1.0 - Previous inspection 2.0 - Facilites
2.1 -AC / HVAC / Duct Work
Minimal Risk
Potential Risk
At Risk
Checked
2.2 - Bleachers
Minimal Risk
Potential Risk
At Risk
Checked
2.3 - Electrical
Minimal Risk
Potential Risk
At Risk
Checked
2.4 - Entry / Exit / Labels and Markings
Minimal Risk
Potential Risk
At Risk
Checked
2.5 - Handrails / Stairs / Platforms / Elevators
Minimal Risk
Potential Risk
At Risk
Checked
2.6 - Fire Systems / Extinguishers
Minimal Risk
Potential Risk
At Risk
Checked
2.7 - Defibrillators / Eye Flush / First Aid
Minimal Risk
Potential Risk
At Risk
Checked
2.8 - Display Case / Storage Cabinets / Shelving
Minimal Risk
Potential Risk
At Risk
Checked
2.9 - Flooring
Minimal Risk
Potential Risk
At Risk
Checked
2.10 - Hazardous / Flammable / Ventilation / MSDS
Minimal Risk
Potential Risk
At Risk
Checked
2.11 - Interior / Exterior Structure
Minimal Risk
Potential Risk
At Risk
Checked
2.12 - Plumbing / Leaks
Minimal Risk
Potential Risk
At Risk
Checked
2.13 - Restrooms
Minimal Risk
Potential Risk
At Risk
Checked
2.14 - Stage / Lighting / Rigging
Minimal Risk
Potential Risk
At Risk
Checked
2.15 - Wall Mount / TV / Speaker / Lighting
Minimal Risk
Potential Risk
At Risk
Checked
2.16 - Misc
Minimal Risk
Potential Risk
At Risk
Checked
3.0 - Grounds
3.1 - Bleachers / Stairs / Handrails<br><br>
Minimal Risk
Potential Risk
At Risk
Checked
3.2 - Electrical
Minimal Risk
Potential Risk
At Risk
Checked
3.3 - FDC / Water / Gas Mains
Minimal Risk
Potential Risk
At Risk
Checked
3.4 - Fencing / Gates
Minimal Risk
Potential Risk
At Risk
Checked
3.5 - Grades / Footings / Drainage
Minimal Risk
Potential Risk
At Risk
Checked
3.6 - Plumbing / Leaks / Sprinklers
Minimal Risk
Potential Risk
At Risk
Checked
3.7 - Posting / Curb Markings
Minimal Risk
Potential Risk
At Risk
Checked
3.8 - Shade Structures
Minimal Risk
Potential Risk
At Risk
Checked
3.9 - Sport Courts
Minimal Risk
Potential Risk
At Risk
Checked
3.10 - Walkways / Sidewalks / Parking Lots
Minimal Risk
Potential Risk
At Risk
Checked
3.11 - Misc
Minimal Risk
Potential Risk
At Risk
Checked
4.0 - Playgrounds
4.1 - Fall Zones / Height Requirements
Minimal Risk
Potential Risk
At Risk
Checked
4.2 - Fencing / Gates
Minimal Risk
Potential Risk
At Risk
Checked
4.3 - Grades / Footings
Minimal Risk
Potential Risk
At Risk
Checked
4.4 - Head Entrapments / Entanglement
Minimal Risk
Potential Risk
At Risk
Checked
4.5 - Play Structure Condition
Minimal Risk
Potential Risk
At Risk
Checked
4.6 - Shade Structure
Minimal Risk
Potential Risk
At Risk
Checked
4.7 - Surface Material / Depth
Minimal Risk
Potential Risk
At Risk
Checked
4.8 - Misc
Minimal Risk
Potential Risk
At Risk
Checked
5.0 - Roofs
5.1 - AC / HVAC / Duct Work
Minimal Risk
Potential Risk
At Risk
Checked
5.2 - Drainage / Gutters / Roof Edge
Minimal Risk
Potential Risk
At Risk
Checked
5.3 - Hatches / Ladders
Minimal Risk
Potential Risk
At Risk
Checked
5.4 - Sky Lights / Antennas
Minimal Risk
Potential Risk
At Risk
Checked
5.5 - Surface Condition / Flashing
Minimal Risk
Potential Risk
At Risk
Checked
5.6 - Unauthorized Access
Minimal Risk
Potential Risk
At Risk
Checked
5.7 - Misc
Minimal Risk
Potential Risk
At Risk
Checked
6.0 - Water Heaters
6.1
Minimal Risk
Potential Risk
At Risk
Checked
6.2
Minimal Risk
Potential Risk
At Risk
Checked
6.3
Minimal Risk
Potential Risk
At Risk
Checked
6.4
Minimal Risk
Potential Risk
At Risk
Checked
7.0 - At Risk Follow Ups
7.1 Facilities
Minimal Risk
Potential Risk
At Risk
Checked
7.2 Grounds
Minimal Risk
Potential Risk
At Risk
Checked
7.3 Playgrounds
Minimal Risk
Potential Risk
At Risk
Checked
7.4 Roofs
Minimal Risk
Potential Risk
At Risk
Checked
7.5 Water Heaters
Minimal Risk
Potential Risk
At Risk
Checked
Sign Off
On site representative
Sign
Auditor's signature
Sign
link copied
Anonymous
Valley Schools Insurance Trust
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