THE SALVATION ARMY SOUTHERN TERRITORY PROPERTY and RISK INSPECTION. Date:
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1 THE SALVATION ARMY SOUTHERN TERRITORY PROPERTY and RISK INSPECTION Location Address: Occupancy: INSPECTION TEAM: Name Profession/Position Date: INSTRUCTIONS: 1. This form should be used for all Salvation Army facilities except quarters (use separate form). This inspection is to be conducted bi-annually with the advisory organization property committee. The page 11 follow up report is to be completed in alternate years. 2. Check if satisfactory, Not satisfactory, or Not Applicable. If Not satisfactory, list proposed repair/replacement. 3. Attach final page from last year s inspection. DIVISIONAL BOARD 1
2 Exterior Not Sidewalks/Parking areas free of defects Steps/Stairs/Ramps adequately illuminated? Curbs & crosswalks conspicuously marked? Retaining Walls Driveway Fence/Wall Chimney Flashing/Roof Edge Soffit/Fascia Wall Surface/Siding Gutters/Downspouts Splash Blocks/Boots Drains/Drywells Skylights Wood Trim Metal Trim Porch/Terrace Railings Storm Windows Storm Doors Screens Bulkheads Garage Signage Bulletin Boards Lawn Shrubs Trees Emergency routes and exits clearly marked? Is there emergency lighting? Are exit doors equipped with panic hardware? Are doors operating properly to close slowly? Clear glass door panels and large plate glass panels marked for warning? Wet weather mats used and kept dry? Are donated items left outside attended to quickly? 2
3 Structural Not Roof Basement Walls Joists/Beams Lateral/Cross Bracing Trusses Any evidence of mold? Describe all noticeable structural defects: (use additional pages if needed) Interior Rooms Not Mechanical Room Downstairs Chapel Gym Front Hallway Food Room Hallmark Room Downstairs Hallway Whole Building Nursery Room a. Plug protectors on electrical outlets? b. Curtain cords do not present a hazard? c. Proper crib bar spacing Classrooms Bathroom - Female Bathroom - Male Ceiling Apartment Multipurpose Room Offices Kitchen Not Microwave Oven Range Broilers Fryers Grills Slicers Toasters Coffee Maker/Urns Mixers 3
4 Ice Makers Refrigerator Free Standing Refrigerator Walk-in Freezers Free Standing Freezers Walk-in Dishwashers Dish Storage/Dispensers Counter/Work Tables Stove Hood Current Health/Operating Permit Tables & chairs unbroken & no sharp edges? Aisle width adequate and unobstructed? Floors dry, free of defects, litter, etc.? Counters free of sharp edges and corners? Floor area behind counters clean and clear? Spillage on floor cleaned up immediately? Illumination adequate & maintained? Safe lifting techniques used? Surfaces non-slip, clean, unobstructed? Exhaust hoods clean and filters in place? Regular steam cleaning of exhaust ducts? Date of last service? Automatic fire extinguishing system over cooking equipment? Date last checked? (Required semi-annually) Automatic fuel-shut-off on cooking equipment? Surface protection full or partial? (describe) Plumbing Not Sinks: Bathroom(s) Kitchen Janitor/Utility/Laundry Toilets Urinals Showers (Male) Showers (Female) Hose Bibs 4
5 Water service satisfactory? Domestic hot water adequate? If septic system, date of last percolation test? Hot water regulated to prevent scalding Fire Protection Not Smoke detectors operational? Fire detectors operational? Fire extinguishers certified/charged date? Fire doors unobstructed, not wedged open, operable? Monitored fire detection system? If building sprinklered, date of last inspection? Sprinkler heads unobstructed, 18 free clearance, free of paint, corrosion, otherwise operable? Sprinkler valves open and accessible? Special storage and handling of solvents and flammables? Evacuation plan posted/drills conducted? Lighted exit signs functioning? Security Alarm Not Burglar/Intrusion alarm Monitored system-central station or local? Service contract current 5
6 Heating System Not All heating and/or refrigeration systems checked annually by a qualified outside concern? (Give name and date of last inspection) Areas around furnaces or refrigeration unit kept clear of combustible stock or chemicals? Proper clearance maintained between heating & refrigeration units and combustible materials (floor joists, walls, etc.)? If steam heat, is there a low water cutoff? Pressure relief valve operating? Boiler Certificate posted? Filters inspected and changed regularly? Condition of boiler/furnace Annual inspection conducted? Any above ground or underground storage tank on-site? If so comment on capacity, type of product and date of last tank tightness test Thermostats on timers? Any Asbestos insulation on ducts/pipes? Air Conditioning Not Central Air Conditioning Individual room/area units Service contract current No presence of mold 6
7 Ventilation Not Bathrooms Kitchen Stratification fans Other: Electrical Service Not All equipment grounded? Maintenance good; all temporary wiring replaced? Circuit protections of proper size, in good condition? Fluorescent tubes stored/disposed of safely? Ground fault circuit interrupters provided on electrical outlets near sinks, water closets, etc.? Computers have surge protectors? Limited use of extension cords? Telephone/ Public Address Owned system condition Leased system condition Not Elevator: Freight# Passenger# License/Inspection Date? Service Contract? General Condition? Not Safety/Health Not Accident recorded on the proper forms? Medical Panel list posted? State mandated Workers Compensation Poster posted? Claims Manual available? 7
8 Don t Risk It poster displayed? Stock Rooms Not Storage stable, no protruding stock? No strapping, glass, nails, etc. on floor? Used packing moved to trash dock promptly? Safe ladders used for reaching high stock? Heavy items stored on lower shelves? Employees instructed in safe lifting techniques? Swimming Pools Not Fencing meets state requirements? Adequate signs posted for pool areas and requirements? Length or height does not exceed 1 meter? Adequate life saving equipment provided? Depth markings clearly visible on pool copings? Floating line provided separating the shallow & deep pool areas? All 110 or greater voltage lights and outlets within 15 feet of pool connected to a ground fault interrupter? Recreation Equipment Not Playground equipment in good condition? Adequate impact absorption under equipment? Are entrapment areas protected? If fenced, is property maintained? 8
9 Crime Exposure Not Criminal background checks done on prospective employees? Are all monies recorded and deposited daily? Is a bank night depository used? Checks stamped For Deposit Only? Are couriers used for daily deposits? First Aid Not Adequate first aid supplies? Red Cross Qualified person available to administer first aid during all programs? Sharp object containers available? Universal precautions used? Stewardship Does general condition of furnishings and building give evidence of proper maintenance and stewardship? If not, define areas requiring attention. Property Management Program State plans for major repairs, renovations, or replacement. Include proposed funding. Identify projects on priority basis. Future Projects Capital Reserves Property Maintenance Other Funding $ $ $ $ $ $ $ $ $ $ 9
10 Comment of Inspecting Officers Signatures/Endorsements Divisional Commander/Department Head Corps Officer/Administrator Advisory Board/Council Representative Officer Conducting Inspection Date Reviewed: Advisory Board/Council 10
11 One Year Follow-Up Report Due Date Date Completed Signed WPDATA/Services/Lossprev/forms/RealProperty-corps. 11
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