<Special Committee> Facility Inspection Checklist Council Facility: Address: Person Inspecting: Date of Inspection: Potential Current Comment Actions to be By whom Date of Exposure / Risk Condition taken completion Storm e.g. – No risk / risk overhanging controlled trees, blocked × Risk present roof gutters Fire e.g. – No risk / risk LPG/gas, controlled electrical, × Risk present flammable liquids, spontaneous Combustibles. Vandalism e.g. – No risk / risk accessible and controlled hidden wall × Risk present spaces, vulnerable lights, sculptures Water e.g. – No risk / risk leaking plumbing, controlled blocked drains. × Risk present Burglary/Theft – No risk / risk e.g. windows/ controlled doors, access to × Risk present the roof, unguarded skylights Arson e.g. – No risk / risk access to controlled combustible × Risk present materials e.g. wheelie bins, cartons, fire wood and underside of building Other e.g. – No risk / risk vehicle impact controlled risks, structural × Risk present cracking.
<Special Committee> Facility Inspection Checklist Council Facility: Address: Person Inspecting: Date of Inspection: Potential Exposure / Risk Current Condition Comment Actions to be taken By whom Date of completion Storm – e.g. overhanging trees, blocked roof gutters No risk / risk controlled × Risk present Fire – e.g. LPG/gas, electrical, flammable liquids, spontaneous Combustibles. No risk / risk controlled × Risk present Vandalism – e.g. accessible and hidden wall spaces, vulnerable lights, sculptures No risk / risk controlled × Risk present Water – e.g. leaking plumbing, blocked drains. No risk / risk controlled × Risk present Burglary/Theft – e.g. windows/ doors, access to the roof, unguarded skylights No risk / risk controlled × Risk present Arson – e.g. access to combustible materials e.g. wheelie bins, cartons, fire wood and underside of building No risk / risk controlled × Risk present Other – e.g. vehicle impact risks, structural cracking. No risk / risk controlled × Risk present
Special_Committee_Template_-_Facility_Inspection_Checklist_-_2016.DOCX