Title Page
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Organisation Name
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Facility Name
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Conducted on
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Prepared by
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Address of Facility
External Inspection
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Were the playing fields / courts / playing areas flooded?
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Were the lighting towers / switch boards / distribution boards or any external electrical infrastructure flooded or damaged by the storm?
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Are there any fallen trees or branches that need to be removed?
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Is there any debris / mud that needs to be cleaned up and removed from the facility?
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Are there any fences that have been damaged by the flood / storm?
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Are there any other structures such as coaches boxes, goal posts, tartan tracks, players benches, sheds that have been damaged by the flood/storm?
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Are there any carparks or other hard surfaces that require cleaning?
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Is there any damage or cleaning required to the external walls of any buildings at the facility?
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Are there any irrigation pumps, waste water pumps etc that haven submersed and require repair/replacement?
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Are there any water tanks, holding tanks or HSTP systems which have been impacted by the flood/storm?
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Internal Inspection
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Were the clubhouse, toilets or changeroom facilities flooded?
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Is there evidence the interior has been flooded and the floors or walls have been damaged or require cleaning?
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Has the canteen or kitchen been impacted by flooding?
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Is there any equipment that has been damaged and needs to be removed from the facility?
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Is there any evidence the roof has failed or leaked?
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General Inspection
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Have the club had any loss of equipment, furniture or stock?
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Do the club have the capacity to continue their maintenance obligations of the facility?
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Additional Comments
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Any other additional comments to help with your assessment?
Additional Photos
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Additional Photos
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