Information
Monthly Facility Inspection
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Golf Facility:
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Recreation Center:
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____Pro Shop ____Maint. Yard ____Fac. Maint. ____Common Area (Check One)
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Date Inspected:
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Prepared By:
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Responsible Party (RP) (Manager / Asst. Manager:
FIRE EXTINGUISHERS:
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Check for Discharge/Pressure Loss
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Turn Over to Distribute Chemicals
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Check Annual Inspection Tag/Initial Appropriate Month on Tag
FIRST AID KIT:
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Check Items for Required Stock
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Restock as Needed
AED (Automatic External Defibrillator) Check
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Is AED in its Proper Location?
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Is the Green Power Light Blinking? (Located in the upper right hand corner)
ELECTRICAL PANELS:
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Maintain 36" Clearance in Front of Panel
FUEL TANKS:
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Auto Shut-Off Works Properly
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Fire Extinguisher in Place
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Emergency Shut-Off Accessible
CHEMICAL ROOMS, FANS & CONTAINERS:
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Fans: Clean & Running Properly 24 Hrs.a Day
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Containers: No Leaks or Spills & Properly Labeled
MSDS:
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MSDS Book Current & Up to Date
EYE / BODY WASH STATION:
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Area Clear of Obstructions:
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Signage in Place:
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Turned on, Flowing Clean Water (Plumbed Sys.)
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Flushing System in Place (Stand Alone Sys.)
SAFETY SIGNS, EMERGENCY LIGHTS, EXIT SIGNS:
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Caution Signs Properly Posted & Visable
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Emergency Lights / Exit Signs (Push Test Button)
ASSIGNED VEHICLES:
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Tires: Wear / Pressure
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Lights:
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Glass:
PERSONAL PROTECTIVE EQUIPMENT:
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Required Equipment Inspected / Replaced as Needed
PARKING LOTS / SIDEWALKS:
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Check for Raised Sidewalks, Crumbling, Cracked or Popped Blacktop / Pavement: