Self-Inspection Report

The Arch/Diocese/Eparchy requires completion of the following self-inspection report for your property. It can be
completed by the pastor, parish employee or volunteer, and will be reviewed by Catholic Mutual Canada on a
without prejudice basis.

Return the completed report, one report for each building on parish property by email:

Catholic Mutual Canada,

90 Eglinton Avenue East, Suite 820,
Toronto, ON M4P 2Y3
Fax: 416-324-1337
Email: RM@catholicmutualcanada.org

Should you have any questions or concerns regarding this mandatory inspection, contact our Toronto service office
at 416.324.1003 or toll free 1.866.233.3332.

Location Inspection Information:

Arch/Diocese/Eparchy: Inspection date:

Parish/Location: Location address:

Inspection performed by:

Please complete and return

This inspection within
30 days of receipt.

PAGE 1
 Self-Inspection Report

Please mark an “X” next to the building that was inspected: (Note: one inspection is required for each building
on parish property)

Church Rectory Conven Garage Hall Other

t

In the space adjacent to each question please answer YES or NO. If not applicable, note the space as N/A

Interior

1. Are all floor surfaces clear of all slip, trip and fall hazards?
2. Is there evidence of recent/ongoing moisture damage on ceilings and walls e.g. bubbling, staining, etc.?
3. Are handrails installed and are they sturdy & securely attached?
4. Are electrical extension cords properly used and sized – no chaining of cords?

6. Is there a full 3’ clearance around electrical panels with no combustibles present?

7. Are equipment and electronics outfitted with surge protection?
8. Are annual maintenance inspections performed on all heating & air conditioning equipment by
a qualified contractor(s)?
9. Does the gas/steam boiler have a current TSSA certificate ?

11. Is there at least one smoke detector installed on each floor and tested monthly?
12. Are carbon monoxide detectors installed in proximity to natural gas appliances, wood stoves and sleeping
areas?
13. Are all exits clearly marked with illuminated exit signage, and batteries tested regularly?

15. Are all staff familiar with the location of the main utility shutoffs (gas, water, electrical)?
16. Are exterior doors secure, have adequate locks and close properly?
17. Are candles and votive stands well protected?
18. Does the location control the distribution of keys?
19. Are chemicals/flammables labeled and being properly stored?

Exterior

1. Is the building foundation free of cracks & not subject to water drainage problems?
2. Is the roof covering in good repair & free from visible defects?
3. Are gutters, downspouts and roof drains cleaned annually and inspected regularly?
4. Is the chimney free of cracks & breaks, and cleaned annually (if used for wood burning)?
5. Is the exterior wall mortar material that supports brick or stone in good repair?
6. Are all walkways level and free of holes and cracks?
7. Are entrance/exit stairs in good condition with handrails present?
8. Is there adequate exterior lighting of the building/parking lot with parking spaces marked?
9. Is playground equipment properly maintained?
10. Does playground have signage indicating “Adult Supervision Required”?
11. Does the shrubbery or trees conceal windows/doors?
12. Is lightning protection in place for the church/rectory?

PAGE 2
 Self-Inspection Report

Contract Review/ Facility Usage Policy

1. Is the location familiar with, and follow the Arch/Diocesan/Eparchy guidelines related to Snow and Ice
removal and Lawn Maintenance?
3. Does the location use the Arch/Diocesan/Eparchy License Agreement, which includes obtaining certificates
of insurance from each individual or third party group that rent or use the facility for non-parish events?

6. Does the location obtain Certificates of Insurance from every contractor who performs repairs or renovations
on the property?

Please consult with your Chancery office business administrator if you have any questions surrounding the use of third party
facilities, and the use of Parish property by individuals or third party groups for non-parish events.

Financial Controls

1. Does the location follow the Arch/Diocesan/Eparchy best practice guidelines for financial controls?
2. Are monies secured in a locked safe prior to deposit in the bank?
3. Does the location make weekly bank deposits?

Fire Safety

1. Are sprinklers installed throughout the parish? If sprinklers are installed are they tested/maintained annually?
2. Is the fire alarm connected to an outside monitoring company?
3. Does the parish have a fire department approved fire safety plan on site?
4. Are fire doors in good working order, maintained and always kept closed or self-closing?
5. Are exit doors equipped with crash bars for easy egress?
6. Do all exit doors open in the direction of egress?
7. Are evacuation plans installed throughout (hall, meeting rooms, and schools) to allow for easy egress?
8. Are all fire extinguishers inspected annually by a service contractor, tagged & properly charged, wall mounted
and accessible?
9. Are all exit doors clear and unobstructed for easy egress?

Other

1. Has a new building been built, acquired or sold within the past year?
2. Does the location require information regarding our online training? If so what information is required?

Comments

Please provide any additional comments; expand on any specific problems discovered during your inspection;
confirm anticipated and tentative date(s) for repairs/corrective action, etc.

PAGE 3
PAGE 4