Site Inspection Form

• Site conducted

  Select

• IMIS number

• School name

• Registered Street Address

• Principal Name

• Principal Cell Number

• Nutrition department contact number

• Nutrition contact person

• Installer Name & QC number

• Conducted on

  Date
• Location
  Address

• Approximate number of learners

1.Cage Area

• 1.1)Is there a cage?

  Yes

  No

• 1.2) Who installed it?

  Media

• Please add a photo

• 1.2) What is the condition of the cage?

  Good

  Fair

  Poor

2. Manifold Installation & exterior pipework

• 2.1 Is there a Change-over manifold present?

  Yes

  No

• 2.2 What is the condition of the changeover manifold?

  Good

  Fair

  Poor

• Please install changeover

• 2.3 Is the pipework in good condition and according to regulations?

  Yes

  No

• 2.4 Are gas pipes sleeved correctly when passing through walls? <br>a) Do Pipes take the shortest possible route through walls?<br>b) Are the pipe sleeves of sound construction? (split sleeves not acceptable)

  Yes

  No

• 2.5 Is the Pipework adequately and correctly colour coded?

  Yes

  No

• 2.6 Is the general condition of the Pipework satisfactory?

  Yes

  No

3. Kitchen & Stove

• 3.1 Is the area neat and tidy?<br>

  Yes

  No

• 3.2 How many stoves are present?

• What is the condition of stove 1

  Good

  Fair

  Poor

• What is the condition of stove 2

  Good

  Fair

  Poor

• What is the condition of stove 3

  Good

  Fair

  Poor

• What is the condition of stove 4

  Good

  Fair

  Poor

• 3.3 Is there an emergency shut off valve in the kitchen?

  Yes

  No

• 3.4 Is there an ISOLATION valve per stove if more than one stove?

  Yes

  No

4. Safety distances

• Is the stove at an acceptable distance from the window?

  Yes

  No

• Is the cage more than 30 cm under the window?

  Yes

  No

• Is the cage more than 3 meters away from boundary walls?

  Yes

  No

• Is the gas installation further than 1 meter away from door?

  Yes

  No

• Is the gas installation more than 2 meters away from an air vent or drain?

  Yes

  No

• Is the installation more than 5m away from an electrical source/ ignition point?

  Yes

  No

5. Firewall/Enclosed cage

• What is the kitchen building constructed of?

  Brick

  Shipping Container

  Zinc sheets

  Wooden Board

  Other not mentioned above

• What is the wall where the cage needs to be mounted on constructed from?

  Brick

  Shipping Container

  Zinc sheets

  Wooden Board

  Other not mentioned above

• Is a FIREWALL or ENCLOSED CAGE Recommended?

  Firewall to be erected

  Enclosed cage to be erected

  Window to be closed

  No Firewall required

• Is there a fire extinguisher on the site?

  Yes

  No

• Has it been serviced?

  Yes

  No

• Next service date?

  Date

• Does the school have running water?

  Yes

  No

• Is there sufficient lighting in the kitchen where meals are prepared?

  Yes

  No

• Is there hot water to wash and clean the dishes/ pots/ utensils?

  Yes

  No

• Is there enough fresh air circulating in the kitchen?

  Yes

  No

• Is there sufficient and dedicated areas for the kids to eat their meals?

  Yes

  No

• Please take a picture of the logbook entry that you made

  Media