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Daily Inspection Log

Notice of Collection

Personal information contained on this form is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act and will be used for the purpose of completing daily inspection logs as required through the Volunteer Policy. Questions about this collection should be directed to the Freedom of Information and Privacy Coordinator at 705-742-7777 ext. 1797 or clerks@peterborough.ca. Pleave review the City's Terms of Use & Privacy Statement for more information.

Date of Inspection

Time of Inspection

Temperature (Celsius)

Signage

Signs

Posted Open

Posted Closed

Missing

Overall Condition

Ice Conditions

Good

Fair

Poor

Ice present, free of all debris

Yes

Bare spot with holes

Yes

Jagged edges

Yes

Smooth and free of cracks or ruts

Yes

Heaving

Yes

Equipment Inspection

Shovels

Good

Damaged

Missing

Hoses and nozzles

Good

Damaged

Missing

Lights

N/A

Not working

Timer wrong

Picnic tables

N/A

Good

Damaged

Missing

Emergency Access

Good

Blocked

Action Taken

Flood

Yes

Packed and repaired cracks/holes

Yes

Repaired banks

Yes

N/A

Shoveled/removed snow

Yes

N/A

Notes:

Inspected by:

Name

Email Address

Date

Form Builder

Daily Inspection Log

Signage

Overall Condition

Equipment Inspection

Action Taken

Inspected by: