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PREP Table of Contents

Sample Plans

 


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Home > TAM Publications > PREP Sample Plan 18


External Hazards Survey

This form is intended to allow a systematic inspection of an Institution’s surroundings. Surveys can be an instrument of prevention in allowing areas of risk to be identified and eliminated, or if that is not possible, regularly checked.

External Hazards Inspection Checklists


Once specific hazards have been identified, list them for regular
inspection. The list should include not only the hazards, but also the
person(s) responsible for checking them, and the date of inspection.



EXTERNAL HAZARDS SURVEY
* Hazardous Condition

Climate

________

* Area subject to temperature and relative humidity extremes.

________

* Area subject to heavy storms or precipitation.

Surroundings

________

* Building located near a body of water.

________

* Nearby body of water has a history of flooding.

________

* Water level or water table level is above basement of building.

________

* Neighboring buildings in close proximity.

________

* Neighboring buildings exhibit exterior fire hazards or impede fire
fighting access.

Building

________

Constructed of:
_______fire-resistive materials.
_______non-combustible materials.
_______combustible materials.

________

Regularly inspected and maintained.

________

Exterior subterranean walls waterproofed with asphalt or other suitable materials.

________

* Accumulations of flammable materials on grounds.

________

Fire and service access clear.

________

Fire and service connections (standpipes, hydrants, etc.) unobstructed.

Roof

________

Constructed of non-combustible materials
______pitched
______W flat.

________

* Over 15 years old.

________

Regularly inspected and maintained.

________

Readily accessible; entrances and exits unobstructed.

________

Fire escapes unobstructed.

________

* Skylights; ________screened.

________

Has lightning arresters.

________

External/internal drains clear.

________

Standpipes and sprinkler roof tanks in good condition.

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External Hazards Inspection Checklists

Hazard

Inspector

Date

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

______________________________________ _______________ __________

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