Title Page

  • Document No.

  • Conducted on


  • Select Location

  • Enter Humana ORFAC and Site Description

  • Location

Prepared By:

  • Who is performing this survey?

  • Please specify other group:

  • Provide your name:

  • Provide your email address:

  • Provide your phone number:

  • Personnel


  • The site surrounding the facility should be surveyed to identify compromised tree limbs and vegetation in close proximity of the buildings, windows, parking lots. Trees that pose a potential hazard to the building should be trimmed and removed. Loose debris on the site should be disposed/stored as needed.

  • Are trees touching the building, power lines, or in danger of breaking due to condition in high winds?

  • Have company trim and/or remove

  • Are power feeds to the building secure and away from trees, and other landscape items?

  • Have repaired by appropriate vendors if at risk.

  • Secure and clean up all debris and material that may become danger or damaged in high wind.

  • Signage- Inspect to insure proper mounting, remove temporary type, flags, etc.

  • Fencing/Gates- Check for proper condition and make repairs as necessary.

  • Storm drains/Catch Basins- Inspect for blocking, grate condition, and ensure that parking lots and exterior of building will drain properly.

  • Is the dumpster on wheels?

  • Have it picked up or secured to prevent wind from moving it.

  • Is the dumpster enclosure secure, and locked shut?

  • Make adjustments and repairs as necessary.


  • Disconnects/Main Feed- Check to ensure no open box and enclosures are shut and secured as required. There should not be any open conduits, boxes, exposed wires, or conduits not secured properly. Repair as necessary.

  • If there a generator on site?

  • Is there evidence of Testing log and Service?

  • Check fuel and battery for proper condition and levels. Order fuel/top off if low. Check fuel level and review fuel condition reports. Replace battery if not in working condition.

Building Exterior

  • Eaves- Look for any open areas where wind driven rain may find a way in. Repair as necessary all loose wood, metal coverings etc…. And repair as necessary.

  • Insect operation of door, hinges, glass, caulking, and latching components.

  • Inspect windows for cracks, caulking, window sills, evidence of leakage, damage, etc. and repair as necessary.

  • Inspect all vents and openings for proper installation and condition and repair as necessary.

  • Visually inspect for missing caulk, open penetrations, or other issues that will leak due to wind driven rain and repair as necessary.

  • If facility has awnings, develop a plan to remove and store when a hurricane warning is issued.

Hurricane Shutters

  • What type of hurricane shutters does facility have?

  • Ensure the closing mechanisms are exercised and oiled on a regular basis. A Preventive Maintenance plan should be implemented to conduct annual maintenance.

  • What size, how many, and where are they stored?

  • How many 4x8 sheets are needed to cover all windows, where are they stored, and/or do we need to purchase?


  • A monthly schedule of inspecting, checking and clearing of roof drains should be established from May through December. Promptly report any roof damage or concerns.

  • Inspect all roof drains and gutter systems for debris and blockage, screening, secure mounting, pitch, etc.

  • Inspect all sheet metal enclosures, covers, vent caps, HVAC units for loose or missing screws and secure properly.

  • Look for evidence of leaks, flashing issues, ballast, debris on roof, antennas, etc. for condition.

  • Lightning Rods/Arresters- Inspect mounting of hardware, cables and lighting arrester systems for condition and correct as necessary.


  • Check condition of sheet metal and repair/secure as designed, strapped down as necessary.

  • Disconnects- Ensure enclosures are closed and locked shut if required.


  • Ensure hurricane kits are complete and on site.

  • Any items to note for this site?

  • Signature

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