YMCA of the Pikes Peak Region

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Facility | PRIORITY I - Code Compliance/Crisis

• Emergency lighting working

  Yes

  No

  N/A

• Illuminated exit sign - Batteries function

  Yes

  No

  N/A

• Fire alarm system - age and condition

  Yes

  No

  N/A

• No major pipe leaks

  Yes

  No

  N/A

• No asbestos containing materials (ACM) or potentially asbestos containing materials (PACM)

  Yes

  No

  N/A

• Room number/locatiion

• No major structural issues

  Yes

  No

  N/A

• Safety Data Sheets posted in a conspicuous area

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Flammable articles are not stored in the facility

  Yes

  No

  N/A

• Exterior doors are secured

  Yes

  No

  N/A

• All doors secured when unoccupied

  Yes

  No

  N/A

• Fire extinguisher - A, B, C with signage indicating location and unobstructed access

  Yes

  No

  N/A

• Lockout / Tagout is available

  Yes

  No

  N/A

• 1910.147(a)(1)(i) This standard covers the servicing and maintenance of machines and equipment in which the unexpected energization or start up of the machines or equipment, or release of stored energy, could harm employees. This standard establishes minimum performance requirements for the control of such hazardous energy. https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_0147&src_anchor_name=1910.147(a)(1)(i)

• Employees trained on proper use of Lockout / Tagout

• Facility is compliant with 2010 Americans with Disabilities Act

  Yes

  No

  N/A

• Click on the link button to review http://www.ada.gov/2010ADAstandards_index.htm
  http://www.ada.gov/2010ADAstandards_index.htm

• Smoke and fire detectors are present

  Yes

  No

  N/A

• Consult with your local Authority Having Jurisdiction or Fire Marshall to determine applicable fire safety codes for your facility.

General Facility | PRIORITY II - Structural/Safety/Security

• Eye wash station (if applicable)

  Yes

  No

  N/A

• 1910.151(a)
  
  The employer shall ensure the ready availability of medical personnel for advice and consultation on matters of plant health.
  
  1910.151(b)
  
  In the absence of an infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons shall be adequately trained to render first aid. Adequate first aid supplies shall be readily available.
  
  1910.151(c)
  
  Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within the work area for immediate emergency use.
  https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9806

• Acetylene, Oxygen tanks chained to wall

  Yes

  No

  N/A

• Ceiling properly secured

  Yes

  No

  N/A

• Safety equipment - Goggles, gloves, dust masks, etc. (if applicable)

  Yes

  No

  N/A

• No tank/pipe leaks

  Yes

  No

  N/A

• Emergency telephone

  Yes

  No

  N/A

• Fluorescent bulbs have safety sleeves or diffusers

  Yes

  No

  N/A

• Spray bottles labeled with manufacturer of product contained

  Yes

  No

  N/A

• All paints and solvents are stored in metal cabinet

  Yes

  No

  N/A

• No stored gasoline powered equipment

  Yes

  No

  N/A

Maintenance Area | PRIORITY I - Code Compliance/Crisis

• Emergency lighting working

  Yes

  No

  N/A

• Illuminated exit sign - Batteries function

  Yes

  No

  N/A

• Fire alarm system - age and condition

  Yes

  No

  N/A

• No major pipe leaks

  Yes

  No

  N/A

• No asbestos containing materials (ACM) or potentially asbestos containing materials (PACM)

  Yes

  No

  N/A

• Room number/locatiion

• No major structural issues

  Yes

  No

  N/A

• Safety Data Sheets posted in a conspicuous area

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Flammable articles are not stored in the facility

  Yes

  No

  N/A

• Exterior doors are secured

  Yes

  No

  N/A

• All doors secured when unoccupied

  Yes

  No

  N/A

• Fire extinguisher - A, B, C with signage indicating location and unobstructed access

  Yes

  No

  N/A

• Lockout / Tagout is available

  Yes

  No

  N/A

• 1910.147(a)(1)(i) This standard covers the servicing and maintenance of machines and equipment in which the unexpected energization or start up of the machines or equipment, or release of stored energy, could harm employees. This standard establishes minimum performance requirements for the control of such hazardous energy. https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_0147&src_anchor_name=1910.147(a)(1)(i)

• Employees trained on proper use of Lockout / Tagout

• Smoke and fire detectors are present

  Yes

  No

  N/A

• Consult with your local Authority Having Jurisdiction or Fire Marshall to determine applicable fire safety codes for your facility.

Maintenance Area | PRIORITY II - Structural/Safety/Security

• Eye wash station (if applicable)

  Yes

  No

  N/A

• 1910.151(a)
  
  The employer shall ensure the ready availability of medical personnel for advice and consultation on matters of plant health.
  
  1910.151(b)
  
  In the absence of an infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons shall be adequately trained to render first aid. Adequate first aid supplies shall be readily available.
  
  1910.151(c)
  
  Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within the work area for immediate emergency use.
  https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9806

• Acetylene, Oxygen tanks chained to wall

  Yes

  No

  N/A

• Ceiling properly secured

  Yes

  No

  N/A

• Safety equipment - Goggles, gloves, dust masks, etc. (if applicable)

  Yes

  No

  N/A

• No tank/pipe leaks

  Yes

  No

  N/A

• Emergency telephone

  Yes

  No

  N/A

• Fluorescent bulbs have safety sleeves or diffusers

  Yes

  No

  N/A

• Spray bottles labeled with manufacturer of product contained

  Yes

  No

  N/A

• All paints and solvents are stored in metal cabinet

  Yes

  No

  N/A

• No stored gasoline powered equipment

  Yes

  No

  N/A

Maintenance Area | PRIORITY III - Preventive Maintenance / Energy Conservation

• No pipe leaks

  Yes

  No

  N/A

• Floor drain/sump pump

  Yes

  No

  N/A

• Windows are thermal pane

  Yes

  No

  N/A

• Night set back thermostat

  Yes

  No

  N/A

• Fluorescent lighting (T-8/electronic ballast)

  Yes

  No

  N/A

Maintenance Area | PRIORITY IV - Asthetics/Programmability

• Venue is adequately designed to meet service needs

  Yes

  No

  N/A

• Area is well organized

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

• Floor, corners and edges are clean

  Yes

  No

  N/A

Boiler Room | Priority I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• Fire alarm system - Age & Condition

  Yes

  No

  N/A

• No major pipe leaks

  Yes

  No

  N/A

• No asbestos suspected

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Safety data sheets posted

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Boiler certificates posted

  Yes

  No

  N/A

• No flammable articles stored

  Yes

  No

  N/A

• Back flow preventer

  Yes

  No

  N/A

• Fire extinguisher - A, B, C with signage indicating location and unobstructed access

  Yes

  No

  N/A

• Lockout / Tagout is available

  Yes

  No

  N/A

• 1910.147(a)(1)(i) This standard covers the servicing and maintenance of machines and equipment in which the unexpected energization or start up of the machines or equipment, or release of stored energy, could harm employees. This standard establishes minimum performance requirements for the control of such hazardous energy. https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_0147&src_anchor_name=1910.147(a)(1)(i)

• Employees trained on proper use of Lockout / Tagout

• Smoke and fire detectors are present

  Yes

  No

  N/A

• Consult with your local Authority Having Jurisdiction or Fire Marshall to determine applicable fire safety codes for your facility.

Boiler Room | PRIORITY II - Structural/Safety/Security

• Exhaust fan present

  Yes

  No

  N/A

• Clean air intake present

  Yes

  No

  N/A

• Posted chemical handling procedures

  Yes

  No

  N/A

• Direction of flow arrows

  Yes

  No

  N/A

• No tank/Pipe leaks

  Yes

  No

  N/A

• Staff work alone

  Yes

  No

  N/A

• Valve chart

  Yes

  No

  N/A

• Emergency telephone

  Yes

  No

  N/A

• No gasoline powered equipment stored

  Yes

  No

  N/A

• Boiler supply water meter present

  Yes

  No

  N/A

• Facility manager records boiler meter reading daily

  Yes

  No

  N/A

• Fluorescent bulbs have safety sleeves or diffusers

  Yes

  No

  N/A

Boiler Room | PRIORITY III - Preventive Maintenance/Energy Conservation

• Interrupt able gas service available

  Yes

  No

  N/A

• No pipe leaks

  Yes

  No

  N/A

• Valves and gauges are not corroded

  Yes

  No

  N/A

• Pipe hangars are adequate

  Yes

  No

  N/A

• Domestic hot water circulator

  Yes

  No

  N/A

• Pneumatic controls

  Yes

  No

  N/A

• Water pressure regulator or water pressure no higher than 50psi

  Yes

  No

  N/A

• Water meter size

  Yes

  No

  N/A

• Floor drain/meter size

  Yes

  No

  N/A

• Fluorescent fixtures (T-8/Electronic ballasts)

  Yes

  No

  N/A

• Boiler type:

  Steam

  Hot water

• Fuel type

  Gas

  Oil

Boiler Room | PRIORITY IV - Aesthetics/Programmability

• Area is well organized

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Floor, corners and edges are clean

  Yes

  No

  N/A

Filter Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major pipe leaks

  Yes

  No

  N/A

• No asbestos suspected

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Safety data sheets posted

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Chemical pumps fastened securely to wall or shelf

  Yes

  No

  N/A

• Current electrical inspection

  Yes

  No

  N/A

• External bonds on pool equipment

  Yes

  No

  N/A

• Boiler certificate posted & up-to-date

  Yes

  No

  N/A

• No flammable articles stored

  Yes

  No

  N/A

• Exterior doors secured

  Yes

  No

  N/A

• DE pit properly screened (if applicable)

  Yes

  No

  N/A

• All doors secured when unoccupied

  Yes

  No

  N/A

• Fire extinguisher - A, B, C with signage indicating location and unobstructed access

  Yes

  No

  N/A

• Lockout / Tagout is available

  Yes

  No

  N/A

• 1910.147(a)(1)(i) This standard covers the servicing and maintenance of machines and equipment in which the unexpected energization or start up of the machines or equipment, or release of stored energy, could harm employees. This standard establishes minimum performance requirements for the control of such hazardous energy. https://www.osha.gov/pls/oshaweb/owalink.query_links?src_doc_type=STANDARDS&src_unique_file=1910_0147&src_anchor_name=1910.147(a)(1)(i)

• Employees trained on proper use of Lockout / Tagout

• Up-to-Date Pesticide Applicator (PA) certificate, CPO most states

  Yes

  No

  N/A

• Smoke and fire detectors are present

  Yes

  No

  N/A

• Consult with your local Authority Having Jurisdiction or Fire Marshall to determine applicable fire safety codes for your facility.

Filter Room | PRIORITY II - Structural/Safety/Security

• Eye wash station hard piped

  Yes

  No

  N/A

• Room exhaust is present and functions

  Yes

  No

  N/A

• Ceiling properly secured

  Yes

  No

  N/A

• Posted chemical handling procedures

  Yes

  No

  N/A

• Posted emergency procedures

  Yes

  No

  N/A

• Acid/chlorine storage areas clearly marked

  Yes

  No

  N/A

• Acid/Chlorine separated by 10 feet

  Yes

  No

  N/A

• Acid pump operational

  Yes

  No

  N/A

• CO2 tanks are properly chained to wall

  Yes

  No

  N/A

• Chlorine pump operational

  Yes

  No

  N/A

• Safety equipment - goggles, gloves, dust mask, etc.

  Yes

  No

  N/A

• No tank/pipe leaks

  Yes

  No

  N/A

• Staff do not work alone

  Yes

  No

  N/A

• Valve chart posted

  Yes

  No

  N/A

• Pool controller turns off with pump

  Yes

  No

  N/A

• Emergency telephone

  Yes

  No

  N/A

• Fluorescent bulbs have safety sleeves or diffusers

  Yes

  No

  N/A

• No open bags of DE exposed (if applicable)

  Yes

  No

  N/A

• Spray bottles properly labeled with product name

  Yes

  No

  N/A

• No stored gasoline powered equipment

  Yes

  No

  N/A

Natatorium | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• Lifeguard records maintained minimum 3x/Day

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Fire extinguisher - A, B, C with signage indicating location and unobstructed access

  Yes

  No

  N/A

• Emergency alarm

  Yes

  No

  N/A

• Safety Data Sheets provided for pool test chemicals

  Yes

  No

  N/A

• Spa temperature does not exceed 104 degrees F. / PA - 102 degrees F.

  Yes

  No

  N/A

• Pool/Spa compliant with 2010 Americans with Disabilities Act

  Yes

  No

  N/A

Natatorium | PRIORITY II - Structural/Safety/Security

• Posted pool rules

  Yes

  No

  N/A

• No suspended ceiling

  Yes

  No

  N/A

• 24 hour/day heat/ventilation

  Yes

  No

  N/A

• 24 hour/day exhaust

  Yes

  No

  N/A

• Room has a slightly negative pressure

  Yes

  No

  N/A

• Chemical levels properly maintained

  Yes

  No

  N/A

• pH level (7.2 - 7.5)

  Yes

  No

  N/A

• Chlorine level (1.0 a 2.0)

  Yes

  No

  N/A

• Total alkalinity (100 - 150 PPM)

  Yes

  No

  N/A

• Calcium Hardness (250 - 300 PPM)

  Yes

  No

  N/A

• Total dissolved solids (under 1500 PPM)

  Yes

  No

  N/A

• Permanent large posted depth signs

  Yes

  No

  N/A

• Permanent large universal language no diving signs

  Yes

  No

  N/A

• Emergency telephone

  Yes

  No

  N/A

• CPO or P.O.O.L. Certification

  Yes

  No

  N/A

• Structural inspection performed every three years

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Light level is 50 foot-candles

  Yes

  No

  N/A

• Commercial pool testing equipment - kit kept closed

  Yes

  No

  N/A

Natatorium | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• Ceramic tile is in good condition (intact and matching)

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

Men's Locker Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Handicapped accessible

  Yes

  No

  N/A

Men's Locker Room | PRIORITY II - Structural/Safety/Security

• Suspended ceiling

  Yes

  No

  N/A

• 24 hour/day heat/ventilation

  Yes

  No

  N/A

• 24 hour/day exhaust

  Yes

  No

  N/A

• Mixing valves operational - water temperature under 110 degrees

  Yes

  No

  N/A

• Pressure balanced shower valves

  Yes

  No

  N/A

• Good tile condition

  Yes

  No

  N/A

• Floor tile size - 1 inch & Slip resistant

  Yes

  No

  N/A

• Floor drains in locker area

  Yes

  No

  N/A

• Secure benches

  Yes

  No

  N/A

• Sauna / Steam

  Yes

  No

  N/A

• Warning signs

  Yes

  No

  N/A

• Thermostat control is locked

  Yes

  No

  N/A

• Timing device

  Yes

  No

  N/A

• Window on door

  Yes

  No

  N/A

• Sauna stones are protected from clothing, etc.

  Yes

  No

  N/A

• Signage indicating no clothing, newspaper etc. on stones

  Yes

  No

  N/A

• Emergency telephone

  Yes

  No

  N/A

• Emergency alarm

  Yes

  No

  N/A

Men's Locker Room | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles are not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Women's Locker Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Handicapped accessible

  Yes

  No

  N/A

Women's Locker Room | PRIORITY II - Structural/Safety/Security

• Suspended ceiling

  Yes

  No

  N/A

• 24 hour/day heat/ventilation

  Yes

  No

  N/A

• 24 hour/day exhaust

  Yes

  No

  N/A

• Mixing valves operational - water temperature under 110 degrees

  Yes

  No

  N/A

• Pressure balanced shower valves

  Yes

  No

  N/A

• Good tile condition

  Yes

  No

  N/A

• Floor tile size - 1 inch & Slip resistant

  Yes

  No

  N/A

• Floor drains in locker area

  Yes

  No

  N/A

• Secure benches

  Yes

  No

  N/A

• Sauna / Steam

  Yes

  No

  N/A

• Warning signs

  Yes

  No

  N/A

• Thermostat control is locked

  Yes

  No

  N/A

• Timing device

  Yes

  No

  N/A

• Window on door

  Yes

  No

  N/A

• Sauna stones are protected from clothing, etc.

  Yes

  No

  N/A

• Signage indicating no clothing, newspaper etc. on stones

  Yes

  No

  N/A

• Emergency telephone

  Yes

  No

  N/A

• Emergency alarm

  Yes

  No

  N/A

Women's Locker Room | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles are not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Boy's Locker Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Handicapped accessible

  Yes

  No

  N/A

Boy's Locker Room | PRIORITY II - Structural/Safety/Security

• Suspended ceiling

  Yes

  No

  N/A

• 24 hour/day heat/ventilation

  Yes

  No

  N/A

• 24 hour/day exhaust

  Yes

  No

  N/A

• Mixing valves operational - water temperature under 110 degrees

  Yes

  No

  N/A

• Pressure balanced shower valves

  Yes

  No

  N/A

• Good tile condition

  Yes

  No

  N/A

• Floor tile size - 1 inch & Slip resistant

  Yes

  No

  N/A

• Showers cleared during electrical storms

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

Boy's Locker Room | PRIORITY IV - Aesthetics/Programmability

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles are not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Girl's Locker Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Handicapped accessible

  Yes

  No

  N/A

Girl's Locker Room | PRIORITY II - Structural/Safety/Security

• Suspended ceiling

  Yes

  No

  N/A

• 24 hour/day heat/ventilation

  Yes

  No

  N/A

• 24 hour/day exhaust

  Yes

  No

  N/A

• Mixing valves operational - water temperature under 110 degrees

  Yes

  No

  N/A

• Pressure balanced shower valves

  Yes

  No

  N/A

• Good tile condition

  Yes

  No

  N/A

• Floor tile size - 1 inch & Slip resistant

  Yes

  No

  N/A

• Showers cleared during electrical storms

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

Girl's Locker Room | PRIORITY IV - Aesthetics/Programmability

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles are not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Special Needs Locker Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Electrical receptacle outlets GFCI protected where required.

  Yes

  No

  N/A

• GFCIs Test/Reset buttons function

Equipment

• GFCI Room number/location

• Handicapped accessible

  Yes

  No

  N/A

Special Needs Locker Room | PRIORITY II - Structural/Safety/Security

• Suspended ceiling

  Yes

  No

  N/A

• 24 hour/day heat/ventilation

  Yes

  No

  N/A

• 24 hour/day exhaust

  Yes

  No

  N/A

• Mixing valves operational - water temperature under 110 degrees

  Yes

  No

  N/A

• Pressure balanced shower valves

  Yes

  No

  N/A

• Good tile condition

  Yes

  No

  N/A

• Floor tile size - 1 inch & Slip resistant

  Yes

  No

  N/A

• Showers cleared during electrical storms

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

Special Needs Locker Room | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles are not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Child Watch | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• Fire extinguisher

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Procedure posted for mixing liquid bleach (if applicable)

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• All refrigerators have thermometer

  Yes

  No

  N/A

• Handicapped accessible

  Yes

  No

  N/A

Child Watch | PRIORITY II - Structural/Safety/Security

• Suspended ceiling

  Yes

  No

  N/A

• Operational bathroom exhaust if no window

  Yes

  No

  N/A

• HVAC during operating hours

  Yes

  No

  N/A

• Electrical receptacle outlets are GFCI protected at sinks

  Yes

  No

  N/A

• Electrical outlets capped

  Yes

  No

  N/A

• Water temperature not to exceed 106 degrees

  Yes

  No

  N/A

• Bathroom privacy locks open from outside

  Yes

  No

  N/A

• Floors carpeted/non-skid material

  Yes

  No

  N/A

• Outdoor playground equipment is inspected weekly

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

Child Watch | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles are not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Gymnasium | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (both high and low voltage)

  Yes

  No

  N/A

• Fire extinguisher

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible

  Yes

  No

  N/A

Gymnasium | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical outlets at water fountain on GFCI (if applicable)

  Yes

  No

  N/A

• Electrical outlets capped if area used by pre-schoolers

  Yes

  No

  N/A

• Wall padding under basketball backstops - 6'-8" high

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Equipment is stored off floor

  Yes

  No

  N/A

• Areas behind baskets are free from obstruction

  Yes

  No

  N/A

• Indoor track rail is 42"-44" high and secure

  Yes

  No

  N/A

• Sprinkler heads are protected

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

Gymnasium | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

All Purpose Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible

  Yes

  No

  N/A

All Purpose Room | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical outlets at water fountain on GFCI (if applicable)

  Yes

  No

  N/A

• Electrical outlets capped if area used by pre-schoolers

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Sprinkler heads are protected

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

All Purpose Room | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Aerobic Studio | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (both high and low voltage)

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible

  Yes

  No

  N/A

Aerobics Studio | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical outlets at water fountain on GFCI (if applicable)

  Yes

  No

  N/A

• Electrical outlets capped if area used by pre-schoolers

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Sprinkler heads are protected

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

Aerobics Studio | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Specialty Studio/Board Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• Fire extinguisher

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible

  Yes

  No

  N/A

Specialty Studio/Board Room | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical outlets at water fountain on GFCI (if applicable)

  Yes

  No

  N/A

• Electrical outlets capped if area used by pre-schoolers

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

Specialty Studio/Board Room | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Healthy Living Center | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible - compliant with 2010 American's with Disability Act

  Yes

  No

  N/A

Healthy Living Center | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical outlets at water fountain on GFCI (if applicable)

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Spray bottles labeled with manufacturer label of product contained

  Yes

  No

  N/A

• Signage requiring spotter for weight lifting

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

The Healthy Living Center | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Weight Room | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible - compliant with 2010 American's with Disability Act

  Yes

  No

  N/A

Weight Room | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical outlets at water fountain on GFCI (if applicable)

  Yes

  No

  N/A

• Electrical outlets capped

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Spray bottles labeled with manufacturer label of product contained

  Yes

  No

  N/A

• Signage requiring spotter for weight lifting

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

Weight Room | PRIORITY III - Preventive Maintenance / Energy Conservation

• Equipment receives regular maintenance

  Yes

  No

  N/A

• Facility is cleaned and disinfected daily

  Yes

  No

  N/A

• Equipment is stored safely

  Yes

  No

  N/A

• Equipment is clean, safe, and in good operating condition

  Yes

  No

  N/A

Weight Room | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Computer Club House | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible - compliant with 2010 American's with Disability Act

  Yes

  No

  N/A

Computer Club House | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Spray bottles labeled with manufacturer label of product contained

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

Computer Club House | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Racquetball Courts | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped accessible - compliant with 2010 American's with Disability Act

  Yes

  No

  N/A

Racquetball Courts | PRIORITY II - Structural/Safety/Security

• Operational exhaust

  Yes

  No

  N/A

• HVAC during operational hours

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• Signeage for racquetball court include protective eye ware

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Floor type: Wood, Rubber, Other

  Yes

  No

  N/A

Racquetball Courts | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

• No foul odors

  Yes

  No

  N/A

Office Areas | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Safety Data Sheets posted

  Yes

  No

  N/A

• Handicapped accessible - compliant with 2010 American's with Disability Act

  Yes

  No

  N/A

Office Areas | PRIORITY II - Structural/Safety/Security

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical receptacle outlets on GFCI in all wet areas

  Yes

  No

  N/A

• All computers protected by surge protection

  Yes

  No

  N/A

• Spray bottles labeled with manufacturer label of product contained

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Floors carpeted/non-skid material

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

Office Areas | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings.

  Yes

  No

  N/A

• Good illumination level

  Yes

  No

  N/A

• Floor material in good condition

  Yes

  No

  N/A

• Ceiling tiles are not stained

  Yes

  No

  N/A

• No debris stored

  Yes

  No

  N/A

• Good housekeeping

  Yes

  No

  N/A

• No wires, etc., hanging down walls from ceiling

  Yes

  No

  N/A

• Carpet in good condition

  Yes

  No

  N/A

• Wall paint in good condition

  Yes

  No

  N/A

• No tape on windows, walls, etc.

  Yes

  No

  N/A

Lobby, Halls, Stairwells | PRIORITY I - Code Compliance/Crisis

• Emergency lighting

  Yes

  No

  N/A

• Illuminated exit sign (high and low voltage

  Yes

  No

  N/A

• Fire extinguisher present

  Yes

  No

  N/A

• Inspected annually

  Yes

  No

  N/A

• Inspected monthly

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Current elevator certificate on file

  Yes

  No

  N/A

• Handicapped accessible - compliant with 2010 American's with Disability Act

  Yes

  No

  N/A

Lobby, Halls, Stairwells | PRIORITY II - Structural/Safety/Security

• HVAC during operational hours

  Yes

  No

  N/A

• Electrical receptacle outlets on GFCI in all wet areas, such as water fountains

  Yes

  No

  N/A

• Evacuation plan is posted

  Yes

  No

  N/A

• Floors carpeted/non-skid material

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

Lobby, Halls, Stairwells | PRIORITY III - Preventive Maintenance/Energy Conservation

• Lighting type - fluorescent (T-8/electronic ballasts)

  Yes

  No

  N/A

• Facility is cleaned daily

  Yes

  No

  N/A

• Equipment is clean, safe, and in good operating condition

  Yes

  No

  N/A

Roof Areas | PRIORITY I - Code Compliance/Crisis

• Security lighting

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• All mechanical equipment have GFCI outlet and work light

  Yes

  No

  N/A

Roof Areas | PRIORITY II - Structural/Safety/Security

• HVAC equipment is free of debris

  Yes

  No

  N/A

• Equipment mounted on roof curbs

  Yes

  No

  N/A

• Windows protected for safety and security

  Yes

  No

  N/A

• All windows are intact

  Yes

  No

  N/A

• All doors are properly secured

  Yes

  No

  N/A

• No roof leaks are present

  Yes

  No

  N/A

• Mechanical equipment has phase protection

  Yes

  No

  N/A

Roof Areas | PRIORITY III - Preventive Maintenance/Energy Conservation

• Equipment is clean, safe, & in good operating condition

  Yes

  No

  N/A

• Walkways are even with no tripping hazards

  Yes

  No

  N/A

• All gutters and drains are clear

  Yes

  No

  N/A

• AC condensate is piped to roof drains

  Yes

  No

  N/A

• Flat roof is sealed every 3 years (if applicable)

  Yes

  No

  N/A

• Roof is reviewed annually by a qualified roofer

  Yes

  No

  N/A

Exterior | PRIORITY I - Code Compliance/Crisis

• Security lighting operatiional

  Yes

  No

  N/A

• No major structural issues

  Yes

  No

  N/A

• Fire exits clear

  Yes

  No

  N/A

• Handicapped parking provided

  Yes

  No

  N/A

• Walkway is handicap accessible

  Yes

  No

  N/A

• Recycling bins are present

  Yes

  No

  N/A

Exterior | PRIORITY II - Structural/Safety/Security

• Windows protected for safety &. security

  Yes

  No

  N/A

• All windows are in tact

  Yes

  No

  N/A

• All gates are properly secured when play area occupied

  Yes

  No

  N/A

• No exposed nail heads on wood equipment/fencing

  Yes

  No

  N/A

• Exterior walls are in good condition

  Yes

  No

  N/A

Exterior | PRIORITY III - Preventive Maintenance/Energy Conservation

• Parking lots rescaled and restricted every three years

  Yes

  No

  N/A

• Walkways are even with no tripping hazards

  Yes

  No

  N/A

Exterior | PRIORITY IV - Aesthetics/Programmability

• Venue is adequately designed to meet program offerings

  Yes

  No

  N/A

• Lawns neatly trimmed

  Yes

  No

  N/A

• No debris present

  Yes

  No

  N/A

• Wall & trim paint in good condition

  Yes

  No

  N/A