Church Field Module

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Church Field Inspection Worksheet

Field worksheet for documenting church operations, daycare and transportation exposures, life safety systems, premises conditions, and report-ready notes.

General Information

Building / System Updates

Daycare / Transportation

Building Design / Operations

Church Features / Life Safety

Premises / Values / Losses

Photos to Obtain

Narrative Insert

The risk owns a ____ story ____ church building located in a ____ area, approximately ____ miles from the Atlantic Ocean or Gulf. The building and housekeeping are maintained in ____ condition. Building/system updates consist of roof ____, electrical ____, plumbing ____, HVAC ____, and other ____.

The risk has been established for ____ years and operates as a church with worship hours held on ____. The risk has ____ members, with ____ active members. There is/are ____ pastor(s), and the pastor name(s) are ____.

There is ____ daycare operation with license number ____. The daycare is licensed for ____ children and has ____ children enrolled. Children’s ages range from ____ years. Transportation is ____ provided by ____. Field trips are ____ conducted, generally ____.

The sanctuary seats ____ patrons. The facility also contains ____ restrooms, ____ office(s), ____ classroom(s), and a fellowship hall seating ____ patrons. The fellowship hall has ____ cooking equipment consisting of ____. Hall rentals are ____ permitted. The sanctuary has ____ stained glass windows, described as ____. There is ____ baptismal provided with ____ railings.

Fire/life safety consists of ____ fire extinguishers, ____ smoke detectors, ____ fire alarm system, and ____ fire sprinkler system. There are ____ adequate exit doorways, ____ emergency lights, and ____ lighted exit signs. The exterior lighting, sidewalks, and parking areas appear to be maintained in ____ condition. The contact reported no known losses within the past three years / reported losses consisting of ____.

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