Ripley Huron Community Center (complete)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• 1. Exit pack over office door of Mike's office tested, working and signed off?

  Yes

  No

  N/A

• 2. Exit pack in Lobby by Washrooms tested, working and signed off?

  Yes

  No

  N/A

• 3. Exit pack in Corridor over front patron entrance tested, working and signed off?

  Yes

  No

  N/A

• 4. Exit Pack in corridor beside venue run screen (also controls light in social room) tested, working and signed off?

  Yes

  No

  N/A

• 5. Exit pack in furnace room tested, working and signed off?

  Yes

  No

  N/A

• 6. Exit pack beside arena bell in middle of corridor tested, working and signed off?

  Yes

  No

  N/A

• 7. Exit pack on rear entrance (north) tested, working and signed off?

  Yes

  No

  N/A

• 8. Exit pack in Arena above North/West corner exit tested, working and signed off?

  Yes

  No

  N/A

• 9. Exit Pack in Arena above stands-South/East side tested, working and signed off?

  Yes

  No

  N/A

• 10. Lighting Pack on top of stairs to Auditorium (controls light in auditorium by elevator) Tested, working and signed off?

  Yes

  No

  N/A

• 11. Emergency Lighting pack in electrical room behind Canteen (controls light by Admin office and lights in stairwell from Auditorium to employee entrance tested, working and signed off?

  Yes

  No

  N/A

• Add signature

  Sign

Furnace room

• Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  Yes

  No

  N/A

• Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  Yes

  No

  N/A

• While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  Yes

  No

  N/A

• Is the inside cabinet of the unit free of debris and or water?

  Yes

  No

  N/A

• Check all fittings to ensure that they are secure, is the unit in good working order

  Yes

  No

  N/A

RUDD Acheiver

• Listen for any abnormalities in operation - does the unit sound consistent in normal operation?

  Yes

  No

  N/A

• Inspect the air filters, is the air filter clean? (replacement is 16x25x1)

  Yes

  No

  N/A

• While running take a heat temperature with the infared from the heating vents - is it blowing within normal specs?

  Yes

  No

  N/A

• Is the inside cabinet of the unit free of debris and or water?

  Yes

  No

  N/A

• Check all fittings to ensure that they are secure, is the unit in good working order

  Yes

  No

  N/A

Carrier Weather Maker

Roof Top Units

Compressor Room

Compressor 1 (70hp)

Compressor 2 (50hp)

• 1. Arena office extinguisher charged and signed off?

  Yes

  No

  N/A

• 2. Lobby extinguisher by washroom charged and signed off?

  Yes

  No

  N/A

• 3. Snack booth extinguisher located by entrance charged and signed off?

  Yes

  No

  N/A

• 4. Snack booth extinguisher by back door charged and signed off?

  Yes

  No

  N/A

• 5. Hall extinguisher by elevator charged and signed off?

  Yes

  No

  N/A

• 6. Social room extinguisher charged and signed off?

  Yes

  No

  N/A

• 7. Social Room Kitchen extinguisher charged and signed off?

  Yes

  No

  N/A

• 8. Furnace room extinguisher charged and signed off?

  Yes

  No

  N/A

• 9. Hallway by Wolves room extinguisher charged and signed off?

  Yes

  No

  N/A

• 10. Olympia room extinguisher charged and signed off?

  Yes

  No

  N/A

• 11. Olympia extinguisher charged and signed off?

  Yes

  No

  N/A

• 12, Compressor room extinguisher charged and signed off?

  Yes

  No

  N/A

• 13. Auditorium by elevator extinguisher charged and signed off?

  Yes

  No

  N/A

• 14. Auditorium kitchen extinguisher charged and signed off?

  Yes

  No

  N/A

• 15. Auditorium by rear stairwell extinguisher charged and signed off?

  Yes

  No

  N/A

• Add signature

  Sign

First Aid box by office

• Is Regulations 1101 present

• Current edition of a standard St John's First Aid Manual

• 12 adhesive dressings individually wrapped

• 4 sterile gauze pads 3" square

• 2 rolls of gauze bandages 2" wide

• 2 field dressings, 4 inches square or 2 four-inch sterile bandage compresses

• 1 Triangular Badage

First Aid Kit in Olympia Room

• Is Regulations 1101 present

• Current edition of a standard St John's First Aid Manual

• 12 adhesive dressings individually wrapped

• 4 sterile gauze pads 3" square

• 2 rolls of gauze bandages 2" wide

• 1 Triangular Badage

• 2 field dressings, 4 inches square or 2 four-inch sterile bandage compresses

First Aid kit in Social Room Kitchen

• Is Regulations 1101 present

• Current edition of a standard St John's First Aid Manual

• 12 adhesive dressings individually wrapped

• 4 sterile gauze pads 3" square

• 2 rolls of gauze bandages 2" wide

• 2 field dressings, 4 inches square or 2 four-inch sterile bandage compresses

• 1 Triangular Badage

First Aid Kit in Auditorium Kitchen

• Is Regulations 1101 present

• Current edition of a standard St John's First Aid Manual

• 12 adhesive dressings individually wrapped

• 4 sterile gauze pads 3" square

• 2 rolls of gauze bandages 2" wide

• 2 field dressings, 4 inches square or 2 four-inch sterile bandage compresses

• 1 Triangular Badage

Building exterior/parking lot

• Are all outside areas safe and accessible?

  Yes

  No

  N/A

• Are walkways clear of snow or obstruction?

  Yes

  No

  N/A

• Are all lights working?

  Yes

  No

  N/A

• Are the entrance ways clean and free of debris (cigarette butts)?

  Yes

  No

  N/A

Arena Lobby/Corridors

• Are floors clean and free of debris or slip/trip hazards?

  Yes

  No

  N/A

• Are walls clean and smudge free?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are garbage receptacles adequate and clean?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Offices

• Are offices clean and tidy on and around desks

  Yes

  No

  N/A

• Is there proper storage or filing systems in place?

  Yes

  No

  N/A

• Is the floor clean and free of debris?

  Yes

  No

  N/A

• Are the walls clean and smudge free?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Food Booth/Electrical storage room

• Counters and Sinks clean and free of bacteria?

  Yes

  No

  N/A

• Floor swept and clean free of debris and bacteria

  Yes

  No

  N/A

• Fridge and walk in freezer clean and in good condition?

  Yes

  No

  N/A

• Electrical storage room is clean and organized?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Lobby Washrooms

• Are Sinks, mirrors and toilets clean and in working order?

  Yes

  No

  N/A

• Are the hand dryer/paper towel dispensers clean and in good working order?

  Yes

  No

  N/A

• Are the hand soap pumps clean, full and in good working order?

  Yes

  No

  N/A

• Toilet paper holders stocked and in working condition?

  Yes

  No

  N/A

• Are stall dividers clean and in good working condition?

  Yes

  No

  N/A

• Floors swept/cleaned and free of debris?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are Ceiling tiles stain free and in there proper place?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Social Room/Social Room Kitchen

• Counters and Sinks clean and free of bacteria?

  Yes

  No

  N/A

• Floor swept and clean free of debris and bacteria

  Yes

  No

  N/A

• Fridge/freezer clean and in good condition?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are tables, clean, properly stored and in good condition?

  Yes

  No

  N/A

• Are Ceiling tiles stain free and in there proper place?

  Yes

  No

  N/A

• Is program equipment stored adequately and out of the way?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Auditorium/Auditorium Kitchen

• Counters and Sinks clean and free of bacteria?

  Yes

  No

  N/A

• Floor swept and clean free of debris and bacteria

  Yes

  No

  N/A

• Are window (exterior and interior) clean and free of smudges?

  Yes

  No

  N/A

• Fridge/freezer clean and in good condition?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are tables, clean, properly stored and in good condition?

  Yes

  No

  N/A

• Is program equipment stored adequately and out of the way?

  Yes

  No

  N/A

• Stage Is clean and free of debris?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Auditorium Washrooms

• Are Sinks, mirrors and toilets clean and in working order?

  Yes

  No

  N/A

• Are the hand dryer/paper towel dispensers clean and in good working order?

  Yes

  No

  N/A

• Are the hand soap pumps clean, full and in good working order?

  Yes

  No

  N/A

• Toilet paper holders stocked and in working condition?

  Yes

  No

  N/A

• Are stall dividers clean and in good working condition?

  Yes

  No

  N/A

• Floors swept/cleaned and free of debris?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• Are Ceiling tiles stain free and in there proper place?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Dressing Rooms

• Are Sinks, mirrors and toilets clean and in working order?

  Yes

  No

  N/A

• Are the showers clean working and mould free?

  Yes

  No

  N/A

• Are the hand dryer/paper towel dispensers clean and in good working order?

  Yes

  No

  N/A

• Are the hand soap pumps clean, full and in good working order?

  Yes

  No

  N/A

• Toilet paper holders stocked and in working condition?

  Yes

  No

  N/A

• Are stall dividers clean and in good working condition?

  Yes

  No

  N/A

• Floors swept/cleaned and free of debris?

  Yes

  No

  N/A

• is there adequate lighting in walking and work areas, record any burnt out bulbs.

  Yes

  No

  N/A

• Are the air return/heat vents clean and dust free?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Arena

• Players Benches are swept, clean and supplies (pucks, pylons and skate aids) are neatly stored

  Yes

  No

  N/A

• Rink glass is clean smudges on no more than 20% of surface?

  Yes

  No

  N/A

• Ice surface is smooth with no large ruts or snow build up

  Yes

  No

  N/A

• Stands are swept, mopped, clean and free of debris or trip hazards?

  Yes

  No

  N/A

• Safety tape on step edges is intact/visible and in good condition?

  Yes

  No

  N/A

• Are all rink lights lit? Any outages to report?

  Yes

  No

  N/A

• Are garbage receptacles clean and in good order?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Olympia Room

• Are tools put away in an orderly fashion and in good condition?

  Yes

  No

  N/A

• Is there adequate storage and shelving? Is the shelving in good condition and safe?

  Yes

  No

  N/A

• Is the floor clean and free of debris or chemicals that may damage ice surface?

  Yes

  No

  N/A

• Do the room doors open smoothly when tested?

  Yes

  No

  N/A

• Are the walls clean and free of mould and smudges?

  Yes

  No

  N/A

• Is the beer cooler clean, locked and in working condition?

  Yes

  No

  N/A

• Are the spare Olympia blades stored and secured in a safe location?

  Yes

  No

  N/A

• Are the Olympia propane tanks turned off?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

Compressor Room

• Is the floor clean and free of debris or chemicals?

  Yes

  No

  N/A

• Is paint stored in a safe manner and the cabinet secured?

  Yes

  No

  N/A

• Is there adequate storage and is the current storage in good condition?

  Yes

  No

  N/A

• Are the walls clean and free of mould and smudges?

  Yes

  No

  N/A

• Do the doors latch and open easily for quick egress?

  Yes

  No

  N/A

• If everything passes click Yes/if work required click no and report on additional issues

  Yes

  No

  N/A

• Add signature

  Sign