Facilities & Remote Sites inspection

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

Kitchen / TOC (ext)

• Exterior condition serviceable<br>(painted, no rust/stains)

  Yes

  No

  N/A

• Exterior lights working

  Yes

  No

  N/A

• Exterior plumbing serviceable

  Yes

  No

  N/A

Kitchen

• Door and handle operate correctly

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Floor covering serviceable

  Yes

  No

  N/A

• Water heater operational and no leaks

  Yes

  No

  N/A

• No water leaks - faucets, lines, drain and water cooler

  Yes

  No

  N/A

• All cupboards and drawers serviceable

  Yes

  No

  N/A

• Exhaust fan operational, covers in place/no nests

  Yes

  No

  N/A

• Electrical outlets serviceable

  Yes

  No

  N/A

• Add all Tag# for A/C's

• A/C operational / filter clean

  Yes

  No

  N/A

• Windows/fly screens serviceable

  Yes

  No

  N/A

• Roof serviceable

  Yes

  No

  N/A

• Stoves/ovens work

  Yes

  No

  N/A

• Microwave works

  Yes

  No

  N/A

• Fridge works

  Yes

  No

  N/A

• Tag #:

• Tag #:

• Freezer works

  Yes

  No

  N/A

• Tag #:

• Tag #:

• Fire extinguisher correctly charged/serviced

  Yes

  No

  N/A

TOC

• Door and handle operate correctly

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Floor covering serviceable

  Yes

  No

  N/A

• Electrical outlets serviceable

  Yes

  No

  N/A

• Add all Tag# for A/C's

• A/C operational / filter clean

  Yes

  No

  N/A

• Windows/fly screens serviceable

  Yes

  No

  N/A

• Roof serviceable

  Yes

  No

  N/A

• Fire extinguisher correctly charged/serviced

  Yes

  No

  N/A

Accommodations (ext)

• Exterior condition serviceable

  Yes

  No

  N/A

• Exterior lights working

  Yes

  No

  N/A

• Exterior plumbing serviceable

  Yes

  No

  N/A

Accommodation

• Doors and handles operate correctly

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Floor covering serviceable

  Yes

  No

  N/A

• Electrical outlets serviceable

  Yes

  No

  N/A

• Add all Tag# for A/C's

• A/C operational / filter clean

  Yes

  No

  N/A

• Windows/fly screens, curtains serviceable

  Yes

  No

  N/A

• Roof serviceable

  Yes

  No

  N/A

• Beds serviceable

  Yes

  No

  N/A

• Smoke detectors operational, sufficient quality

  Yes

  No

  N/A

• Fire extinguisher correctly charged/serviced

  Yes

  No

  N/A

Ablution (ext)

• Exterior condition serviceable

  Yes

  No

  N/A

• Exterior lights working

  Yes

  No

  N/A

• Exterior plumbing serviceable

  Yes

  No

  N/A

Ablution

• Doors and handles operate correctly

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Floor covering serviceable

  Yes

  No

  N/A

• Windows/fly screens serviceable

  Yes

  No

  N/A

• Toilets/urinals serviceable, no leaks

  Yes

  No

  N/A

Solar panels

• Solar panel free of condensation, leak free

  Yes

  No

  N/A

• Solar panels clean and dirt free

  Yes

  No

  N/A

Grease Trap

• Grease trap clean<br>(must be cleaned out EVERY day)

  Yes

  No

  N/A

Inspection Chambers

• Checking for flooding, broken covers and evidence that solids are being put down the kitchen sink or directly into the septic tank.

• Septic lines are clear and not leaking

  Yes

  No

  N/A

Main electrical panel

• Cover the photo cell with aluminum to activate the perimeter lights for inspection purpose.

1st aid / change room (ext)

• Exterior condition serviceable

  Yes

  No

  N/A

• Exterior lights working

  Yes

  No

  N/A

1st aid / change room

• Doors and handles operate correctly

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Floor covering serviceable

  Yes

  No

  N/A

• Exhaust fan operational, covers in place

  Yes

  No

  N/A

• Electrical outlets serviceable

  Yes

  No

  N/A

• Add all Tag# for A/C's

• A/C operational / filter clean

  Yes

  No

  N/A

• Roof serviceable

  Yes

  No

  N/A

• Smoke detectors operational

  Yes

  No

  N/A

Store room (ext)

• Exterior condition serviceable

  Yes

  No

  N/A

• Exterior lights work

  Yes

  No

  N/A

Store room

• Doors and handles operate correctly

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Floor covering serviceable

  Yes

  No

  N/A

• Exhaust fan operational, covers in place

  Yes

  No

  N/A

• Electrical outlets serviceable

  Yes

  No

  N/A

• Roof serviceable

  Yes

  No

  N/A

Showers (ext)

• Exterior condition serviceable

  Yes

  No

  N/A

• Exterior plumbing serviceable and no leaks

  Yes

  No

  N/A

Showers

• Doors and handles operate correctly

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Floor covering serviceable

  Yes

  No

  N/A

• Windows/fly screens serviceable

  Yes

  No

  N/A

• Shower tray and soap dish serviceable

  Yes

  No

  N/A

• Shelf, mirror, paper towel holder serviceable

  Yes

  No

  N/A

• Sink, faucets and drains operational, without leaks

  Yes

  No

  N/A

• Hooks serviceable

  Yes

  No

  N/A

• Showers sealed and clean

  Yes

  No

  N/A

Water supply

• Water tanks serviceable, to include lids and latches

  Yes

  No

  N/A

• Water lines, pipes, valves and sight tubes serviceable

  Yes

  No

  N/A

• Water pumps serviceable

  Yes

  No

  N/A

Sunshade/patio/fitness area

• Support structure clean and painted

  Yes

  No

  N/A

• All lights work

  Yes

  No

  N/A

• Roof serviceable

  Yes

  No

  N/A

• Patio tiles and concrete unbroken

  Yes

  No

  N/A

• Flags, halyards serviceable

  Yes

  No

  N/A

• Flag poles operational, clean and painted

  Yes

  No

  N/A

Bunkers

• Entrance is clear

  Yes

  No

  N/A

• Floor area is firm and intact

  Yes

  No

  N/A

• No obstructions

  Yes

  No

  N/A

• Grenade trap is clear and serviceable

  Yes

  No

  N/A

• Vertical members are sound (no gaps)

  Yes

  No

  N/A

• Roofing members are sound and seated correctly

  Yes

  No

  N/A

• No major timber defects

  Yes

  No

  N/A

• Spacing of support beams even

  Yes

  No

  N/A

Blast walls

• Outer surface of blast walls intact

  Yes

  No

  N/A

• No major defects or faults

  Yes

  No

  N/A

• Walls at correct height<br>(what is the correct height)

  Yes

  No

  N/A

Perimeter fence / lights

• i. Check for any signs of tampering or damage, built up of sand or garbage.
  ii. Cover the photo cell on the main exterior electrical panel to activate perimeter lights, check to ensure all lights are functional.

• Perimeter fence in good condition<br>(including the concertina)

  Yes

  No

  N/A

• Perimeter lights functional

  Yes

  No

  N/A

Main Gate / drop arm barrier

• Painted/marked correctly

  Yes

  No

  N/A

• Lift arm gate serviceable

  Yes

  No

  N/A

• Vehicle access gate serviceable

  Yes

  No

  N/A

• Wire serviceable

  Yes

  No

  N/A

Tower

• Ladder and safety rails secure and painted

  Yes

  No

  N/A

• Door catch and latch serviceable

  Yes

  No

  N/A

• Add all Tag# for A/C's

• A/C operational / filter clean

  Yes

  No

  N/A

• Counter serviceable

  Yes

  No

  N/A

• Glazing serviceable (windows)

  Yes

  No

  N/A

• Painted interior and exterior

  Yes

  No

  N/A

• Light operational

  Yes

  No

  N/A

Generators

• Generator serviceable and clean

  Yes

  No

  N/A

• Tag #:

• Generator Hours

• Tag #:

• Generator Hours

• Fuel filter clean

  Yes

  No

  N/A

• Air filter clean

  Yes

  No

  N/A

• Oil level (take pic of dip stick)

  Yes

  No

  N/A

• Sound barrier walls in place

  Yes

  No

  N/A

POL

• Containment pads operational

  Yes

  No

  N/A

• Hoses, valves and fittings secure

  Yes

  No

  N/A

• Tanks painted and marked correctly

  Yes

  No

  N/A

Septic Tank / Leech System

• Septic/Leech tanks operational

  Yes

  No

  N/A

• Leech field does not smell

  Yes

  No

  N/A

• Septic tank not filled with solids

  Yes

  No

  N/A

• Site Commander understands Septic System

  Yes

  No

  N/A

• Misc. (any thing not on this form that needs reporting)

• General Comments / Issues from the Site Commander:

• Site Commander's Signature:

  Sign

• Inspector's Signature:

  Sign

• Once the report is completed and all parties are happy, the report must be sent to the following pers. Make sure to email to site as to provide them with the full report on the spot. This process expedites the work order procedures. Send as both PDF.
  
  
  feowospvr@mfo.org
  fenc@mfo.org
  rsnco1@mfo.org