PPI Inspection Form-Safety

• Prepared by

• Conducted on

  Date

• Property Name and Quarter

Leasing Office/Clubhouse (8 points)

• Electrical power cords not spliced/frayed & organized (1 point)

  Yes

  No

  N/A

• HVAC closet/Mechanical Room not used for storage (1 point)

  Yes

  No

  N/A

• Electrical panels have 36” of clearance (1 point)

  Yes

  No

  N/A

• Fire extinguisher (min rating 12B) present, charged & mounted (3 points)

  Yes

  Partial Risk (-1)

  Partial Risk (-2)

  No

  N/A

• Fire extinguisher inspected monthly & 36” of clearance (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

Pool (22 Points)

• Safety goggles, gloves & dust masks present (w/chemicals) (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Eyewash center accessible & not expired (w/chemicals) (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• 3E Safety Data Sheet (SDS) sign displayed w/chemicals (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Chemicals stored properly (labeled, sealed, not stacked) (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Chemical storage area dry, locked & well ventilated (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Water-filled fire extinguisher present in pump room/chemical storage area and is inspected monthly (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Handrails Secure and Stable (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Each depth of pool clearly marked on either pool deck or grease tiles (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Water quality and chemical levels for pool/spa are within an acceptable range (4 points) Note: Pool/Spa will be cleared of residents if unable to identify the main drain covers.

  Select Yes Partial Risk (-1) Partial Risk (-2) Partial Risk (-3) No N/A

  • Yes
  • Partial Risk (-1)
  • Partial Risk (-2)
  • Partial Risk (-3)
  • No
  • N/A

• TX and NC Only: Emergency phone is operable <br>To test, push the button and tell the operator you are testing the line (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

If multiple enclosed amenity buildings, these apply to them (7 points)

• HVAC closet/Mechanical Room not used for storage (1 point)

  Yes

  No

  N/A

• Electrical panels have 36" of clearance (1 point)

  Yes

  No

  N/A

• Fire extinguisher (min rating 12B), present, charged & mounted (3 points)

  Yes

  Partial Risk (-1)

  Partial Risk (-2)

  No

  N/A

• Fire extinguisher inspected monthly & 36" of clearance (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

Maintenance Shop (68 points):

• Maintenance Shop(s) Locked (2 points)

  Yes

  No

  N/A

• Smoke Detector Functional (2 points)

  Yes

  No

  N/A

• No evidence of smoking in the shop(s) or on golf carts (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Inventory Organized (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• 3E Safety Data Sheet (SDS) sign displayed (2 Points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Each section of Refrigerant Log (Charging, Recovery & Purchase) (3 points) Up to Date (2000RS- use Daily Mechanical Log)

  Yes

  Partial Risk (-1)

  Partial Risk (-2)

  No

  N/A

• Refrigerant stored properly *Must be stored in a locked storage room or be secured with a continuous cable lock and attached to a permanent structure in the shop. NOTE: Refrigerant jugs that are partially full and in use for day to day repairs can be stored on the golf carts or in the shop. (3 points)

  Yes

  Partial Risk (-1)

  Partial Risk (-2)

  No

  N/A

• Chemicals in secondary containers properly labeled (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Goggles for each maintenance employee (on person, in tool bag or golf cart) (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Leather or Nitrile-coated work gloves for each maintenance employee on person, in tool bag or golf cart. (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Medical Kit in place and accessible (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Eye wash center accessible & not expired (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Current Labor Law and Workers’ Comp Poster Present <br>The Publication numbers for the up-to-date posters are as follows: NC: NC-0723-F04 | TN: TN-0723-F04 | TX: TX-0723-F04 | VA: VA-0723-f04 | GA: GA-0723-F04 (1 point)

  Yes

  No

  N/A

• Employee Injuries Postings Present (flowchart & providers) (1 point)

  Yes

  No

  N/A

• Electrical power cords (incl. tools) not spliced/frayed & organized (1 point)

  Yes

  No

  N/A

• Extension cords not spliced/frayed & have GFCI protection (2 points)

  Yes

  No

  N/A

• HVAC closet/Mechanical Room not used for storage (1 point)

  Yes

  No

  N/A

• Electrical junction or switch boxes covered w/ no exposed wiring (1 point)

  Yes

  No

  N/A

• Fire extinguisher (min. rating 12B) present, charged & mounted (3 points)

  Yes

  Partial Risk (-1)

  Partial Risk (-2)

  No

  N/A

• Fire extinguisher inspected monthly & 36" of clearance (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Flammables (NOT compressed gas) stored in Flammable Storage Cabinet* *Flammables include oil-based paints, paint thinners, goof off, & aerosol cans such as paint, enamels, WD-40 and Pesticides. Items that should NOT be stored in flammables cabinet include gasoline, acetylene or map gas and latex paint (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Gasoline stored in metal safety can, NOT in Flammables Cabinet (1 point)

  Yes

  No

  N/A

• Compressed Gas Cylinders stored in a manner that prevents them from tipping over (chained/bungeed to wall or another stable item) (2 points)

  Yes

  No

  N/A

• Oxygen cylinders secured at least 20 ft. away from gasoline, acetylene/map & Flammables Storage Cabinet (1 point)

  Yes

  No

  N/A

• Compressed gas cylinders regulator removed unless in use (1 point)

  Yes

  No

  N/A

• Electrical panels have 36" of clearance, breakers labeled, and knockouts are in place (3 points)

  Yes

  Partial Risk (-1)

  Partial Risk (-2)

  No

  N/A

• Exits free of obstructions (1 point)

  Yes

  No

  N/A

• Exit sign for each door (not including garage door) visible from entire shop & sign letters are ≥ 6” tall (1 point)

  Yes

  No

  N/A

• Ladders good condition/metal ones labeled not for electrical use (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Lock Out/Tag Out kit present and stocked (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Fall protection harness, lanyard & anchor are in good condition (3 points)

  Yes

  Partial Risk (-1)

  Partial Risk (-2)

  No

  N/A

• All electric tools used on a tabletop must be mounted. Ex: table saw (1 point)

  Yes

  No

  N/A

• If present, bench grinder standards posted & grinder in compliance with standards. Dedicated googles & dust masks present (4 points)

  Select Yes Partial Risk (-1) Partial Risk (-2) Partial Risk (-3) No N/A

  • Yes
  • Partial Risk (-1)
  • Partial Risk (-2)
  • Partial Risk (-3)
  • No
  • N/A

• If present, sprinkler heads have 18” of clearance (1 point)

  Yes

  No

  N/A

• If present, emergency lighting is operational (1 point)

  Yes

  No

  N/A

• Walk Areas Free of Clutter (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• No Chemical Drain Cleaners Present (2 points) <br>NOTE: Chemical drain cleaners are prohibited. If any chemical drain cleaners are present supervisor must be notified during the inspection and drain cleaner discarded in an appropriate manner

  Yes

  Partial Risk (-1)

  No

  N/A

Secondary Maintenance Shops & Storage Areas (8 points)

• Large Parts/Appliances Not Visible to Residents (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• All Parts/Appliances/Materials should be properly stored for safe handling (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Area Not Overflowing (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

• Fence/Enclosure/Garage/Space in Good Repair (2 points)

  Yes

  Partial Risk (-1)

  No

  N/A

Other (25 points)

• • Props w/ interior sprinklers: Vacant-ready sprinkler heads are free of paint overspray, dirt, grime, not covered in dust, and free of any damages. <br> All or 0 Points (10 points)

  Yes

  No

  N/A

• Riser Rooms/Mechanical Rooms not used for storage (5 points)

  Select Yes Partial Risk (-1) Partial Risk (-2) Partial Risk (-3) Partial Risk (-4) No N/A

  • Yes
  • Partial Risk (-1)
  • Partial Risk (-2)
  • Partial Risk (-3)
  • Partial Risk (-4)
  • No
  • N/A

• Condition of Sidewalks – Free of Trip Hazards (5 points)

  Select Yes Partial Risk (-1) Partial Risk (-2) Partial Risk (-3) Partial Risk (-4) No N/A

  • Yes
  • Partial Risk (-1)
  • Partial Risk (-2)
  • Partial Risk (-3)
  • Partial Risk (-4)
  • No
  • N/A

• Property Lights are in Good Repair (i.e., globes, fixtures, etc.) (5 points)

  Select Yes Partial Risk (-1) Partial Risk (-2) Partial Risk (-3) Partial Risk (-4) No N/A

  • Yes
  • Partial Risk (-1)
  • Partial Risk (-2)
  • Partial Risk (-3)
  • Partial Risk (-4)
  • No
  • N/A
Additional Comments

• undefined

SAFETY SUBTOTAL

• Points Possible

• Points Received