Prospective Risk Control Inspection

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

AMERIND RISK CONTROL – PRE-WRITTEN BUSINESS – SURVEY & RISK ASSESSMENT

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  • General Information

  • Business Name

  • Location Address

  • Broker Contact

  • Contact Person

  • Type of Business

  • Industry Classification (NAICS/SIC Codes)

  • Date of Survey

  • Surveyor Name/Title

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  • Building Information

  • Building Age

  • Construction Type (Fire-resistive, Non-combustible, Ordinary, etc.)

  • Square Footage

  • Occupancy Type

  • Number of Stories

  • Roof Type and Condition

  • Electrical System (Year updated, Condition, Breaker types)

  • Heating, Ventilation, and Air Conditioning (HVAC)

  • Plumbing System (Age, Condition, Any history of leaks)

  • Fire Protection Systems (Fire alarms, Sprinkler systems, Fire extinguishers, Standpipe systems)

  • Security Systems (CCTV, Alarms, Access Control)

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  • Operations Overview

  • Nature of Operations

  • Number of Employees

  • Hours of Operation

  • Hazardous Materials or Processes

  • Products or Services

  • Any Special Regulatory Requirements (OSHA, EPA, etc.)

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  • Property Hazards

  • Fire Risk Assessment

  • Fire load, Ignition sources, Combustibility of contents, Proximity to fire services.

  • Flood Zone Information

  • Earthquake Zone

  • Windstorm Risk

  • Nearby Exposures (e.g., neighboring businesses, potential hazards from surrounding areas)

  • Condition of Fire Walls and Separations

  • History of Property Damage (Fire, Water, Wind, etc.)

  • Liability Hazards

  • Public Access

  • Condition of parking lots, sidewalks, entrances/exits, lighting

  • Premises Maintenance

  • Slip/trip/fall hazards, Snow/ice removal procedures

  • Safety Signage

  • Proper signage in hazardous areas, evacuation routes

  • Contractual Exposures

  • Subcontractors, Vendors, Tenants - any hold harmless agreements or waivers?

  • Employment Practices

  • Written policies, Training programs, Incident reporting

  • Premises Liability

  • Incidents involving third parties, Condition of equipment (elevators, escalators, etc.)

  • Safety and Loss Control Programs

  • General Safety Programs

  • Written safety programs, Safety committees, Ongoing training

  • Employee Safety Training

  • Job-specific training, Use of PPE (personal protective equipment)

  • Incident Response

  • Procedures for handling incidents or injuries, Reporting and record-keeping

  • Risk Transfer Procedures

  • Contracts, Certificates of insurance, Subcontractor insurance verification

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  • Recommendations for Risk Improvement

  • Property: List any improvements to reduce fire, natural disaster, or property risks

  • Liability: Highlight changes to reduce premises or operational liability

  • Other Observations: Any general risk control or safety improvements suggested

  • Exterior/Interior Photos: Include clear and descriptive images of the premises, potential hazards, or points of concern

  • Overall Risk Assessment

  • Low, Medium, High based on surveyed factors.

  • Underwriting Recommendations

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.