Building Survey

Administration

  • Have all previously reported defects been rectified?

  • Have accident records been reviewed to identify hazards?

Building Description

  • Building Type

  • Describe building main usage

  • Number of students

  • Age Range of Students

  • Average number of staff present during normal business hours

  • Max Occupancy

  • Concession Stand Present?

  • Building's primary use

  • Describe:

  • Are Vehicles/Riding equipment stored overnight?

  • Average number of vehicles stored overnight

  • Types of vehicles/equipment stored overnight (check all that apply)

  • Describe other vehicle types

  • Vehicle/equipment fuel kept on site?

  • Fuel stored safely

  • Describe fuel hazards

  • Fuel Storage hazards

  • Average number of staff present during normal business hours

  • Regular business Hours

  • Max Occupancy

  • Concession Stand Present

  • number of playing fields

  • Playing field surface

  • Field/Turf condition

  • Hazards present?

  • Describe hazards

  • Field/Turf hazards

  • Describe field surface

  • Swimming Pool present

  • Condition of pool deck

  • Pool perimeter 100% fenced

  • Condition of pool machinery

  • Lifesaving equipment present?

  • Lifeguards present when pool is open?

  • Diving board(s) present?

  • Diving board condition?

  • Diving board hazards present

  • Diving boards

  • Slide present?

  • Slide condition

  • Anti-entrapment device present?

  • Pool VGBPA compliant?

  • GFCI Outlets present

  • Playground(s) present?

  • Check all equipment present

  • describe other playground equipment

  • Playground equipment condition

  • Describe playground hazardous conditions

  • Hazardous Playground conditions

  • Play Surface type

  • Surfacing meets minimum depth requirements

  • Play surface extends 6' in all directions around playground equipment?

  • Play surface condition?

  • Portable classrooms present

  • # of portable structures?

  • Steps and porch surfaces in good repair with anti-slip materials on surfaces?

  • Describe hazards and locations

  • Step/Stair hazards

  • Exterior lighting?

  • Bleachers present

  • Bleacher Type

  • Bleacher Construction

  • Describe Construction

  • Guard Rails present on backs and open ends of bleachers

  • Guard Rails ≥ 42" in height

  • Openings ≥ 4" in guardrail sections?

  • Tread/Anti-skid protection present on all stairs

  • Bleachers inspected annually

  • Who is responsible for inspecting bleachers?

  • Construction of bleachers allow access to the sides, underside, or beneath the bleacher structures?

  • Outside Group/Community use of facilities

  • Permits required for use?

  • Certificates of Insurance required

  • Hold Harmless agreements required

  • Security provided by

  • Are all fields/playing surfaces fenced?

  • Note where fencing is inadequate

  • Construction

  • Are broken windows/doors present?

  • Water intrusion possible?

  • Roof Type

  • Roof Condition

  • Hazards Present

  • Describe Hazards and their locations

  • Roof Hazards

  • Roof Cover

  • Roof cover type description:

  • Foundation

  • % Below grade

  • Max depth

Building Systems

  • Plumbing

  • Date of last update to plumbing

  • Hazards noted

  • Please explain rating

  • Identify hazards

  • Location(s)

  • Leaks in plumbing noted

  • Identify other hazards

  • Other Hazards

  • Electrical System

  • Explain N/A

  • Hazards Present

  • Explain rating

  • Choose Hazards

  • Describe

  • Breaker Panel Hazard(s) identified

  • Describe

  • Improper panel wiring

  • Breaker panel space not filled in

  • Combustible material < 36" from panel

  • Panel Cover Missing

  • Note Location

  • Improper Use of extension cords

  • Note location(s)

  • Please describe

  • Junction Box

  • Percentage of building with Knob and tube wiring

  • Knob and Tube wiring

  • Percentage of building with Aluminum wiring

  • Aluminum Wiring present

  • Note location(s)

  • Wiring/Cables/Cords present slip/trip/fall hazard

  • Recommendations for improving LOTO procedures

  • Heating/Cooling

  • Hazards Present

  • Explain NA rating

  • Hazardous conditions:

  • Location(s) of combustible materials hazard

  • Combustible materials within 36"

  • Describe other hazard

  • Locations of improper window unit installation

  • Window units improperly installed

  • Waste Oil Heaters in use

  • Suspended heaters improperly secured

  • Mold growth noted in ducts

  • Location of mold growth

  • Central ACE units improperly secured

  • Location(s) of improperly secured Central AC unit

  • Exposed heating element present

  • Exposed heating element location(s)

  • Is boiler located within a reinforced area?

  • Where is Boiler located?

  • Is boiler adequately segregated from the interior

  • Boiler location

  • Is Boiler inspected annually

  • Photo of boiler certification

Operational and Occupancy Hazards

  • Hazardous Chemical Use and Storage

  • HAZCOM policies adequate

  • recommendations for HAZCOM policy improvement

  • Hazardous Chemical Storage Adeqaute

  • Are all hazardous chemicals properly labeled?

  • Are all flammable chemicals stored in a non-flammable or metal cabinet?

  • Is access to hazardous chemicals restricted to authorized personnel?

  • Chemical usage is appropriate and below toxicity levels

  • Commercial Cooking operations

  • Commercial Kitchen present

  • Hood and Filter present

  • Last inspection date

  • Filter Cleaning schedule adequate

  • AES Present?

  • Last Inspection date

  • All cooking surfaces covered by AES

  • All nozzles in good condition?

  • Gym/Auditorium Present

  • Secure guards over all lighting

  • Hazards present

  • Describe nature and locations of hazards

  • Gym lighting hazards

  • Bleacher Seating and walking surfaces in good condition

  • Bleacher Hazards

  • Retractable basketball backboards fastened securely

  • Walls behind backboards properly padded?

  • Wood Shop Present

  • Dust Collection system present and in good condition

  • Describe dust control methods in place

  • Housekeeping Rating

  • Rating explanation:

  • Adequate fire protection present

  • Machine guarding adequate

  • Location(s) of inadequate machine guarding

  • Inadequate machine guarding

  • Machine Shop Present

  • Machine guarding adequate and appropriate

  • Inadequate/Improper Machine guarding

  • Location of inadequate/improper machine guarding

  • Describe machinery present

  • Who has access to the machinery and machine shop?

  • Welding/Cutting Operations Present

  • Is Welding done in a safe manner?

  • Welding Operations photo

  • Are compressed gases stored appropriately?

  • Compressed gas storage

  • Unsafe welding operations noted?

  • Unsafe welding/cutting operations

  • Fitness Equipment/Weight Room Present

  • Equipment present (check all that apply)

  • Describe other equipment

  • Condition of equipment

  • Hazards present?

  • Describe hazards

  • Fitness equipment/Weight Room hazards

  • Is equipment regularly inspected and maintained

  • Who maintains the equipment? (department, individual (provide name), outside contractor?)

  • Hazards present?

  • Describe hazards

  • Fitness equipment/Weight Room hazards

  • Equipment properly secured to floor?

  • Hazards present?

  • Describe hazards

  • Fitness equipment/Weight Room hazards

  • Weight racks present?

  • Hazards present?

  • Describe hazards

  • Fitness equipment/Weight Room hazards

  • Weight rack condition

  • Hazards present?

  • Describe hazards

  • Fitness equipment/Weight Room hazards

Exterior Hazard

  • Emergency Exits Present

  • Describe Emergency Exit procedures

  • Exits adequately illuminated?

  • Describe location of exit

  • Emergency Exit not adequately illuminated

  • Adequate number of exits provided?

  • Describe emergency exit hazarsd

  • Emergency exit hazard

  • Doors equipped with panic hardware

  • Exterior Doors swing out?

  • Emergency Exit hazard and location

  • Emergency exit hazard

  • Exterior Stairs Present

  • Exterior stair construction

  • Exterior stair condition

  • Describe exterior stair hazard and location

  • Exterior Stair hazards

  • Hand rails > 42" high?

  • Vertical balusters less than 4" apart?

  • Treads in good condition

  • Exterior stair tread hazard(s) and locations

  • Exterior stair tread hazards

  • Exterior lighting

  • Describe lighting hazards and their locations

  • Exterior lighting hazards

  • Driveways/Roadway condition

  • Describe roadway/Driveway hazards and locations

  • Driveway/Roadway hazards

  • Parking lots present?

  • Square footage

  • Parking surface

  • Describe parking surface

  • Parking Lot condition

  • Describe Parking lot hazard conditions and locations

  • Parking lot hazard(s)

  • Snow Removal services

  • Who is responsible for snow/ice removal at the location

  • Certificates of Insurance obtained?

  • Name of contractor

  • Underground snow/ice melt system in place?

Protections/Detection

  • Sprinkler System Present

  • Percentage of building covered by Sprinkler System

  • Type of Sprinkler System

  • Sprinkler System Inspected Annually

  • Date of last sprinkler system inspection

  • Hazards present?

  • Describe hazards

  • Sprinkler System hazards

  • Alarm systems present

  • Monitored alarm system

  • Name of monitoring agency/company

  • Security system features (Check all that apply)

  • Describe other security system features

  • Fire extinguishers present

  • Hazards present?

  • Describe hazards

  • Fire Extinguisher hazards

  • Type(S) of Fire extinguishers present

  • Describe Fire Extinguisher

  • Adequate number of Fire Extinguishers present?

  • Hazards present?

  • Describe hazards

  • Fire Extinguisher hazards

  • Emergency lighting

  • Hazards present?

  • Describe hazards

  • Emergency Lighting hazards

  • Building accessible to emergency services and first-responders

  • Describe restrictions on accessibility?

Policies and Procedures

  • Written Fire Prevention Plan

  • Plan Administrator name

  • Procedures to control accumulations of flammable and combustible waste?

  • Fire safety training provided to employees?

  • Emergency Evacuation routes and maps posted

  • Exits discharge directly to building exterior?

  • Describe building egress

  • Elevators?

  • Capacity

  • Number of elevators

  • Elevators inspected

  • Last insepction date

  • HAZCOM adequate

  • All chemicals properly labeled and clearly marked?

  • Chemicals unlabeled

  • Safety training provided to employees

  • Flammable materials present

  • Types of combustibles present

  • Ergonomics Safety and Health Program

  • Walkways uneven, slippery, or obstructed?

  • Uneven, slippery, or obstructed walkways

  • Housekeeping

  • Inadequate housekeeping controls

  • Interior Lighting

  • Inadequate interior lighting

  • Excessive noise

  • Noise reducing PPE available to all employees

  • Computer workstations present

  • adjustable chairs and computer monitors present?

  • Claims or complaints of discomfort or injury from workstation use

  • Safety Committee in use?

  • Lock-out/Tag-out policies and procedures adequate

  • EAP written and available to employees

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