Facility External Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

STRUCTURE INSPECTION

• Was a visual inspection of the roof performed?

  Safe

  At Risk

  N/A

• Was a visual inspection of the rain gutter system performed?

  Safe

  At Risk

  N/A

• Was a visual inspection of the chimney performed?

  Yes

  No

  N/A

• Was the foundation inspected for visible external cracks?

  Yes

  No

  N/A

• Was a visual inspection of overhangs performed?

  Safe

  At Risk

  N/A

• Are the overhead utility feed wires secured to the facility or is underground feeds used?

  Yes

  No

  N/A

SIGNAGE

• Are external signs readable and fastening in good condition?

  Yes

  No

  N/A

• Are handicap parking areas marked clearly with approved signage ?

  Yes

  No

  N/A

• Are all hazardous areas clearly marked with warning signage?

  Safe

  At Risk

  N/A

• Are no smoking signage posted appropriately on facility? Including distance from entrance ways (50 feet)?

  Safe

  At Risk

  N/A

• Are acceptable smoking areas clearly defined and posted?

  Yes

  No

  N/A

• Are confined space areas clearly marked?

  Safe

  At Risk

  N/A

• Are road signage around building legible and visible?

  Safe

  At Risk

  N/A

GROUNDS

• Are grounds free from liter, debris and clutter?

  Yes

  No

  N/A

• Are grounds pitched away from structure to avoid water pooling?

  Safe

  At Risk

  N/A

• Is the grass, flower beds and mulching maintained in good appearance?

  Yes

  No

  N/A