Post-Storm MASTER Checklist

• Document Number: PostSC16-0

• Location:
  Address

• Date/Time:

  Date

Outer Property

Outer property

• Select item

  Select Pool Spa Yard Outbuildings Vehicles Mother-in-law Unit

  • Pool
  • Spa
  • Yard
  • Outbuildings
  • Vehicles
  • Mother-in-law Unit

• Any debris in pool?

  Yes

  No

  N/A

• Has cover remained secure? If not, is it missing/damaged?

  Yes

  No

  N/A

• Any missing/damaged pool furniture/items that could not be brought in?

  Yes

  No

  N/A

• Is pool pump functioning?

  Yes

  No

  N/A

• Any additional info?

• Is spa cover missing/damaged?

  Yes

  No

  N/A

• Any debris in spa?

  Yes

  No

  N/A

• Is spa pump functioning?

  Yes

  No

  N/A

• Any additional info?

• Any trees, limbs or brush that need to be removed or has damaged the property

  Yes

  No

  N/A

• Is the fence, gates and access points intact, or damaged?

  Yes

  No

  N/A

• Any items in yard that are missing/damaged?

  Yes

  No

  N/A

• Any missing/damaged recycling bins, or trash containers?

  Yes

  No

  N/A

• Any additional info?

• Are all windows, doors and other exits intact and secure?

  Yes

  No

  N/A

• Any leaks, flooding, or issues with exterior of structure?<br>

  Yes

  No

  N/A

• Any loose items missing/damaged?

  Yes

  No

  N/A

• Any additional info?

• Vehicle type

  Select Car Truck SUV Motorcycle Boat RV

  • Car
  • Truck
  • SUV
  • Motorcycle
  • Boat
  • RV

• Any damage to vehicle left outside?

  Yes

  No

  N/A

• Is vehicle locked and secure?

  Yes

  No

  N/A

• Is vehicle cover missing/damaged?

  Yes

  No

  N/A

• Any additional info?

• Are all windows, doors and other exits intact and secure?

  Yes

  No

  N/A

• Any leaks, flooding, or issues with exterior of structure?

  Yes

  No

  N/A

• Any loose items missing/damaged?

  Yes

  No

  N/A

• Any additional info?

Exterior of Residence

• Are all windows, doors and other exits intact and secure?

  Yes

  No

  N/A

• Any leaks, flooding, or issues with exterior of structure?

  Yes

  No

  N/A

• Any loose items missing/damaged?

  Yes

  No

  N/A

• Any other areas on exterior of structure that need attention, or are damaged?

  Yes

  No

  N/A

• Description:

Interior of Residence

• Are windows, doors and vents secure and undamaged?

  Yes

  No

  N/A

• Any large electronic items that either need to be unplugged, or have the power strip turned off?

  Yes

  No

  N/A

• Any other items, or issues that need to be addressed inside of residence?

  Yes

  No

  N/A

• Description:

Final checklist notes, attachments and signature

• Final concerns, immediate action items or issues that need to be addressed?

  Yes

  No

  N/A

• Michael Lane

  Sign