Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by Jason Pearce

  • Location
  • Personnel

Camp radios Communication System(s)

  • Functioning Paging and or radio communication system.

  • Notes:

  • Add media

Electrical -Overall

  • Electrical - Panels are Free of Obstructions (36")

  • Electrical - Major Infrastructure Issues

  • GFCI Outlets Test and Perform Correctly

  • Lighting Functions as Designed

  • Lock-Out Tag-Out Kit On-Site

  • Notes:

  • Add media

Fire/Emergency System

  • 4 Fire Drills Completed Annually

  • AED Daily Checks

  • AED Equipment is complete and rescue ready

  • Alarm Panel Functions - based upon up to date test and inspection on-file

  • Audible Alarm Alerts Function

  • Back flow Testing - Current Inspection On-File

  • Emergency Lighting Stations Function

  • Evacuation Routes Are Posted & Current.

  • Fire Department Inspection (current) On-File

  • Exit Signs Illuminate/Function

  • Fire Doors are Functional

  • Fire Extinguisher checks monthly.

  • Pull Stations Function

  • Strobe Light Stations Function

  • Notes:

  • Add media

Maintenance House

  • Power Tools in good condition and all labels visible

  • Paint and Gasoline storage in accordance with safety regulations

  • Ladders are safe with all labels visable

  • Applicable/Correct NFPA Placards

  • Building’s physical condition exterior

  • Well organized and clean

  • Add media

  • Notes:

Chemicals/PPE

  • Chemical Containers are Properly Labeled

  • Chemical Eye Was/Shower tested/Current Inspections On-File

  • Hazardous Chemicals Stored Correctly/Secondary Containment

  • PPE Available and Stored Correctly

  • SDS Up-To-Date in Chemical Area or Electronic

  • Chemical list at the front of each SDS binder.

  • SDS Up-To-Date at Main Desk or Electronic

  • SDS Poster in Chemical Area(s).

  • Notes:

  • Add media

Plumbing -Overall

  • Plumbing - Major Infrastructure Issues

  • Plumbing - Visible Age/Condition

  • Plumbing - Visible Leaks

  • Plumbing - Safety Concerns

  • Notes:

  • Add media

  • Drain Downspouts

The Ranch house

  • Floors

  • Storage/Shelving Safe and Anchored

  • Pourch has free of damage/Hazards

  • Smoke detectors tested and in operation

  • Upstairs living area in safe and livable condition for staff

  • Walls/Paint

  • All office furniture above 48” mounted to a wall

  • Office area free of trip hazard

  • Restrooms in safe and working order

  • Heating elements free from cords, drapes, furniture and other combustible materials

  • Fireplace is in safe working order

  • Notes:

  • Add media

Bennett Lodge

  • Floors

  • Dining hall free of hazards

  • Storage/Shelving Safe and Anchored

  • Dining hall CO detection operational

  • Pourch has free of damage/Hazards

  • Kitchen equipment labeled with all warnings visible

  • All kitchen signage is clear and visable

  • Walls/Paint

  • All kitchen racks above 48” mounted to a wall unless on wheels

  • Restaurant wet chemical fire suppression system inspected annually

  • Staff Restrooms

  • Camper Restrooms

  • Hand washing signs for staff in place in food prep areas and staff restrooms

  • Folding table training for staff only, all warning labels visible

  • Upstairs staff areas area safe and free of hazards

  • CO detection located in living area upstairs and operational

  • All HVAC areas up stairs accessible and free of clutter

  • Building is Secure on ground no signs of erosion or washout

  • Roof ice protection system in place “cleats”

  • Notes:

  • Add media

Catamount dance hall

  • Floors

  • Dance hall free of hazards

  • Storage/Shelving Safe and Anchored

  • Fire alarm or smoke detection in place

  • Dance hall CO detection operational

  • Pourch has free of damage/Hazards

  • Kitchen equipment labeled with all warnings visible

  • Walls/Paint

  • Med shed free from hazards

  • Staff Restrooms

  • Staff sleeping area free from hazards

  • Trip shed well organized and free of hazards

  • All Floor heaters free of clutter and furniture

  • HVAC and water heater in Good working condition

  • Building is Secure on ground no signs of erosion or washout

  • Notes:

  • Add media

Lions Lodge

  • Floors

  • Lodge free of hazards

  • Storage/Shelving Safe and Anchored

  • Fire alarm or smoke detection in place

  • Lodge hall CO detection operational

  • Folding table training for staff only, all warning labels visible

  • Pourch has free of damage/Hazards

  • Kitchen equipment labeled with all warnings visible

  • Walls/Paint

  • Med shed free from hazards

  • Staff Restrooms

  • Staff sleeping area free from hazards

  • Trip shed well organized and free of hazards

  • All Floor heaters free of clutter and furniture

  • HVAC and water heater in Good working condition

  • Building is Secure on ground no signs of erosion or washout

  • Notes:

  • Add media

Trading post

  • Floors

  • Trading post free of hazards

  • Storage/Shelving Safe and Anchored

  • Pourch has free of damage/Hazards

  • Walls/Paint

  • Building is Secure on ground no signs of erosion or washout

  • Notes:

  • Add media

Basketball court

  • Court base is free from hazaeds

  • Hoop and net structure are free of hazards

  • Fence surrounding court is free of hazards

  • Notes:

  • Add media

Pump House

  • Extra chemical storage has secondary containment

  • SDS Sheets are stored in location with correct chemicals housed in immediate area

  • Clear of slip, trip, fall hazards

  • Door is locked and secured during hours of operation

  • No signs of leaks

  • Building is Secure on ground no signs of erosion or washout

  • Fire alarm or smoke detection in place

  • No signs of corrosion

  • PPE Available for testing per SDS

  • Exterior of building

  • Lighting

  • Notes:

  • Add media

The Woods Lodge

  • Floors

  • Occupancy signs posted

  • Bunk Beds structure safe with working ladders

  • Building is Secure on ground no signs of erosion or washout

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Emergency lighting operational

  • Exterior outside area

  • Walls/Paint

  • Restrooms/Showers areas

  • Upper level

  • Notes:

  • Add media

The Loo Lodge

  • Floors

  • Occupancy signs posted

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Building is Secure on ground no signs of erosion or washout

  • Pourch is free of Damage/Hazards

  • Smoke detectors tested and in operation

  • Emergency lighting operational

  • Exterior outside area

  • Walls/Paint

  • Restrooms/Showers areas

  • Upper level

  • Notes:

  • Add media

The Rotary Cabin

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Building is Secure on ground no signs of erosion or washout

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Walls/Paint

  • Heating elements free from cords, drapes, furniture and other combustible materials

  • Electrical hazards

  • Notes:

  • Add media

  • Building is Secure on ground no signs of erosion or washout

The Sertoman cabin

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Walls/Paint

  • Heating elements free from cords, drapes, furniture and other combustible materials

  • Electrical hazards

  • Notes:

  • Add media

The Pikes Peak Cabin

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Building is Secure on ground no signs of erosion or washout

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Walls/Paint

  • Outhouse

  • Heating elements free from cords, drapes, furniture and other combustible materials

  • Electrical hazards

  • Notes:

  • Add media

The Ute Cabin

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Heating elements free from cords, drapes, furniture and other combustible materials

  • Electrical hazards

  • Notes:

  • Add media

The Optimist Cabin

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Heating elements free from cords, drapes, furniture and other combustible materials

  • Electrical hazards

  • Notes:

  • Add media

The Ponderosa Cabin

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Electrical hazards

  • Notes:

  • Add media

The Spruce Cabin

  • Floors

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Bunk Beds warning labels are visible and instructions are followed

  • Bunk Beds structure safe with working ladders

  • Electrical hazards

  • Notes:

  • Add media

The Aspen Cabin

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Electrical hazards

  • Notes:

  • Add media

The Alpine Cottage

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Electrical hazards

  • Notes:

  • Add media

Hawk storage shed

  • Floors

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Electrical hazards

  • Notes:

  • Add media

Summit restrooms

  • Floors

  • Pourch is free of damage/Hazards

  • Smoke detectors tested and in operation

  • Pluming, sinks and lavatory in Good working condition.

  • Building is Secure on ground no signs of erosion or washout

  • Walls/Paint

  • Electrical hazards

  • Notes:

  • Add media

Camper tents Sacagawea and Tanager

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Decking and stairs are free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Tent cover in good condition

  • Electrical hazards

  • Notes:

  • Add media

Camper tents Falcon, Peregrine and Stellar Jay

  • Floors

  • Bunk Beds structure safe with working ladders

  • Bunk Beds warning labels are visible and instructions are followed

  • Decking and stairs are free of damage/Hazards

  • Smoke detectors tested and in operation

  • Building is Secure on ground no signs of erosion or washout

  • Tent cover in good condition

  • Electrical hazards

  • Notes:

  • Add media

Climbing Walls / Ropes course

  • Annual Inspection on file

  • Proper use of ladders around ropes course

  • Add media

  • Notes:

  • Add media

Outside walkways, trails, bridges and stairs

  • Signs of water erosion

  • Wood stairs, planks and railings structurally sound and secure

  • Free of slip, trip, fall hazards

  • Notes:

  • Add media

Safari Club Shooting Range

  • Shooting structure in good condition- interior

  • Shooting structure in good condition- exterior

  • Weapon storage rooms well organized and free of clutter

  • Weapons are stored safely in accordance with all regulations

  • Projectile munitions stored separately from weaponry when not in use

  • Safety glasses and hearing protection available

  • Range rules posted

  • Weapon storage is secure with no easily exposed Phillips or flat head screws

  • Ricochet hazard down range

  • Fire extinguisher on site

  • Notes:

  • Add media

Sportsman’s Warehouse/ Lowe’s shooting range

  • Shooting structure in good condition- interior

  • Shooting structure in good condition- exterior

  • Weapon storage rooms well organized and free of clutter

  • Secondary containment of all rifles the form of locking gun safes

  • Weapons are stored safely in accordance with all regulations

  • Projectile munitions stored separately from weaponry when not in use

  • Safety glasses and hearing protection available

  • Range rules posted

  • Weapon storage is secure with no easily exposed Phillips or flat head screws

  • Ricochet hazard down range

  • Fire extinguisher on site

  • Notes:

  • Add media

Archery range

  • Down Range Shooting structure in good condition

  • Shooting structure in good condition- exterior

  • Weapon storage rooms well organized and free of clutter

  • Weapons are stored safely in accordance with all regulations

  • Range rules posted

  • Weapon storage is secure with no easily exposed Phillips or flat head screws

  • Ricochet hazard down range

  • Fire extinguisher on site

  • Notes:

  • Add media

Equestrian and stable area

  • Stable structure in good condition- interior

  • Stable structure in good condition- exterior

  • Horse stable storage rooms well organized and free of clutter

  • Animal products, syringes, chemicals and Rx are stored safely and in accordance with all regulations

  • Biohazard / sharps container on premises

  • Animal pens are secure and structurally sound

  • Feed storage/ tractor shed structurally sound and free of hazards

  • All Animal fencing is secure and structurally sound

  • Notes:

  • Add media

Dam - Lake

  • Earthen dam free of rooting trees willows and shrubs

  • Spillway free of trees, shrubs, and willows

  • Dam is free of depressions or sink holes

  • Dam drain is free of blockage and structurally sound

  • Dam valve operational and clear of dirt and operational

  • Leaks in damn present

  • Leaks are documented every year and observed for worsening conditions

  • Notes:

  • Add media

Swimming Area- Lake

  • Bacteriological testing in accordance with state regulations

  • Beach free of hazards

  • Dock and water slide structurally sound and free of hazards

  • Waterfront fuels are posted

  • Leaks in damn present

  • Notes:

  • Add media

Boating Area- Lake

  • Boats are all in good condition for use

  • USCG approved life jackets available and in good condition

  • Boating area is free of hazards

  • Notes:

  • Add media

Boating House- Lake

  • AED and O2 are available and recorded daily checks are being conducted

  • All lifeguarding equipment is in good working condition

  • Fishing poles are stored away in a safe and orderly fashion

  • Fire detection present and working

  • Notes:

  • Add media

Propane tanks

  • Check line condition and fitting

  • Secure on ground level with no signs of erosion

  • Notes:

  • Add media

Additional Items

  • Area of Rescue Assistance Signage Posted at elevator entrance or stairway if N/A elevator.

  • Confined Space Signage is posted

  • No Photography Signage in Place

  • Soccer Goal Anchor System in Place

  • Storage or Unused Areas Free of Clutter

  • Video Recording is operational

  • Notes:

  • Add media

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.