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Seneca inspection instructions

GENERAL INFORMATION

Have you gone to "Attach Files" and reviewed the Previous Report(s) and Case Information *

Yes
No
No previous report or case information

Inspection Date: *

Month
Day
Year

Insured is: *

Owner
Tenant
Lessee which leases from the owner and rents or subleases to others

Name of Interviewee: *

Interviewee is: *

Insured
Building Super
Tenant other than the Insured
Property Manager
Other Title

List Other Title: *

RISK ASSESSMENT SUMMARY

Construction:

Construction: *

Acceptable as is
Acceptable pending compliance with recommendations
Unacceptable

Heating, Electrical, Plumbing:

Heating, Electrical, Plumbing: *

Acceptable as is
Acceptable pending compliance with recommendations
Unacceptable

Fire Protection:

Fire Protection: *

Acceptable as is
Acceptable pending compliance with recommendations
Unacceptable

Building Security:

Building Security: *

Acceptable as is
Acceptable pending compliance with recommendations
Unacceptable

Liability:

Liability: *

Acceptable as is
Acceptable pending compliance with recommendations
Unacceptable

Overall Opinion of Risk:

Overall Opinion of Risk: *

Acceptable as is
Acceptable pending compliance with recommendations
Unacceptable

Overall Risk Condition Narrative... Inspector, Start your Narrative with : The Overall Risk Condition is Acceptable with no issues. OR : The Overall Risk Condition is Acceptable with rec's and then... *

PROPERTY OVERVIEW

C.O.P.E. Narrative: Provide highlights of the CONSTRUCTION *

C.O.P.E. Narrative: Provide COMPLETE DETAILS of the OPERATIONS and OCCUPANCY *

C.O.P.E. Narrative: Provide highlights of the PROTECTION *

C.O.P.E. Narrative: Provide highlights of the EXPOSURES (don't forget to mention any scaffolding here) *

If tenant, years the Insured has been in business. If building owner, years the Insured has owned the building. *

Is there more than one building? *

Yes
No

Grand Total number of Buildings: *

Grand Total number of Apartment/Condo Units: *

Grand Total number of Mercantile Units: *

Are there any Vacancies in any building? *

Yes
No

Does the insured lease or sub-lease any space to others? *

Yes
No

Are there Lease Agreements in place? *

Yes
No
N / A ONLY when there are NO TENANTS

Are Certificates of Insurance (COI) obtained from all Contractors? *

Yes
No

Are Certificates of Insurance (COI) obtained from all Tenants? *

Yes
No
N / A ONLY when there are NO TENANTS

PROPERTY - OCCUPANCY EXPOSURES

The Insured:

Check ALL that apply: *

Name the Insured's Other Occupancy Exposure: *

Does the Insured's Commercial Cooking exposure have an AES system? *

Yes
No

Other Occupants:

Check ALL that apply: *

Name the Other Occupants Other Occupancy Exposure: *

Does the Other Occupant's Commercial Cooking exposure have an AES system? *

Yes
No

Occupancy Exposure Concerns:

Are there Property or Operations Concerns/Problems *

Yes
No

Describe any concerns: *

Is the Scaffolding going up or is it coming down. *

The Scaffolding is being assembled.
Existing/In-Place scaffolding.
The Scaffolding is being disassembled.

How long has the scaffolding been there and how long will it remain there? *

What is the purpose of the Scaffolding? Why is there scaffolding? What is being done? *

BUSINESS AND OCCUPANCY: MAIN BUILDING

Identify the Building: (name or street address) *

Years the Insured has owned or occupied this location: *

Nature of business/occupancy:

Nature of business/occupancy: (Check ALL that apply) *

Apartment or Condo or Residence
Office
Manufacturing
Mercantile or Retail Space
Restaurant
Service
Warehouse
Church
Other

List Other Nature: *

Percentage of Other: *

Percentage of Apartment/Condo/Residence: *

Percentage of Office: *

Percentage of Retail / Mercantile: *

Percentage of Manufacturing: *

Percentage of Service: *

Percentage of Restaurant: *

Percentage of Warehouse: *

Percentage of Church: *

Total Percentage: *

Apartment/Condo/Residence Occupancy:

Number of Apartment/Condo/Residence Units: *

Are there any Apartment/Condo/Residence Vacancies? *

Yes
No

Percentage of Apartment/Condo/Residence Vacant: *

Commercial Occupancy:

Number of Commercial Units: *

Are there any Commercial Vacancies? *

Yes
No

Percentage of Commercial Vacant: *

Describe Business and Occupancy concerns, and ALL Vacancies:

FLOORS

Number of Floors in the Building: *

How many floors does the Insured own or lease space? *

Floor 1

Floor Number (of a floor that insured owns or leases space): *

Square footage of entire floor *

Percentage occupied by Insured: *

Area on this floor occupied by the Insured *

Comments and Usage for this floor *

Floor 2

Next Floor Number (of a floor that insured owns or leases space): *

Square footage of entire floor *

Percentage occupied by Insured: *

Area on this floor occupied by the Insured *

Comments and Usage for this floor *

Floor 3

Floor Number (of a floor that insured owns or leases space): *

Square footage of entire floor *

Percentage occupied by Insured: *

Area on this floor occupied by the Insured *

Comments and Usage for this floor *

List any additional floors, including the square footage for each floor, and the % and area occupied by insured, for each floor, usage, and comments (example: FL #____, ______ sf, _____%, _____sf, ...

Percentage of Additional Floors occupied by Insured:

Floors: Building Totals

Building Total Square Footage: *

Percentage of this Above Grade Total, occupied by Insured: *

Total Area Occupied by the Insured *

Floors: Basement

Does this building have a Basement: *

Yes
No

Basement Total Square Footage: *

Percentage of Basement occupied by Insured: *

Area of the basement occupied by the Insured *

Describe Basement Usage: *

Commercial Occupant:

Street Address / Unit # *

Unit Location / Floor # *

Unit Occupant: *

Years in Business: *

Years at this location: *

Days / Hours of Operation: *

Concerns for this occupant

Is there a second occupant? *

Yes
No

Second Occupant:

Street Address / Unit #

Unit Location / Floor # *

Unit Occupant: *

Years in Business: *

Years at this location: *

Days / Hours of Operation: *

Concerns for this occupant

Is there a third occupant? *

Yes
No

Third Occupant:

Street Address / Unit #

Unit Location / Floor # *

Unit Occupant: *

Years in Business: *

Years at this location: *

Days / Hours of Operation: *

Concerns for this occupant

Additional Occupants:

Provide detailed information for ALL additional Units:

LIABILITY

Evaluation of Liability Concerns/Hazards:

Parking Lot(s) *

Acceptable
Acceptable with Recs
Unacceptable
NA

Describe concerns with the Parking Lot: *

Sidewalks: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Sidewalks: *

Sidewalk Security Cameras: *

Yes
No

Exterior Camera Coverage: *

Front Sidewalks
Side Sidewalks
Front Entrance
Side Entrance
Parking area
Unknown
NA
Other:

Identify Other Coverage Area:

Entrances: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Entrances: *

Adjacent Exposures: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Adjacent Exposures: *

Stairs, Ramps, and Handrails: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Stairs, Ramps, and Handrails: *

Common Areas: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Common Areas: *

Fire Escapes: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Fire Escapes: *

Gutters and Downspouts: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Gutters and Downspouts: *

Overall Building Maintenance: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Overall Building Maintenance: *

Overall Housekeeping: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Overall Housekeeping: *

Proper Egress: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with Egress: *

What is the Total Number of Exits *

Illuminated Exit Signs: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with illuminated exit signs: *

Are there any illuminated exit signs? *

Yes
No

Are illuminated exit signs required? *

Yes
No

Emergency Lighting: *

Acceptable
Acceptable with Recs
Unacceptable

Describe concerns with the Emergency Lighting: *

Are there any emergency lights? *

Yes
No

Are emergency lights required? *

Yes
No

Snow and Ice Removal

Who is responsible for Snow and Ice Removal? *

The Insured
Landlord if the Insured is a Tenant
The Town or City or Municipality
Tenant If the Insured is the Landlord
NA Area not subject to snow
Condo or Building Association

Describe any concerns about snow and ice removal. Also, add comment (if you have additional relative information to share).

Elevators

Are there any Passenger Elevators? *

Yes
None

Number of Passenger Elevators: *

Current Inspection? *

Yes
No

Is there a Tag Date for the Passenger Elevator *

Yes
No

Date of most recent Inspection: *

Are there any Operating Concerns? *

Yes
No

Describe Passenger Elevator Concerns: *

Interior Doors? *

Yes
No

Exterior Doors? *

Yes
No

Can the Safety Features by overridden? *

Yes
No

Are there any Freight Elevators? *

Yes
None

Number of Freight Elevators: *

Type of Operation: *

Lever
Push Button

Operated by: *

Tenants
Building Management

Current Inspection? *

Yes
No

Is there a Tag Date for the Freight Elevator *

Yes
No

Date of most recent Inspection: *

Are there any Operating Concerns? *

Yes
No

Describe Freight Elevator Concerns: *

Interior Doors? *

Yes
No

Exterior Doors? *

Yes
No

Can the Safety Features by overridden? *

Yes
No

Wooden Structures

Are there any attached wooden decks, balconies, or staircases? *

Yes
No

Are there any grills either on or below them? *

Yes
No

Is there any storage either on or below them? *

Yes
No

Other Liability Concerns

Provide any additional applicable information about existing liability concerns

CONSTRUCTION: MAIN BUILDING

The year built: *

Overall Condition: *

Acceptable
Acceptable with Recs
Unacceptable

Describe construction condition concerns here. (Enter any additional information about the building construction in the "Additional Comments" area at the end of the report)

Are there any renovations, construction, or demolition work? *

Yes
No

Cost of Renovation: *

Describe the renovations, new construction, or demolition work. *

Is the building of Mixed Construction (more than one Type) or ALL (100 %) one Type? *

Mixed Construction
All One Type

Primary Construction Type: *

Frame ISO 1
Joisted Masonry ISO 2
Non Combustible ISO 3
Masonry Non Combustible ISO 4
Modified Fire Resistive ISO 5
Fire Resistive ISO 6

What percentage of Building is this Type: *

Secondary Construction Type: *

Frame ISO 1
Joisted Masonry ISO 2
Non Combustible ISO 3
Masonry Non Combustible ISO 4
Modified Fire Resistive ISO 5
Fire Resistive ISO 6

What percentage of Building is this Type: *

Do you need to add a third Construction Type? *

Yes
No

Additional Construction Type: *

Frame ISO 1
Joisted Masonry ISO 2
Non Combustible ISO 3
Masonry Non Combustible ISO 4
Modified Fire Resistive ISO 5
Fire Resistive ISO 6

What percentage of Building 3 is this Type: *

Calculated Total of Construction Percentage *

COMMENTS and CONCERNS: Provide any additional applicable information about the building construction. *

Roof Shape: *

Flat
Gable
Gambrel Barn
Hip
Mansard
Shed

Roof Construction: *

Poured Concrete
Concrete Slab
Steel Deck
Wood Joist
Gypsum Slab

Roof Covering (check all that apply) *

Describe Other Covering *

Age of Roof Covering: *

Age of Roof Decking: *

Evidence of Roof Leaks (water stains unrelated to plumbing leaks) *

Walls
Ceilings
Walls and Ceilings
None

Has the leak been fixed *

Yes
No

What was done to fix the leak *

Roof Condition: *

Acceptable
Acceptable with Recs
Unacceptable
Not Observed

Describe condition for roof concerns: *

Floor Construction: *

Concrete
Steel
Wood

Floor Condition: *

Acceptable
Acceptable with Recs
Unacceptable

Describe condition for floor concerns: *

Ceiling Finish: *

Concrete
Drywall
Plaster
Gypsum Slab
Stamped Tin
Suspended Tile
Steel
Wood
Other

Describe the Other Ceiling Finish *

Ceiling Condition: *

Acceptable
Acceptable with Recs
Unacceptable

Describe condition for ceiling concerns: *

Wall Construction/Finish: *

Brick
Concrete
Concrete Block
Drywall
Plaster
Steel
Wood

Wall Condition: *

Acceptable
Acceptable with Recs
Unacceptable

Describe condition for wall concerns: *

Stair Condition: *

Acceptable
Acceptable with Recs
Unacceptable
NA

Stair Type: *

Open
Enclosed

Stair Construction: *

Concrete
Metal
Wood

Describe condition for stair concerns: *

Chimney Condition: *

Acceptable
Acceptable with Recs
Unacceptable
NA No Chimney

Describe condition for chimney concerns: *

Are there any masonry firewalls? *

Yes
No

Are there parapets (extending the firewall above the roof) ? *

Yes
No