Resource Manual
A.5 - Exterior Premises Inspection Record – Option 2
Process Steps
Satisfactory
Y/N
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

Inspect and complete form at a frequency of ________________.
Record findings in Comments/Corrective Actions column.
Record all deviations and corrective actions, including locations
Record date and initial when corrective actions have been completed
Comments/Corrective Actions
Date of Correction
and Initials
Outside premise & immediately adjoining property
No environmental contaminants
no improperly stored chemicals, etc
Neighbour's property not impacting our property
grass/weeds are maintained, no loose garbage or debris
Surroundings and roadways
Free of debris and refuse
no piles of garbage, spare parts, pipes, wood, etc
Adequately drained
no pooling/standing water or potholes
Clear (50 cm) perimeter maintained around building
no debris or vegetation up against building
Waste Containers (BFI and recycle bin) Maintained
covered/closed
leak-proof (no holes/cracks)
not overflowing
Maintained to minimize environmental hazards
no dust, etc.
Maintained to prevent the entry of contaminants and pests
No unprotected openings
doors closed or tightly sealed (no gaps around them)
Air intakes & windows are screened and sealed to prevent entry of
contaminants and pests
Roof, walls, & foundation maintained to prevent leakage and entry of
pests and contaminants
Onsite Verification done by:
Date:
Deviations/Comments:
Record Verification done by:
Date:
Deviations/Comments:
Premises Program: Exterior Inspection Record - Option 2
Page 1 of 1
Issue Date: _______________________
Developed by: ____________________________
Date last revised: ____________________________
Authorized by: ____________________________
Date authorized: ____________________________
Resource Manual
Premises Program: Exterior Inspection Record - Option 2
Page 1 of 1
Issue Date: _______________________
Developed by: ____________________________
Date last revised: ____________________________
Authorized by: ____________________________
Date authorized: ____________________________