Luke's Risk Assessment Survey

• Conducted on

  Date

• Prepared by

• Location
  Address

• Club Name

• Insured Name

• Asset

• Service Team

• Area

• Account Manager

• Number of Buildings

Building Details

• Building Name/ Description

• Year Built

• Number of Storeys

• Approximate Building Size (m2)

• Is the building heritage listed

  Yes

  No

• When was the building last valued for reinstatement

• Age of the electrical switchboards

• Do you have Thermal Imaging Scans of all electrical switchboards at least annually

  Yes

  No

• Renovations/Updates undertaken and date in last 5 years

  Yes

  No

• When were the updates/renovations completed?

• What were the renovations/updated?

• External wall material

  Select Masonry Concrete panel Fibro Timber Metal sheet Other

  • Masonry
  • Concrete panel
  • Fibro
  • Timber
  • Metal sheet
  • Other

• If other what is the construction

• Wall Frames

  Timber

  Metal

  Masonry

  Concrete

  Other

• If other what are the walls constructed of?

• Roof Material

  Select Metal sheet Terracotta tile Tile Fibro Concrete Asbestos Metal sheet with skylights

  • Metal sheet
  • Terracotta tile
  • Tile
  • Fibro
  • Concrete
  • Asbestos
  • Metal sheet with skylights

• What percentage of the roof is asbestos?

• Roof Frames

  Metal

  Timber

  Mixed metal and timber

  Other

  Concrete

• What is the roof frame constructed of?

• Age of Roof

• Ground floor material (combustible or non-combustible)

  Select Non-combustible Combustible Mixed construction (timber and concrete or metal components)

  • Non-combustible
  • Combustible
  • Mixed construction (timber and concrete or metal components)

• Ground floor material if mixed construction type

  Select Concrete Timber Steel Other

  • Concrete
  • Timber
  • Steel
  • Other

• If other please state the construction material

• Percentage of floor constructed of combustible material

• Upper floor(s) material (combustible or non-combustible)

  Select Non-combustible Combustible Mixed construction (timber and concrete or metal components)

  • Non-combustible
  • Combustible
  • Mixed construction (timber and concrete or metal components)

• Upper floor material if mixed construction type

  Metal

  Timber

  Mixed metal and timber

  Other

  Concrete

• Upper floor material if mixed construction type percentage

• Kitchen floor(s) material (combustible or non-combustible)

  Select Non-combustible Combustible Mixed construction (timber and concrete or metal components)

  • Non-combustible
  • Combustible
  • Mixed construction (timber and concrete or metal components)

• EPS (Expanded Polystrene) walls (i.e. cold rooms) % of total wall material

• Is there any ACP (Aluminium Composite Panelling) walls, external or internal

  Yes

  No

• ACP (Aluminium Composite Panelling) walls, external % or lineal metre

• Is there any pre-existing damage to any ACP/EPS

  Yes

  No

• what is the damage?

• Solar Panels installed

  Yes

  No

• Solar panels ownership and maintenance

• Solar Panels - number

• Solar Panels - KW

• Asbestos present in the building?

  Yes

  No

• What percentage of overall construction is asbestos?

• Asbestos Register in place and maintained

  Yes

  No

• Is the property vacant?

  Yes

  No

• Is there any pre-existing damage to the building/contents/plant and machinery

  Yes

  No

• Overall building condition at the date of inspection

  Good

  Satisfactory

  Poor

• Comment on overall condition of the building

Gaming Room

• Internal or external (smoking)

  Internal

  External (smoking)

• How many poker machines?

• How many poker machines are located in the outdoor smoking room(s)

• How often are the poker machines cleared?

• What time of the day are the poker machines cleared?

• Is the club closed whilst the poker machines are emptied?

  Yes

  No

• Are the poker machines cleared of all cash at closing each night with doors left open

  Yes

  No

• Does the club have KENO

  Yes

  No

• Does the club have a TAB or similar?

  Yes

  No

• How is the area protected or safeguarded from weather events

• How is the area protected from burglary, theft and malicious damage

CRT Machine

• How many CRTs?

• Where is the CRT located?

• Is the club closed whilst the CRT is being emptied?

  Yes

  No

• Is the CRT covered by CCTV?

  Yes

  No

• Is the CRT covered by the alarm sensor(s)

  Yes

  No

• Is the CRT cleared of all cash and left open each night?

  Yes

  No

• Industrial Special Risks (ISR)

  Yes

  No

• Business Pack Property

  Yes

  No

• Public and Products Liability

  Yes

  No

• Professional Indemnity

  Yes

  No

• Management Liability

  Yes

  No

• Personal Accident - Bowlers

  Yes

  No

• Voluntary Workers

  Yes

  No

• Personal Accident - other Sports

  Yes

  No

• Please list the activities

• Machinery / Equipment Breakdown

  Yes

  No

• Electronic Equipment

  Yes

  No

• Cyber

  Yes

  No

• Corporate Travel

  Yes

  No

• Motor Vehicle

  Yes

  No

• Landlords

  Yes

  No

• Journey

  Yes

  No

• Tax Audit

  Yes

  No

• General Property

  Yes

  No

• Flood cover required

  Yes

  No

• Automatic fire sprinklers - throughout the building

  Yes

  No

• Automatic fire sprinklers - partly covered

  Yes

  No

• Fire Indicator Panel (FIP) system installed

  Yes

  No

• FIP Monitored by Fire Brigade

  Yes

  No

• FIP Monitored by Security Company

  Yes

  No

• Fire Hydrants onsite (Club responsibility)

  Yes

  No

• Fire Hydrants offsite (not Club's responsibility)

  Yes

  No

• Fire Hydrant Flow Tests (onsite)

  Yes

  No

• Fire Hydrant Flow Tests (offsite)

  Yes

  No

• Smoke Detectors - hardwired

  Yes

  No

• Smoke Detectors - hardwired and monitored by Fire Brigade

  Yes

  No

• Smonke Detectors - hardwired and monitored by Security Company

  Yes

  No

• Fire Blanket(s)

  Yes

  No

• Fire Hose Reels

  Yes

  No

• Fire Extinguishers

  Yes

  No

• Fire Department

  Full time

  Part time

  Volunteer

• Connected to Mains/Town Water

  Yes

  No

• Detail water supply if not connected to mains/town water

• Where are the premises located?

• Description of Business

• General information about the business

• Provide list of other sporting activities conducted

• Any accommodation provided

  Yes

  No

• Revenue (Bar and Bottle Shop)

• Revenue (Membership Subscriptions)

• Revenue (Catering)

• Revenue (Bowls)

• Revenue (Golf)

• Revenue (Gaming)

• Revenue (Other)

• Revenue (100%)

• Employees (Full Time)

• Employees (Part Time)

• Employees (Casuals)

• Directors

• Volunteers

• Members - Registered Bowlers

• Members - Registered Golfers

• Members - Casual

• Members - Other Sporting Membership Details

• Alarm System

  Select Back to base alarm with GSM back up Local alarm (not monitored) No alarm system

  • Back to base alarm with GSM back up
  • Local alarm (not monitored)
  • No alarm system

• Alarm - Local Siren

  Yes

  No

• Security Company Name

• Security Company Response Time (minutes)

• Random Patrols by Security

  Yes

  No

• Alarm System Polling

  Yes

  No

• Automatic Security Lights

  Yes

  No

• Security escort employees at close of business

  Yes

  No

• Alarm monitored by Employees/Directors

  Yes

  No

• Deadlocks on all doors

  Yes

  No

• Deadlocks on some doors

  Yes

  No

• Standard key locks on doors

  Yes

  No

• No locks on doors

  Yes

  No

• Other type of door locks

• Keyed window locks (on other windows that aren't fixed or have bars on them)

  Yes

  No

• Fixed Windows

  Yes

  No

• Bars / Security Grills on Windows

  Yes

  No

• Window security - other

  Yes

  No

• Electronic keypad swipe card access to doors

  Yes

  No

• Bollards in front of main entrances

  Yes

  No

• Security Fencing and Gates (locked at night)

  Yes

  No

• CCTV

  Yes

  No

• Number of CCTV cameras

• CCTV Coverage

  Select Full coverage internal and external Partial coverage

  • Full coverage internal and external
  • Partial coverage

• Duress buttons onsite

  Yes

  No

• Duress buttons portable

  Yes

  No

• Duress button in the Alarm Panel

  Yes

  No

• Roller doors adequately locked

  Yes

  No

• Other physical security measures in place

• Any improvements to physical security protection in the next 12 months

• Caterers

  Yes

  No

• Greenkeepers

  Yes

  No

• Cleaners

  Yes

  No

• Security Company

  Yes

  No

• Professional Money Carriers

  Yes

  No

• Kitchen Canopy and Filter Cleaners

  Yes

  No

• Fire Maintenance

  Yes

  No

• Other Contractors

• Bar(s)

  Yes

  No

• Lounge Area

  Yes

  No

• Auditorium

  Yes

  No

• Gaming Room

  Yes

  No

• Kitchen(s)

  Yes

  No

• Kitchen - Number

  Yes

  No

• Locker Room(s)

  Yes

  No

• Bistro

  Yes

  No

• Bowling Greens (grass)

  Yes

  No

• Bowling Greens (grass) - Number

• Bowling Greens (synthetic)

  Yes

  No

• Bowling Greens (synthetic) - Number

• Golf Course

  Yes

  No

• Golf Course - Number of Holes

• Golf Driving Range

  Yes

  No

• Golf Carts

  Yes

  No

• Golf Carts - Number

• Tennis Court(s)

  Yes

  No

• Tennis Court(s) - Number

• Tennis Court(s) surface

  Yes

  No

• Other Sporting Facilities

• Other Facilities

• Child Minding Facilities

  Yes

  No

• Children's Play Area

  Yes

  No

• Jumping Castle (Club Owned)

  Yes

  No

• Jumping Pillow

  Yes

  No

• Bowling Green Cover / Canopy - Permanent

  Yes

  No

• Bowling Green Cover / Canopy - Retractable

  Yes

  No

• Laundry Facilities

  Yes

  No

• Croquet Green

  Yes

  No

• Accommdation

  Yes

  No

• List activities outside normal club activities

• Entertainment

  Yes

  No

• Public & Products - Limit of Liability

• Property in Care, Custody and Control - Limit

• Professional Indemnity - Limit of Indemnity

• Excess

• Members Liability - Limit of Liability

• Insurer Proposal(s), Renewal Declaration(s) completed and in client file in OT

  Yes

  No

• Buildings(s)

• Contents, Plant & Machinery, Stock

• Stock

• Total Declared Value - Section 1

• Removal of Debris

• Flood

• Bowling Greens (grass)

• Bowling Greens (synthetic)

• Other Playing Surfaces

• Landscaping

• Gates, Fences and Retaining Walls

• Awnings and Shades

• Other Green Structures

• Claim Preparation Costs

• Additionally; Increased Costs of Working (AICOW)

• Gross Profit (excluding wages)

• Dual Basis Payroll = % of wages for the remainder period

• Dual Basis Payroll - Amount of wages for the remainder period

• Total Declared Value - Section 2

• Total Declared Value - Section 1 and 2 Combined

• Loss of Rent / Rent Receivable

• Basic Excess

• Storm Excess

• Bushfire Excess

• Other Excess

• Indemnity Period

• Uninsured Working Expenses

• Year of Last Insurance Valuation

• Theft

• Theft without forcible or violent entry

• Theft in the open air

• Money In Transit

• Money on the premises during business hours

• Money - Locked in Safe

• Money - in ATM

• Money - in CRT

• Money in Gaming Machines

• Money on the premises unsecured outside business hours

• Money in private residence

• Money in Dual Key Drop Safe

• Strongroom

  Yes

  No

• Money counting room

  Yes

  No

• CCTV Coverage in Strongroom/Money Counting Room

  Yes

  No

• Duress Button in the Strongroom/Money Counting Room

  Yes

  No

• Locking Mechanism for Strongroom/Money Counting Room

  Yes

  No

• Time Delay Lock for Strongroom/Money Counting Room

  Yes

  No

• Time Delay Length on the Strongroom/Money Counting Room

  Yes

  No

• Safe inside the Strongroom/Money Counting Room

  Yes

  No

• Safe - Main

  Yes

  No

• Safe - Main Location

• Locking mechanism for Main Safe

  Yes

  No

• Time Delay Lock on Main Safe

  Yes

  No

• Time Delay Length on Main Safe

  Yes

  No

• Drop Safe

  Yes

  No

• Are Safes Torch and Drill Resistant (TDR)?

  Yes

  No

• How often is the money banked?

• Who banks the money?

• How many ATMs?

• How far from the front entrance?

• Is the ATM bolted to the floor/wall?

  Yes

  No

• Is the ATM covered by CCTV?

  Yes

  No

• Is the ATM covered by the alarm sensor(s)

  Yes

  No

• Who is responsible for the money in the ATM?

• Is the club closed whilst the ATM is being emptied?

  Yes

  No

• Is the ATM cleared of all cash and left open each night?

  Yes

  No

• How many Kitchens?

• Restaurant/Kitchen Name

• Does the Kitchen have Deep Fat Fryer(s)?

  Yes

  No

• Number of Deep Fat Fryers?

  Yes

  No

• Types of Deep Fat Fryers

  Free standing

  Bench top

  Other

• What type of other deep fryer

• What size/how many litres of oil do the Fat Fryers hold?

• Are the Deep Fat Fryers thermostatically controlled?

  Yes

  No

• Are the Deep Fat Fryers vats equipped with metal lids?

  Yes

  No

• Is there wok cooking?

  Yes

  No

• Does the Kitchen have a range-hood canopy and flue ductwork

  Yes

  No

• How often is the canopy and flue ductwork cleaned?

• When was the last time the canopy and flue ductwork was cleaned?

  Date

• How often are the filters in the canopy cleaned?

• Who is responsible for cleaning the filters, canopy and flue ductwork?

• Is there a Fire Suppression System installed in the canopy?

  Yes

  No

• What Type of Fire Suppression System is installed?

  Yes

  No

• Is the Fire Suppression System Manual or Automatically activated?

  Yes

  No

• Fire Extinguishers

  Yes

  No

• Fire Extinguishers - Type

  Select CO2 Dry Powder Wet Chemical

  • CO2
  • Dry Powder
  • Wet Chemical

• Fire Blanket(s)

  Yes

  No

• Advise the business operators experience in the industry (years)

• Are all Fat Fryers thermostatically controlled?

  Yes

  No

• Gas - Emergency Gas Shut Off in the kitchen or accessible in the event of a kitchen fire?

  Yes

  No

• Gas - is the Gas shut off manually (or automatically) every night after close of business?

  Yes

  No

• Glass cover required?

  Yes

  No

• Glass exposure

  Yes

  No

• Internal Glass cover required

  Yes

  No

• Glass Signs Cover

  Yes

  No

• Any claims in the last 5 years under any policies?

  Yes

  No

• Please provide detail of the claims in the last 5 years

• Detail Public Liability Claims in the last 5 years

• All other claims on any policies list here

• Claims provided are confirmed by current and previous underwriters

  Yes

  No