QCP Inspection template

• Agreement Name

• Park

• Park sub Area
  Address

• Park Operator

• Conducted on

  Date

• Prepared by

• Level of Service

  Select Highly Developed Developed Moderate Basic Rustic

  • Highly Developed
  • Developed
  • Moderate
  • Basic
  • Rustic

• Days per week

  Select 1 2 3 4 5 6 7

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7

• Season

  Select Operating Season Winter Season Off-Season

  • Operating Season
  • Winter Season
  • Off-Season

C - 1 TABLES AND BENCHES

• Recommended - 10%

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

C - 2 Garbage and Recycle Containers

• Recommended - 20%

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

C - 3 FIRE RINGS

• Recommended - 10% of fire rings, barbecue attachments, wood stoves, other fire enclosures

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

D - 1 GATES, BARRIER POSTS, FENCES

• Recommended - 2 ( +10% Fence) of removable barrier posts, traffic control gates, fences

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

D - 2 INFORMATION SHELTERS

• Recommended - 2 of info shelter, info kiosks, info huts, other shelters (including picnic)

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

D - 3 ELEVATED STRUCTURES AND BARRIERS

• Recommended - All of footbridges, boardwalks, viewing platforms, timber stairs, timber steps, railings and barriers, elevated tent platforms, equestrian facilities

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

D - 4 BOAT LAUNCHES

• Recommended - All

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

D - 5 WARVES, DOCKS, RAMPS

• Recommended - All wharves, docks, ramps and swim floats

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

D - 6 BUOYS, FLOATING MARKERS, ANCHORS

• Recommended - 10% of mooring marker buoys, swim area marker buoys, diving marker buoys, anchor blocks and chains

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected?

  yes

  no

  N/A

D - 7 SIGNS

• Recommended - 10% of campsite number posts, vehicle signs, pedestrian signs, type A signs, boundary markers - corporate, portal

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

E - 1 GRAVEL CAMPSITES AND TENT PADS

• Recommended - 10% of single, double, pull through, walk-in, group, rustic

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

E - 2 BEACHES

• Recommended - 10% of area

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

E - 3 LAWNS AND PICNIC AREAS

• Recommended - 10% of area of day use lawn areas, group site lawn, park entrance areas, roadway shoulders, back/side slopes, medians and landscaped areas

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

E - 4 PLAYGROUNDS

• Recommended - All

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

F - 1 INDIVIDUAL TOILETS

• Recommended - 20%

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

F - 2 TOILET AND SHOWER BUILDINGS

• Recommended - All

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

F - 3 SERVICE BUILDINGS

• Recommended - 2 (+ all service yards) of residence buildings, service yard shops/garages/office buildings, equipment/vehicle/boat shelters, volatile materials shed, nature houses, gate houses, pump houses, power distribution buildings, generator sheds, garbage/recycling storage buildings, any other building or structure inhabited or supplied for the purpose of conducting parks operations business within a specified area

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

G - 1 WATER SUPPLY, STORAGE, TREATMENT

• Recommended - All Hand pump wells, potable water wells, potable water lake intakes, potable water treatment systems, pressure tanks, reservoirs

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspecte

  yes

  no

  N/A

G - 2 WATER DISTRIBUTION SYSTEMS

• Recommended - All water distribution water mains, potable water and irrigation distribution systems, isolation valves, pressure reducers, check valves and back flow prevention, air release valves, vacuum release valves, distribution kiosks, valve chambers, manholes, dry wells and rock pits, low point drains, fire hydrants/standpipes

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

G - 3 STANDPIPE TAPS, HAND PUMPS, ASSOCIATED DRAINS

• Recommended - All hand pumps, drinking fountains, standpipe water taps, catch basin drains

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

G - 4 EFFLUENT DISPOSAL PIPING, PUMPS, TANKS, FIELDS

• Recommended - All septic tanks, packaged treatment plants, lift stations and other effluent pump systems, Sani-station, disposal fields

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

H - 1 PARK ROADS AND TRAILS - GRAVEL

• Recommended - 10% of gravel park roadways, gravel parking areas, concrete traffic barriers, gravel walkways and surrounds, gravel type I and II trails, type III, IV and V trails

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspecte

  yes

  no

  N/A

H - 2 PARK ROADS AND TRAILS - PAVED

• Recommended - 10% of paved roadways, parking areas, traffic barriers, type I and II paved trails, hard surfaced sidewalks and paths, traffic counters and detection loops

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A

H - 3 DRAINAGE

• Recommended - 10% of culverts, catch basins, storm drainage manholes, waterbars, trash grates and racks

• Actual

  10 %

  20%

  2

  all

  other (explain below)

• Inspected

  yes

  no

  N/A
Other

• Inspected

  yes

  no

  N/A