

• Does every hallway have illuminated exit signs at each outside door?

  Yes

  No

  N/A

• Emergency lighting in every hallway?

  Yes

  No

  N/A

• Is a building layout map indicating emergency equipment clearly visible in the hallway?

  Yes

  No

  N/A

Policies and Proceedures?

• Safety material available?

  Yes

  No

  N/A

• Communication system adequate?

  Yes

  No

  N/A

• Internet available?

  Yes

  No

  N/A

• Near miss reports available?

  Yes

  No

  N/A

• PPE available if required?

  Yes

  No

  N/A

• Documentation displayed?

  Yes

  No

  N/A

• ERP

• Fire muster plan and list

• Drug and Alcohol policy statement

• Petroleum Safety Council Guidelines

• Mission statement and guiding principles

• WCB notice to employees

• MSDS

• Hazard maps

• Chaining notes

AUDIT SIGN OFF

• HSE officer/ Inspector

  Sign

• Date Signed

  Date

• Note: Local regulation may have additional requirements. These standards were derived from the various Federal and Provincial Codes and Regulations.

• General notes: