Information
-
In order to maintain the integrity and credibility of the risk assessment processes and to protect the parties involved, it is understood that the assessors AND ANY PERSON WHO REVIEWS OR RECEIVES A COPY OF THIS DOCUMENT will not divulge to unauthorized persons any information obtained during this risk assessment unless legally obligated to do so.
ATTORNEY CLIENT PRIVILEGED COMMUNICATION. Do not Reproduce, Circulate, or Copy without express written consent of Legal Counsel and Valley Schools. -
Audit Title
-
Client / Site
-
Conducted on
-
Location
-
Disclaimer In order to maintain the integrity and credibility of the risk assessment processes and to protect the parties involved, it is understood that the assessors AND ANY PERSON WHO REVIEWS OR RECEIVES A COPY OF THIS DOCUMENT will not divulge to unauthorized persons any information obtained during this risk assessment unless legally obligated to do so. ATTORNEY CLIENT PRIVILEGED COMMUNICATION. Do not Reproduce, Circulate, or Copy without express written consent of Legal Counsel and Valley Schools.
1.0 - Previous inspection
-
1.1 - School Photo
-
1.2 - Has the last inspection been reviewed?
-
1.3 - Outstanding actions.
-
Overall Risk<br><br>
2.0 - Facilites
-
Summary
-
2.1 -AC / HVAC / Duct Work
-
2.2 - Bleachers
-
2.3 - Electrical
-
2.4 - Entry / Exit / Labels and Markings
-
2.5 - Handrails / Stairs / Platforms / Elevators
-
2.6 - Fire Systems / Extinguishers
-
2.7 - Defibrillators / Eye Flush / First Aid
-
2.8 - Display Case / Storage Cabinets / Shelving
-
2.9 - Flooring
-
2.10 - Hazardous / Flammable / Ventilation / MSDS
-
2.11 - Interior / Exterior Structure
-
2.12 - Plumbing / Leaks
-
2.13 - Restrooms
-
2.14 - Stage / Lighting / Rigging
-
2.15 - Wall Mount / TV / Speaker / Lighting
-
2.16 - Misc
3.0 - Grounds
-
Summary
-
3.1 - Bleachers / Stairs / Handrails<br><br>
-
3.2 - Electrical
-
3.3 - FDC / Water / Gas Mains
-
3.4 - Fencing / Gates
-
3.5 - Grades / Footings / Drainage
-
3.6 - Plumbing / Leaks / Sprinklers
-
3.7 - Posting / Curb Markings
-
3.8 - Shade Structures
-
3.9 - Sport Courts
-
3.10 - Walkways / Sidewalks / Parking Lots
-
3.11 - Misc
4.0 - Playgrounds
-
Summary
-
4.1 - Fall Zones / Height Requirements
-
4.2 - Fencing / Gates
-
4.3 - Grades / Footings
-
4.4 - Head Entrapments / Entanglement
-
4.5 - Play Structure Condition
-
4.6 - Shade Structure
-
4.7 – Surface Material / Depth:<br>Consumer Product Safety Council (CPSC) recommends to never use less than 9 inches of loose-fill material except for (shredded /recycled rubber). It is possible the rubber material may be present, but it is not properly placed in the “Use Zone.” CPSC 2.4.2.2.7 Material under 9” before compaction will be flagged red and “At Risk.”
-
4.8 - Misc
5.0 - Roofs
-
Summary
-
5.1 - AC / HVAC / Duct Work
-
5.2 - Drainage / Gutters / Roof Edge
-
5.3 - Hatches / Ladders
-
5.4 - Sky Lights / Antennas
-
5.5 - Surface Condition / Flashing
-
5.6 - Unauthorized Access
-
5.7 - Misc
6.0 - Water Heaters
-
Summary
-
6.1
-
6.2
-
6.3
-
6.4
7.0 - At Risk Follow Ups
-
7.1 Facilities
-
7.2 Grounds
-
7.3 Playgrounds
-
7.4 Roofs
-
7.5 Water Heaters
Sign Off
-
On site representative
-
Auditor's signature
