Church Field Module

General Information

Full Name / DBA

Contact / Title

Best Contact #

Website

Established

Worship Hours

# Pastors / Members / Active Members

Pastor Name / Years on Site

Notes

Building / System Updates

Stories / Construction / Area

Distance to Water

Roof / Electrical

Plumbing / HVAC

Other Updates / Housekeeping

Daycare / Transportation

Daycare Ops / License #

Capacity / Enrollment

# Teachers / Aides

Daycare Fire Drills

Field Trips

Transportation / By

Vehicle / Use

Auto Insurance / Carrier / Policy #

Playground / Fence / Surface

Notes

Underwriting Focus — Daycare and transportation

Daycare, field trips and vehicle transportation create additional supervision, licensing and premises liability exposures. Confirm enrollment, safety controls, vehicle use and who operates the transportation.

Building Design / Operations

Sanctuary Capacity

# Classrooms / Offices

# Restrooms

Fellowship Hall Capacity

Commercial Cooking? (Yes / No) – Equipment / Use

Hood / Exhaust – Last Cleaning Date (Tag)

Fire Suppression – Last Service Date (Tag)

Class K Extinguisher – Last Service Date (Tag)

Hall Rentals / Donations / Rental %

Total Area / Use %

Notes

Underwriting Focus — Commercial cooking / NFPA

Record hood/exhaust grease-cleaning and wet-chemical fire suppression service dates separately. Fire suppression maintenance is generally required at intervals of no more than six months (NFPA 17A and applicable manufacturer guidance). NFPA 96 grease-buildup inspection frequencies vary by cooking use: low-volume churches annually, moderate-volume semiannually, high-volume quarterly, and solid fuel monthly; cleaning is based on grease accumulation. Photograph each applicable service tag. Do not assume a current tag proves the system is clean or functional.

Church Features / Life Safety

Baptismal / Heated / GFCI

Baptismal Entry / Exit – Handrails and Non-slip Steps

Stained Glass

Monument Sign

Candles / Open Flame Use – Yes, No or LED Only; Location

Candle Fire-Safety Controls / Notes

Stable, noncombustible holdersClear of decorations/combustiblesSupervised while litExtinguished after use

Smoke Detectors / Locations / Testing

Fire Extinguishers / Service Date

Fire Alarm / Last Service

Sprinkler System

Exit Signs / Emergency Lights

Egress

Notes

Underwriting Focus — Candles and baptismal safety

For actual-flame candles, review noncombustible holders, distance from combustibles, supervision and extinguishing procedures. At baptismals, document handrails assisting entry and exit, step surfaces and applicable GFCI protection.

Underwriting Focus — Smoke detection and life safety

Identify smoke detector presence, locations and available test information; distinguish individual smoke detectors from the monitored fire alarm system. Verify extinguishers, sprinkler controls, exits and emergency lighting as applicable.

Premises / Values / Losses

Exterior Lighting

Walkways / Parking

Contents Value

Losses Last 3 Years?

Description / Security / Other

Notes

Photos to Obtain

Commercial cooking: photos of hood cleaning, fire suppression and Class K extinguisher service tags are REQUIRED when the equipment is present. Document missing or unreadable tags.

Narrative Insert

Edit the narrative below. Replace blanks with confirmed information; remove statements that do not apply.

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 with ____ handrails assisting entry and exit and ____ slip-resistant steps. Candles / open flames are ____ used; safeguards include ____. Where commercial cooking is present, equipment includes ____. Hood/exhaust last cleaning date is ____, fire suppression last service date is ____, and Class K extinguisher last service date is ____. Applicable service tag photographs were obtained / were unavailable due to ____.

Fire/life safety consists of ____ fire extinguishers, ____ smoke detectors (locations / test status: ____), ____ 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 ____.

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 with ____ handrails assisting entry and exit and ____ slip-resistant steps. Candles / open flames are ____ used; safeguards include ____. Where commercial cooking is present, equipment includes ____. Hood/exhaust last cleaning date is ____, fire suppression last service date is ____, and Class K extinguisher last service date is ____. Applicable service tag photographs were obtained / were unavailable due to ____. Fire/life safety consists of ____ fire extinguishers, ____ smoke detectors (locations / test status: ____), ____ 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 ____.

Church Field Module

Church Field Inspection Worksheet

General Information

Building / System Updates

Daycare / Transportation

Building Design / Operations

Church Features / Life Safety

Premises / Values / Losses

Photos to Obtain

Narrative Insert

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