4158GM_Building_Official_and_Inspection_Services_-_EXHIBIT_A.pdf
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- Attached to
- Building Official and Inspection Services
- Solicitation number
- 4158GM
- Issued by
- Florida
About this file
This document is an Exhibit A inspection form prepared by a Florida school district's Facilities Department for the annual portable inspection program during school year 2025-2026. The form serves as the primary inspection record for portable classrooms and related facilities, capturing the condition and compliance status of multiple building systems and components. The inspection encompasses HVAC, electrical, fire alarm, intercom/data systems, plumbing, carpentry, doors and hardware, foundations, roofing, and covered walkways. The form requires inspectors to document whether each system and component is satisfactory or unsatisfactory and to identify any maintenance or repairs required. The document includes designated spaces for five different inspector trades—safety/fire, electrical, mechanical, plumbing, and structural—to sign and date their respective inspections, along with their license numbers.
The form functions as a standardized compliance and record-keeping tool for the school district's facilities management operations. It specifically addresses portable building inspections with sections for recording emergency lights, exit lights, fire extinguishers, combustible and non-combustible materials, and wood I-beams. The form includes classification options for spaces such as classrooms, general school spaces, closets, partitions, and restrooms, with separate satisfactory status indicators for classroom and other space types. Inspectors are required to document unsatisfactory comments when deficiencies are identified and to note items that require correction or recertification. The form captures essential administrative information including location, building number, year, DCA number, and work order number to maintain proper documentation and tracking of all inspections within the district's portable facility inventory.
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Text version
Revised 6/24/25 ~ An Equal Opportunity School District ~ Form 116
EXHIBIT A
FACILITIES DEPARTMENT
ANNUAL PORTABLE INSPECTION
SCHOOL YEAR 2025-2026
LOCATION: Choose an item. BUILDING NO: YEAR: DCA#:
Work Order # Type of Inspection Satisfactory Unsatisfactory Maintenance Repairs Required
HVAC ☐ ☐
Electrical ☐ ☐
Fire Alarm ☐ ☐
Intercom/Data ☐ ☐
FISH/DCA Number ☐ ☐
Plumbing ☐ ☐
Carpentry ☐ ☐
Doors & Hardware ☐ ☐
Foundations/ Roofing ☐ ☐
Covered Walkway ☐ ☐ Not installed at this time.
To Be Corrected / Recertified: ☐ EMERGENCY LIGHT ☐ EXIT LIGHT ☐ FIRE EXTINGUSHER
☒ COMBUSTIBLE ☐ NON-COMBUSTIBLE ☐ WOOD I-BEAMS ☒ CLASSROOM
☐ GENERAL SCHOOL SPACE ☐ CLOSET ☐ PARTITIONS ☐ RESTROOM
☒ SATISFACTORY: CLASSROOM ☐ SATISFACTORY: OTHER ☐ UNSATISFACTORY
COMMENTS:
Inspector Trade Inspector Name Date License Number
Safety/Fire Inspector: Click or tap a date.
Electrical Inspector: Click or tap a date.
Mechanical Inspector: Click or tap a date.
Plumbing Inspector: Click or tap a date.
Structural Inspector: Click or tap a date.
File details come from the government source that posted it. Updated .