FLOOD SURVEY REPORT FORM

Insured’s Name :

Risk Location :

Occupancy :

Date of Survey :

Conferred With :

Accompanied by :

Prepared by :

1. Risk Information

1.1. General Description Occupancy

- main activities of the plant/general property uses

1.2. Sensitive Materials or stocks (water damage)

- type of goods
- stock are maintained in … month/in term of days of production
- % of import and local

1.3. Sensitive Machineries or Equipment (water damage)

- type of machineries or equipment
- the number of machineries
- manufacturer (fabric) : foreign (import), local

1.4. Company Profile

- type of Organization
- age of business (year founded or year of completion)
- plant modification/changes/major extensions

1.5. Employees
- Number of Employees
 - Number of full time employees
- Number of casual workers
- % of male and female

1.6. Operation Periods

- number of shifts
- hours per day, day per week, etc.

2. Potential Flood Risk of the Site

2.1. Location
- Distance to the next larger town
- Distance to the next water bodies (rivers, lakes, sea, or outside drainage
system) which might cause flooding

Also, mentioned the past flood water level of the next rivers, lakes, seas

2.2. Climate
- the region’s typical climate
- the max. precipitation in the rainy season and the number of rainy days

2.3. Topography
- the ground height of the premises (.... m above the sea level)
- the ground height of the premises being compared with the building’s
surrounding area
- the ground height of the premises being compared with the flood level of
the next rivers, lakes, seas
- the level of building floors being compared with the ground height of the
premises
- mentioned the lower ground level area of the premises, if any

2.4. Accessibility
- connecting roads (streets and traffic)
- entrance conditions (accessibility of the premises)
Also, describe the height of the entrance being compared with the
building’s surrounding area
- complex layout (buildings, open areas)
Also, describe the total of land area (sq. m) of the premises, the total of
building floors area (sq. m).

2.5. Mutual Flood Exposure

- surrounding areas (description of proximities for all boundaries and
separation distances)
 - description of neighbouring type
- mention any openings at the premises which might cause flood water
entering the premises

3. Flood Prevention Measures Against Flood

3.1. Flood Countermeasures for inundation and drainage

3.1.1. Perimeter Fences

- structure materials and foundation
- height and width of the perimeter fences
- condition
Also check :
 If raising of the gate is required
 if there are any traces of damages or deterioration that require
for proper reinforcement and or repair
 if there are any blockage of the drainage system in around
 if raising entrances gate (gate openings) is required

3.1.2. Drainage System

- location
- structure materials
- length, depth, and width
- inspection and maintenance
- condition
Also check :
 if any parts of a drainage is clogged up
 if any closing method installed to prevent the back current

3.1.3. Flood Pump or Drainage Pump

- location of pump describe if more than one location
Also, describe :
 the height of the installation of flood pump or drainage pump
 Emergency protection provided, if any
- location of water gate
- the number of pumps in each locations,
- type of pumps, capacity of pumps (liter per minute)
- capacity of water collecting pond
- starting mechanism (automatic, manual or both) and
- source of power (main, back-up) dedicated only for flood pump
Also describe :
 the location of pump’s control panel and cable including
electric generator for flood pump (are all installed at a safer
higher location without flooding ?)
 the sufficient fuel of electric generator for flood pump and
 Also check and ensure :
- that fuel stock for generator set (inclusive of reserve
generator sets) be made available (for a least ... days
during flood emergency).
- Storage condition (describe location and housekeeping,
are stored somewhere safe with no flood risk ?)
- condition of pumps
Also describe if any back-up flood pump or drainage pump
provided
- inspection, testing and maintenance of flood pump or drainage
pump
- The person-in-charge (PIC) appointed to hold the inspection,
testing and maintenance of flood pump
- The PIC appointed to operate the flood pumps when flood
emergency

3.1.4. Sand Bags

- location
- the number of stocks or determined height of piled sandbags
- the storage condition

3.1.5. Other Flood Measures at the Premises

- describe other flood measures at the premises (i.e. flood barriers,
rail guard, etc.)

3.2. Flood Countermeasures for Buildings and Contents

3.2.1. External Walls of Buildings which Sensitive Materials and Crucial

machineries are placed inside
- structure materials and foundation
Also check :
 the bottom part of building’s external wall up to the estimated
flood level to see if there are any windows or vents.
 if any cracks or damaged portions that require for proper
reinforcemebnt and or repair

- describe any openings at walls (or building openings) which might

cause flood water entering the building and the protection of
building openings
Also check if any internal water pipe or internal drainage for the
cleanliness (i.e. not being clogged up and clean) and describe the
protection to prevent the back current (closing methods i.e.
floodgate installed, etc.)

- describe the building floors height from the flood water level of
the next water bodies (i.e. rivers, lakes, seas or outside drainage
system)
 Also, check if any basement (related to the depth of
basement, the internal drainage system)

3.2.3. Storage practices which might protect the storage goods from
flood damages when the buildings were flooded
- structure materials of in-rack storage system
- the height of the racks
- the height of the lower location of storage goods compared to the
building floorings.
- protection of door way or other room openings

Also describe the flood countermeasures for any goods kept outside
the racks or being kept freely on floors.

3.2.4. Location of Machinery and Equipment (inside Building) which

might protect the storage goods from flood damages when the
buildings were flooded
- the height of the sensitive or crucial machinery foundation
- protection of door way or other room openings

3.2.5. Location of Transformers, Main Switchboards (within electric

room) and Electric Generators
- the height of the electrical equipment foundation
- protection of door way or other room openings

3.3. Flood Countermeasure for Outdoor Facility

(as the flood countermeasures to prevent flooding water from entering the
premises were completely installed, it is almost impossible to avoid all the
unexpected risk, such as collapse of the perimeter fences, adverse current, or
flood pump failure, when the surrounding areas are already flooded, it is
therefore important to have flood countermeasures for outdoor facility as double
countermeasures)

3.3.1. Flood Countermeasures for the Sensitive Machineries and

Equipment located outside the building (outdoor facility)

Describe the Flood Countermeasures for the Sensitive Machineries

and Equipment located outside the building (outdoor facility) i.e.
Electric Equipment (motors, panels), outdoor gen-sets, outdoor
transformers, outdoor Air Conditioning System equipment and panels,
etc.

3.3.2. Flood Countermeasures for the Computers located on the lower

building floor area
 Describe the Flood Countermeasures for the Computers located on the
lower building floor area

3.3.3. Flood Countermeasures for the outdoor facilities for storage

Describe the Flood Countermeasures for the outdoor facilities for

storage i.e. of finished products awaiting for dispatch to customers,
Work In process, Other crucial Parts and Materials.

4. Flood Protection System and Management

4.1. Flood Emergency Response Team

- Flood Emergency Response Team (number of personnel,
qualification, training, etc.)
- Flood Emergency Response Team’s equipment (i.e. boats, emergency
lamps, wire sling, emergency communication equipment, flood barrier,
etc.)
- Inspection, testing and maintenance of flood emergency equipment

4.2. Emergency Drills for Flooding

- written formal procedure for plan and drill
- regular drills for flooding
- the previous emergency drills for flooding conducted

5. Business Recovery

5.1. Supply and Storage of Major Machinery Equipment and parts

Describe the location Supply and Storage of Major Machinery Equipment and
parts
(are stored somewhere safe with no flood risk?)

5.2. Storage of raw materials which are not easily obtainable

Describe the location of storage of raw materials which are not easily
obtainable
(are stored somewhere safe with no flood risk?)

5.3. The cleaning and drying procedures

- written procedures such operation
- person-in-charge (PIC) of such operation
6. Flood Loss History

If the premises has past flood records, describe the following :

- Date/month/year of incident (during the last 5 years)
- The previous flood water level or depth (m), also compared with
the ground height of the premises and building floors
- causes of the flood
- flooded area
- Water Damage description and loss amount, if any
- Describe any flood measures have been implemented at the time of
flood or being planned at the plat premises to prevent further losses of this
kind.