Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by Jason Pearce
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Location
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Personnel
Camp radios Communication System(s)
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Functioning Paging and or radio communication system.
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Electrical -Overall
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Electrical - Panels are Free of Obstructions (36")
- Safe
- Questionable
- At Risk
- N/A
-
Electrical - Major Infrastructure Issues
- Safe
- Questionable
- At Risk
- N/A
-
GFCI Outlets Test and Perform Correctly
- Safe
- Questionable
- At Risk
- N/A
-
Lighting Functions as Designed
- Safe
- Questionable
- At Risk
- N/A
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Lock-Out Tag-Out Kit On-Site
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Add media
Fire/Emergency System
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4 Fire Drills Completed Annually
- Safe
- Questionable
- At Risk
- N/A
-
AED Daily Checks
- Safe
- Questionable
- At Risk
- N/A
-
AED Equipment is complete and rescue ready
- Safe
- Questionable
- At Risk
- N/A
-
Alarm Panel Functions - based upon up to date test and inspection on-file
- Safe
- Questionable
- At Risk
- N/A
-
Audible Alarm Alerts Function
- Safe
- Questionable
- At Risk
- N/A
-
Back flow Testing - Current Inspection On-File
- Safe
- Questionable
- At Risk
- N/A
-
Emergency Lighting Stations Function
- Safe
- Questionable
- At Risk
- N/A
-
Evacuation Routes Are Posted & Current.
- Safe
- Questionable
- At Risk
- N/A
-
Fire Department Inspection (current) On-File
- Safe
- Questionable
- At Risk
- N/A
-
Exit Signs Illuminate/Function
- Safe
- Questionable
- At Risk
- N/A
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Fire Doors are Functional
- Safe
- Questionable
- At Risk
- N/A
-
Fire Extinguisher checks monthly.
- Safe
- Questionable
- At Risk
- N/A
-
Pull Stations Function
- Safe
- Questionable
- At Risk
- N/A
-
Strobe Light Stations Function
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Maintenance House
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Power Tools in good condition and all labels visible
- Safe
- Questionable
- At Risk
- N/A
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Paint and Gasoline storage in accordance with safety regulations
- Safe
- Questionable
- At Risk
- N/A
-
Ladders are safe with all labels visable
- Safe
- Questionable
- At Risk
- N/A
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Applicable/Correct NFPA Placards
- Safe
- Questionable
- At Risk
- N/A
-
Building’s physical condition exterior
- Safe
- Questionable
- At Risk
- N/A
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Well organized and clean
- Safe
- Questionable
- At Risk
- N/A
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Notes:
Chemicals/PPE
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Chemical Containers are Properly Labeled
- Safe
- Questionable
- At Risk
- N/A
-
Chemical Eye Was/Shower tested/Current Inspections On-File
- Safe
- Questionable
- At Risk
- N/A
-
Hazardous Chemicals Stored Correctly/Secondary Containment
- Safe
- Questionable
- At Risk
- N/A
-
PPE Available and Stored Correctly
- Safe
- Questionable
- At Risk
- N/A
-
SDS Up-To-Date in Chemical Area or Electronic
- Safe
- Questionable
- At Risk
- N/A
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Chemical list at the front of each SDS binder.
- Safe
- Questionable
- At Risk
- N/A
-
SDS Up-To-Date at Main Desk or Electronic
- Safe
- Questionable
- At Risk
- N/A
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SDS Poster in Chemical Area(s).
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Plumbing -Overall
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Plumbing - Major Infrastructure Issues
- Safe
- Questionable
- At Risk
- N/A
-
Plumbing - Visible Age/Condition
- Safe
- Questionable
- At Risk
- N/A
-
Plumbing - Visible Leaks
- Safe
- Questionable
- At Risk
- N/A
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Plumbing - Safety Concerns
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Drain Downspouts
- Safe
- Questionable
- At Risk
- N/A
The Ranch house
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Floors
- Safe
- Questionable
- At Risk
- N/A
-
Storage/Shelving Safe and Anchored
- Safe
- Questionable
- At Risk
- N/A
-
Pourch has free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Upstairs living area in safe and livable condition for staff
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
All office furniture above 48” mounted to a wall
- Safe
- Questionable
- At Risk
- N/A
-
Office area free of trip hazard
- Safe
- Questionable
- At Risk
- N/A
-
Restrooms in safe and working order
- Safe
- Questionable
- At Risk
- N/A
-
Heating elements free from cords, drapes, furniture and other combustible materials
- Safe
- Questionable
- At Risk
- N/A
-
Fireplace is in safe working order
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Bennett Lodge
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Floors
- Safe
- Questionable
- At Risk
- N/A
-
Dining hall free of hazards
- Safe
- Questionable
- At Risk
- N/A
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Storage/Shelving Safe and Anchored
- Safe
- Questionable
- At Risk
- N/A
-
Dining hall CO detection operational
- Safe
- Questionable
- At Risk
- N/A
-
Pourch has free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Kitchen equipment labeled with all warnings visible
- Safe
- Questionable
- At Risk
- N/A
-
All kitchen signage is clear and visable
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
All kitchen racks above 48” mounted to a wall unless on wheels
- Safe
- Questionable
- At Risk
- N/A
-
Restaurant wet chemical fire suppression system inspected annually
- Safe
- Questionable
- At Risk
- N/A
-
Staff Restrooms
- Safe
- Questionable
- At Risk
- N/A
-
Camper Restrooms
- Safe
- Questionable
- At Risk
- N/A
-
Hand washing signs for staff in place in food prep areas and staff restrooms
- Safe
- Questionable
- At Risk
- N/A
-
Folding table training for staff only, all warning labels visible
- Safe
- Questionable
- At Risk
- N/A
-
Upstairs staff areas area safe and free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
CO detection located in living area upstairs and operational
- Safe
- Questionable
- At Risk
- N/A
-
All HVAC areas up stairs accessible and free of clutter
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
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Roof ice protection system in place “cleats”
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Add media
Catamount dance hall
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Floors
- Safe
- Questionable
- At Risk
- N/A
-
Dance hall free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Storage/Shelving Safe and Anchored
- Safe
- Questionable
- At Risk
- N/A
-
Fire alarm or smoke detection in place
- Safe
- Questionable
- At Risk
- N/A
-
Dance hall CO detection operational
- Safe
- Questionable
- At Risk
- N/A
-
Pourch has free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Kitchen equipment labeled with all warnings visible
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Med shed free from hazards
- Safe
- Questionable
- At Risk
- N/A
-
Staff Restrooms
- Safe
- Questionable
- At Risk
- N/A
-
Staff sleeping area free from hazards
- Safe
- Questionable
- At Risk
- N/A
-
Trip shed well organized and free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
All Floor heaters free of clutter and furniture
- Safe
- Questionable
- At Risk
- N/A
-
HVAC and water heater in Good working condition
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Lions Lodge
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Floors
- Safe
- Questionable
- At Risk
- N/A
-
Lodge free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Storage/Shelving Safe and Anchored
- Safe
- Questionable
- At Risk
- N/A
-
Fire alarm or smoke detection in place
- Safe
- Questionable
- At Risk
- N/A
-
Lodge hall CO detection operational
- Safe
- Questionable
- At Risk
- N/A
-
Folding table training for staff only, all warning labels visible
- Safe
- Questionable
- At Risk
- N/A
-
Pourch has free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Kitchen equipment labeled with all warnings visible
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Med shed free from hazards
- Safe
- Questionable
- At Risk
- N/A
-
Staff Restrooms
- Safe
- Questionable
- At Risk
- N/A
-
Staff sleeping area free from hazards
- Safe
- Questionable
- At Risk
- N/A
-
Trip shed well organized and free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
All Floor heaters free of clutter and furniture
- Safe
- Questionable
- At Risk
- N/A
-
HVAC and water heater in Good working condition
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
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Notes:
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Trading post
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Floors
- Safe
- Questionable
- At Risk
- N/A
-
Trading post free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Storage/Shelving Safe and Anchored
- Safe
- Questionable
- At Risk
- N/A
-
Pourch has free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Basketball court
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Court base is free from hazaeds
- Safe
- Questionable
- At Risk
- N/A
-
Hoop and net structure are free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Fence surrounding court is free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Pump House
-
Extra chemical storage has secondary containment
- Safe
- Questionable
- At Risk
- N/A
-
SDS Sheets are stored in location with correct chemicals housed in immediate area
- Safe
- Questionable
- At Risk
- N/A
-
Clear of slip, trip, fall hazards
- Safe
- Questionable
- At Risk
- N/A
-
Door is locked and secured during hours of operation
- Safe
- Questionable
- At Risk
- N/A
-
No signs of leaks
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Fire alarm or smoke detection in place
- Safe
- Questionable
- At Risk
- N/A
-
No signs of corrosion
- Safe
- Questionable
- At Risk
- N/A
-
PPE Available for testing per SDS
- Safe
- Questionable
- At Risk
- N/A
-
Exterior of building
- Safe
- Questionable
- At Risk
- N/A
-
Lighting
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
The Woods Lodge
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Floors
- Safe
- Questionable
- At Risk
- N/A
-
Occupancy signs posted
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Emergency lighting operational
- Safe
- Questionable
- At Risk
- N/A
-
Exterior outside area
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Restrooms/Showers areas
- Safe
- Questionable
- At Risk
- N/A
-
Upper level
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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The Loo Lodge
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Occupancy signs posted
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of Damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Emergency lighting operational
- Safe
- Questionable
- At Risk
- N/A
-
Exterior outside area
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Restrooms/Showers areas
- Safe
- Questionable
- At Risk
- N/A
-
Upper level
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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The Rotary Cabin
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Heating elements free from cords, drapes, furniture and other combustible materials
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
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Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
The Sertoman cabin
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Heating elements free from cords, drapes, furniture and other combustible materials
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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The Pikes Peak Cabin
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Outhouse
- Safe
- Questionable
- At Risk
- N/A
-
Heating elements free from cords, drapes, furniture and other combustible materials
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
The Ute Cabin
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Heating elements free from cords, drapes, furniture and other combustible materials
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
The Optimist Cabin
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Heating elements free from cords, drapes, furniture and other combustible materials
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
The Ponderosa Cabin
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
The Spruce Cabin
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
The Aspen Cabin
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Add media
The Alpine Cottage
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
-
Add media
Hawk storage shed
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
-
Add media
Summit restrooms
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Pourch is free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Pluming, sinks and lavatory in Good working condition.
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Walls/Paint
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Camper tents Sacagawea and Tanager
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Decking and stairs are free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Tent cover in good condition
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Camper tents Falcon, Peregrine and Stellar Jay
-
Floors
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds structure safe with working ladders
- Safe
- Questionable
- At Risk
- N/A
-
Bunk Beds warning labels are visible and instructions are followed
- Safe
- Questionable
- At Risk
- N/A
-
Decking and stairs are free of damage/Hazards
- Safe
- Questionable
- At Risk
- N/A
-
Smoke detectors tested and in operation
- Safe
- Questionable
- At Risk
- N/A
-
Building is Secure on ground no signs of erosion or washout
- Safe
- Questionable
- At Risk
- N/A
-
Tent cover in good condition
- Safe
- Questionable
- At Risk
- N/A
-
Electrical hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Climbing Walls / Ropes course
-
Annual Inspection on file
- Safe
- Questionable
- At Risk
- N/A
-
Proper use of ladders around ropes course
- Safe
- Questionable
- At Risk
- N/A
-
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Outside walkways, trails, bridges and stairs
-
Signs of water erosion
- Safe
- Questionable
- At Risk
- N/A
-
Wood stairs, planks and railings structurally sound and secure
- Safe
- Questionable
- At Risk
- N/A
-
Free of slip, trip, fall hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Safari Club Shooting Range
-
Shooting structure in good condition- interior
- Safe
- Questionable
- At Risk
- N/A
-
Shooting structure in good condition- exterior
- Safe
- Questionable
- At Risk
- N/A
-
Weapon storage rooms well organized and free of clutter
- Safe
- Questionable
- At Risk
- N/A
-
Weapons are stored safely in accordance with all regulations
- Safe
- Questionable
- At Risk
- N/A
-
Projectile munitions stored separately from weaponry when not in use
- Safe
- Questionable
- At Risk
- N/A
-
Safety glasses and hearing protection available
- Safe
- Questionable
- At Risk
- N/A
-
Range rules posted
- Safe
- Questionable
- At Risk
- N/A
-
Weapon storage is secure with no easily exposed Phillips or flat head screws
- Safe
- Questionable
- At Risk
- N/A
-
Ricochet hazard down range
- Safe
- Questionable
- At Risk
- N/A
-
Fire extinguisher on site
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Sportsman’s Warehouse/ Lowe’s shooting range
-
Shooting structure in good condition- interior
- Safe
- Questionable
- At Risk
- N/A
-
Shooting structure in good condition- exterior
- Safe
- Questionable
- At Risk
- N/A
-
Weapon storage rooms well organized and free of clutter
- Safe
- Questionable
- At Risk
- N/A
-
Secondary containment of all rifles the form of locking gun safes
- Safe
- Questionable
- At Risk
- N/A
-
Weapons are stored safely in accordance with all regulations
- Safe
- Questionable
- At Risk
- N/A
-
Projectile munitions stored separately from weaponry when not in use
- Safe
- Questionable
- At Risk
- N/A
-
Safety glasses and hearing protection available
- Safe
- Questionable
- At Risk
- N/A
-
Range rules posted
- Safe
- Questionable
- At Risk
- N/A
-
Weapon storage is secure with no easily exposed Phillips or flat head screws
- Safe
- Questionable
- At Risk
- N/A
-
Ricochet hazard down range
- Safe
- Questionable
- At Risk
- N/A
-
Fire extinguisher on site
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Archery range
-
Down Range Shooting structure in good condition
- Safe
- Questionable
- At Risk
- N/A
-
Shooting structure in good condition- exterior
- Safe
- Questionable
- At Risk
- N/A
-
Weapon storage rooms well organized and free of clutter
- Safe
- Questionable
- At Risk
- N/A
-
Weapons are stored safely in accordance with all regulations
- Safe
- Questionable
- At Risk
- N/A
-
Range rules posted
- Safe
- Questionable
- At Risk
- N/A
-
Weapon storage is secure with no easily exposed Phillips or flat head screws
- Safe
- Questionable
- At Risk
- N/A
-
Ricochet hazard down range
- Safe
- Questionable
- At Risk
- N/A
-
Fire extinguisher on site
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Equestrian and stable area
-
Stable structure in good condition- interior
- Safe
- Questionable
- At Risk
- N/A
-
Stable structure in good condition- exterior
- Safe
- Questionable
- At Risk
- N/A
-
Horse stable storage rooms well organized and free of clutter
- Safe
- Questionable
- At Risk
- N/A
-
Animal products, syringes, chemicals and Rx are stored safely and in accordance with all regulations
- Safe
- Questionable
- At Risk
- N/A
-
Biohazard / sharps container on premises
- Safe
- Questionable
- At Risk
- N/A
-
Animal pens are secure and structurally sound
- Safe
- Questionable
- At Risk
- N/A
-
Feed storage/ tractor shed structurally sound and free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
All Animal fencing is secure and structurally sound
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Dam - Lake
-
Earthen dam free of rooting trees willows and shrubs
- Safe
- Questionable
- At Risk
- N/A
-
Spillway free of trees, shrubs, and willows
- Safe
- Questionable
- At Risk
- N/A
-
Dam is free of depressions or sink holes
- Safe
- Questionable
- At Risk
- N/A
-
Dam drain is free of blockage and structurally sound
- Safe
- Questionable
- At Risk
- N/A
-
Dam valve operational and clear of dirt and operational
- Safe
- Questionable
- At Risk
- N/A
-
Leaks in damn present
- Safe
- Questionable
- At Risk
- N/A
-
Leaks are documented every year and observed for worsening conditions
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Swimming Area- Lake
-
Bacteriological testing in accordance with state regulations
- Safe
- Questionable
- At Risk
- N/A
-
Beach free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Dock and water slide structurally sound and free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Waterfront fuels are posted
- Safe
- Questionable
- At Risk
- N/A
-
Leaks in damn present
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Boating Area- Lake
-
Boats are all in good condition for use
- Safe
- Questionable
- At Risk
- N/A
-
USCG approved life jackets available and in good condition
- Safe
- Questionable
- At Risk
- N/A
-
Boating area is free of hazards
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Boating House- Lake
-
AED and O2 are available and recorded daily checks are being conducted
- Safe
- Questionable
- At Risk
- N/A
-
All lifeguarding equipment is in good working condition
- Safe
- Questionable
- At Risk
- N/A
-
Fishing poles are stored away in a safe and orderly fashion
- Safe
- Questionable
- At Risk
- N/A
-
Fire detection present and working
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Propane tanks
-
Check line condition and fitting
- Safe
- Questionable
- At Risk
- N/A
-
Secure on ground level with no signs of erosion
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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Additional Items
-
Area of Rescue Assistance Signage Posted at elevator entrance or stairway if N/A elevator.
- Safe
- Questionable
- At Risk
- N/A
-
Confined Space Signage is posted
- Safe
- Questionable
- At Risk
- N/A
-
No Photography Signage in Place
- Safe
- Questionable
- At Risk
- N/A
-
Soccer Goal Anchor System in Place
- Safe
- Questionable
- At Risk
- N/A
-
Storage or Unused Areas Free of Clutter
- Safe
- Questionable
- At Risk
- N/A
-
Video Recording is operational
- Safe
- Questionable
- At Risk
- N/A
-
Notes:
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