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Virtual Risk Assessment - Questionnaire
Virtual Risk Assessment - Questionnaire
Jessica Rowe

Virtual Risk Assessment - Questionnaire

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Free Virtual Risk Assessment - Questionnaire Checklist

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Title Page

  • Name of insured / client

  • Customer email

  • Name of Broker, if applicable

  • Broker contact number, if applicable

  • Broker email, if applicable

  • Location

  • Conducted on

  • Prepared by

Recommendation definitions

Key risk improvement recommendations (definitions on priorities)

  • Actions marked as "High" – Recommendation to address significant deficiencies in relation to the level of controls where they do not meet best industry practice or internationally recognised standards. This must apply where there is a significant likelihood of a loss event and in the event of a loss, the consequence is expected to be significantly higher in comparison to where adequate controls are in place.

  • Actions marked as "Medium" – Recommendation to address deficiencies in relation to the level of controls whereas they do not meet best industry practice and internationally recognised standards. Deficiency may increase the likelihood of a loss event, or consequence in the event of a loss event.

  • Actions marked as "Low" – Considered to be best industry practice with a low likelihood and consequence in relating to loss exposure.

Construction

    Building details

Building/Structure Construction

  • Enter building name

  • Year of Construction

  • Floor Area ~m2

  • No. Storeys

Structure

  • Walls

  • Floors

  • Roof

ISP & EIFS

  • Insulated Sandwich Panel (ISP) type

  • ISP %

  • Are routine ISP inspections undertaken?

  • Is the ISP in adequate condition?

  • Is there a cold work process and procedure in place?

  • External Insulated Finishing Systems Type

  • What is the material type?

Other factors

  • Does the building construction include asbestos?

  • What building elements include asbestos materials?

  • Is the building heritage listed?

  • What elements of the building are heritage listed?

General comments about this building

  • General comments

Occupancy

Overall

  • What is the occupancy use / use of this property

    • Hazardous Activities

  • Are any hazardous processes are undertaken?

  • Is the heating equipment provided with temperature cut-outs or monitoring?

  • Is the cooking equipment hoods / exhaust duct subject to cleaning?

  • How often are the hoods / exhaust cleaned?

  • Who is engaged to conduct the cleaning?

  • Is there photographic evidence to support the cleaning schedule?

  • Is there a routine cleaning programme to remove combustible dust build-up?

  • Has hazardous area assessment been undertaken with an up to date dossier available complete with hazardous area zoning?

  • Is electrical equipment adequately rated for hazardous areas?

  • Type of spray painting booth?

  • Are filters subject to routine cleaning?

  • Are spray booths fitted with forced drying fitted with appropriate safety controls and are these routinely tested?

  • What other hazardous activities are in place and are safety controls adequate?

Utility

  • Utilities that present site exposures?

    • Electricity
    • Gas
    • Water
    • Wastewater

  • Describe hazards associated with utilities.

Storage

General storage

  • List any storage arrangements, height and material stored

  • Is racking provided with impact protection on uprights?

  • Are racking inspections undertaken?

  • Is lighting adequately separated from storage?

  • Are electric forklift charging areas provided with >2m separation from storage?

Flammable liquids/dangerous goods

  • What flammable liquids are stored and in what arrangement?

  • Are suitable storage and containment practices in place?

  • Are flammable liquid transfer practices, e.g. earthing and bonding in place? <br>(e.g. placing a fuel tank on the bottom to reduce static discharge)

Dangerous goods

  • What dangerous goods are stored and in what arrangement?

  • Are gas cylinders adequately secured (for stability)?

  • Are dangerous goods (such as cylinders) segregated? <br>(e.g. oxygen away from flammable gases)

  • Are appropriate hazards material placard in place?

Loss prevention management controls

Contractor controls

  • Are contractors vetted, insurance details and licencing details confirmed?

  • Are contractors supervised on site?

  • Are the contractors provided induction training?

  • Do contractors follow site loss prevention management controls?

Hazardous works

  • Is there a documented hot works procedure and permit system in place and implemented?

  • Does the hot works permit require a fire watch during and 30 minutes after the completion of work?

  • Is a monitoring period undertaken after the completion of fire watch (minimum 1 hour)?

  • Is a minimum of 10m separation from combustible materials, or fire resistant shielding / covers required?

  • Is equipment checked prior to use and the flashback arrestors fitted?

Fire impairment mangement

  • Is a fire impairment procedure in place?

Smoking controls

  • Is there a dedicated smoking area provided with adequate signage?

  • Are self-extinguishing bins provided?

  • Is the smoking area separated from any entry door or combustible storage by at least 4 meters?

Building maintenance

  • Is housekeeping adequate?<br>(Note: no build up of combustible materials around electrical switchboards and waste materials removed from building?)

  • How often are self-inspections undertaken and by whom?

  • Is vegetation appropriately cut back from buildings?

  • Is roofing (gutters & drains) subject to routine inspections and clearing?

Liability exposure & emergency planning

  • Is liability coverage required?

  • How often are inspections of public accessible areas undertaken? <br>(Eg. identification of trip hazards, etc)

  • Are public accessible areas in adequate condition?

  • Is emergency lighting and exit signs operational and maintained?

  • Do you undertake regular fire drills?

  • Are emergency egress routes clear?

  • Is an evacuation plan in place and is it displayed in common areas?

Summary / wrap up

  • General comments about occupancy

Fire Protection

Fire water supply

  • What is the fire water supply to site?

  • What type of fire water supply is available?

  • Has a water supply proving test been undertaken? <br>(Attach the results of the test via a photo/image if possible)

  • Do the results meet the system design requirements?

  • Are all fire water isolation valves adequately secured?

Automatic sprinkler protection

  • Is the building sprinkler protected?

  • Is there a sprinkler block plan in place?<br>(Attach the results of the test via a photo/image if possible)

  • What sprinkler protection monitoring is undertaken?

    • Certified automatic fire alarm service provider
    • Security
    • On site
    • None

  • Does the sprinkler design align with the current occupancy type/use?

  • Is sprinkler protection adequately maintained?

Fire detection

  • Type of fire detection installed?

  • Is fire detection coverage adequate for occupancy type?

  • What fire detection monitoring undertaken?

    • Certified automatic fire alarm service provider
    • Security
    • On site
    • None

  • Is the fire detection system adequately maintained?

  • Is the fire panel clear of any off-normal conditions (alarms, faults or isolation)?

Fixed fire protection systems

  • Are there any fixed fire protection systems installed?

    • Gaseous extinguishing system
    • Deluge or water spray system
    • Kitchen extinguishing system
    • Water mist system
    • Other (add to notes)

  • What areas/equipment does this fixed protection cover?

  • Is coverage adequate?

  • Is maintenance adequate?

Fire hydrants

  • Where are fire hydrants installed?

    • Internal
    • External
    • Street only
    • None

  • Are fire hydrants maintained?

  • Are hydrants accessible with adequate impact protection to prevent damage?

  • What is the indicated system design?

  • Is there a hydrant block plan displayed?

  • Is the block plan up to date and legible?

Fire extinguishers and hose reels

  • Is there adequate fire extinguisher and hose reel coverage?

  • Are the fire extinguishers and hose reels accessible?

  • Is adequate signage provided for the fire extinguishers and hose reels?

  • Is the fixed fire equipment adequately maintained?

Fire response

  • Is the local fire brigade a full time or volunteer?

    • Full time brigade
    • Volunteer services
    • Trained onsite fire brigade
    • Other (add to notes)

  • What's the local fire brigade response time?

  • Is fire brigade access available to all aspects of the building?

  • General comments about fire protection

Exposures

Security controls

  • Are site and building physical access controls adequate?

  • Is the building provided with an intruder detection system?

    • Motion detection
    • Door contacts
    • Site perimeter

  • What monitoring is provided?

  • What response on alarm is provided?

    • Keyholder response (indicate expected response time)
    • Security guard automatic
    • Security guard on keyholder request
    • Onsite personnel

  • Is there a business process / roster in place to ensure a staff member is on call?

  • Where is CCTV installed?

    • Internal to the building
    • External to the building
    • None

  • Is CCTV coverage adequate?

  • Is CCTV monitored offsite?

  • Does the keyholder have remote access to CCTV?

  • Where are CCTV recording retained?

Security patrols

  • Are security patrols undertaken?

    • Onsite security
    • Out of hours periods only
    • None

  • Where are security patrols undertaken?

    • Perimeter
    • Onsite external to building
    • Internal to building
    • None

  • What types of security patrols undertaken?

Cash management

  • Is cash retained or collected onsite?

  • Is cash handling undertaken in a secure area?

  • Do you vary cash handling protocols?

  • Do you vary banking of cash protocols?

  • Is there a cash handling procedure including checks to deter employee theft and dishonesty?

Onsite external exposures

  • Are idle pallets adequately separated from the building? <br>(>10 meters)

  • Are waste bins adequately separated from buildings?<br>(>10 meters)

  • Is there any other combustible storage within 10 meters of the building?

Offsite external exposure (neighbouring facilities)

  • Is the building set back from the boundary (10 metres)?

  • What is the neighbouring premises exposure?

  • Is there any combustible storage along adjoining boundary?

Natural and other hazards (note any previous incidents/claims)

  • Flood

  • Windstorm

  • Storm surge

  • Bushfire

  • Earthquake

  • Lightning

  • Hailstorm

  • Collapse / subsidence

  • Impact damage

Business interruption and continuity

  • Is there business interruption coverage?

  • Are there any interdependancies / Internal single point dependencies?<br>(Such as a specific component that is only produced in one area of the business)

  • Are there any suppliers that provide greater than 25% of supplies to the business?

  • Are there any customers that account for greater than 25% of output to the business?

  • Is there any critical equipment that accounts for 25% of reduction?

  • Is there a high dependency on any of the following utilities?

    • Electricity
    • Gas
    • Water
    • Communications

  • Which of the following IT backup and disaster recovery planning is in place?

  • Is there a documented and tested business continuity plan in place?

  • Is the business continuity plan reviewed annually?

Risk summary & overall findings

Follow up & final comments

  • Overall summary

  • Recommend onsite assessment?

Virtual Risk Assessment - Questionnaire
Jessica Rowe

Virtual Risk Assessment - Questionnaire

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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