walkdown inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Part A Identification

• Flood Protection Feature or ID

  Yes

  No

  N/A

• Description or Procedure Title

  Yes

  No

  N/A

Location

• Building

• Elevation

• Room

• Column

• Indicate below the type of the feature (check all that are applicable)

  □ Incorporated or Exterior Passive

  □ Temporary Passive

  □ Incorporated or Exterior Active

  □ Temporary Active

• Enter the flood height at the location of the feature

  Yes

  No

  N/A

• References

• Add signature

  Sign

• Select date

  Date

Part B PRELIMINARY ANALYSIS

Part B1 : Visual Inspection

• Is a Visual Inspection Required ?

  Yes

  No

  N/A

• If No, Explain why not If Yes:  annotate (below) that Part C must be completed, and  list any Licensing Basis / Acceptance Criteria that require verification during visual inspection (identify any critical characteristics / parameters applicable to the flood protection feature that are verifiable by inspection such as flood height or elevation, expected operation (e.g., door must close), and equipment name plate data (for example, pump capacity, seal rating, etc.)):

• Add signature

  Sign

• Select date

  Date