Building and Records Risk Assessment

Building and Records Risk Assessment

For Potential Disasters

Government Entity:______

Reviewer(s): ______

Location

Facility: ______Built:______

Check the following:

Large Trees Beside Building / Close Utility Poles / Near Chemical/Hazardous Waste Facilities
Along Hazardous Truck Shipping Route / Near Construction Area / Adjacent to Railroad Tracks
Along Major Highways / Under Heavy Traffic Flight Paths / Near Buildings Susceptible to Terrorism
In a Floodplain / Near a Body of Water / Located in Valley
Water Main Break

Comments:______

Local Climate

High/Low Temperature Range:______

My area is susceptible to the following:

Fires / Flooding / Severe Thunderstorms/Lightning
Tornadoes/High Winds / Snowstorms/Blizzards / Earthquakes/Tremors
Drastic Temperature Fluctuations / Drastic Humidity Fluctuations / Heat Waves

Comments:______

Building Exterior

Construction Materials:______

Roof Condition:______

Roof Construction:______

Roof Skylights, Doorways:______

Windows Condition:______

Water Drainage:______

Water Leaks:______

Foundation Condition:______

Comments:______

Building Interior

Average Temperature and Relative Humidity: ______

Check if possess the following:

Fire Detectors / Fire Extinguishers / Sprinkler System
Access to Circuit Breakers / Access to Stop Water System

Check if susceptible to the following:

Leaky Pipes/Sewage Backups / Electrical Failures / Air Conditioning Failure
Water Leaks / Insects / Rodents
Birds / Moisture Accumulation / Drastic Temperature Changes
Gas Leaks / No Routine House Keeping Procedures

Comments:______

Records Storage

Average Temperature/Humidity in Storage Area:______

Check if possess the following:

Fire Detectors / Fire Extinguishers / Thermohygrometer (Relative Humidity)
Dehumidifiers / UV Lighting / Temperature Gauge

Comments:______

Check if records storage space is susceptible to the following:

Leaky Pipes / Electrical Failures / Air Conditioning Failure
Building Leaks / Insects / Rodents
Birds / Moisture Accumulation / Drastic Temperature Changes
No Routine House Keeping Procedures

Comments:______

Check the following:

Vital Records Stored in a Secure Area / High Priority Records Stored Off-Site or Duplicates Off-Site / Records At Least Six Inches Off Floor
Regular Size Bound Volumes Vertically Placed on Shelves / Oversized Volumes Horizontally Placed on Shelves / Adequate Storage for Oversize Loose Papers
Loose Papers Placed in File Folders in Bankers Boxes / Boxes on Metal Shelving / Area Has Adequate Air Circulation
Have Backups for Electronic Records / Electronic Records Reformatted / Records Room and Computer Stations Secured

Comments:______

Check if susceptible to the following:

Records Stored in Shelves or in Boxes Improperly / Loose Papers Folded / Rusty Paperclips/Rubber Bands on Records
Mold / Insects / Rodents
Birds / Food/Beverages in Records Area / Staff Mishandling of Records

Comments:______