Coin Laundry — LCA Field Module

Business / Location

Named insured / DBA

Contact / title / phone

Site address / website

Inspection date / inspector

Established / years here

Business hours / attended hours

Stories / SF / construction

Building condition / recent upgrades

Underwriting Focus — Business / Location

Confirm hours and unattended periods; note who owns the premises and whether other businesses share the building.

Machines / Business Values

Standard washers / count

Double/triple-load washers

Dryers / count / fuel

Payment method / change machines

Dispensers / ATM / other

Annual gross receipts / source

Machines + other BPP estimated value

Underwriting Focus — Machines / Business Values

Compare counts and estimated equipment values with what is actually on site.

Dryer / Water / Mechanical Controls

Lint-trap cleaning / by whom

Dryer duct/exhaust cleaning

Exhaust path / visible condition

Dryer high-temp / airflow shutoffs verified?

Choose Yes, No or Unable to confirm

Water heaters / T&P valve

Pans / shutoffs / leak detection

Boiler or central heating equipment?

Choose Yes, No or Unable to confirm

Boiler enclosure / last professional service

Floor drains / hoses / leakage

Underwriting Focus — Dryer / Water / Mechanical Controls

Lint and fuel heat sources deserve special attention. Photograph the visible exhaust route; do not represent unseen ductwork as inspected.

Services / Staffing / Security

Underwriting Focus — Services / Staffing / Security

Identify extra liability and auto exposures, particularly off-site work and customer property in care.

Fire / Life Safety / Premises

Fire alarm / sprinkler / monitoring

Extinguishers / service tags

Exit doors / signs / emergency lights

Electrical panels / machine wiring

Slip/trip exposures / floor cleaning

Sidewalks / parking / exterior lighting

Losses past five years

Unavailable records / areas not seen

Underwriting Focus — Fire / Life Safety / Premises

Inspect walking surfaces and exits without assuming installed fire systems are maintained.

Photographs to Obtain

Check when obtained. Priority photographs are bold; required only where applicable, safe and permitted. Record restricted access or missing documentation.

Editable Narrative Insert

Replace bracketed cues with reported or verified facts; delete claims that do not apply. Save your draft and copy the finished narrative into the report.

The risk, [named insured/DBA], operates a [self-service/attended] coin laundry at [address], in a [stories/construction/SF] building. Hours are [days/times], with staffing [coverage]. Building and housekeeping conditions were [observed condition]; recent upgrades reported by [contact] include [details].

The laundry contains [standard washers], [large-load washers] and [dryers/fuel], with payments by [method]. Additional services include [wash-dry-fold/dry cleaning/pickup and delivery, if applicable]. Dryer lint traps are reportedly cleaned [frequency/by whom], exhaust duct cleaning was last reported [date/vendor], and visible exhaust/water controls were [observations]. The estimated BPP value is [amount/source] and gross annual receipts are [amount/source].

Reported/observed security and fire protection include [systems and service evidence]. Premises observations include [egress, floor conditions, electrical and parking]. Reported losses over five years were [details]. The following areas or records could not be verified: [limitations].

The risk, [named insured/DBA], operates a [self-service/attended] coin laundry at [address], in a [stories/construction/SF] building. Hours are [days/times], with staffing [coverage]. Building and housekeeping conditions were [observed condition]; recent upgrades reported by [contact] include [details]. The laundry contains [standard washers], [large-load washers] and [dryers/fuel], with payments by [method]. Additional services include [wash-dry-fold/dry cleaning/pickup and delivery, if applicable]. Dryer lint traps are reportedly cleaned [frequency/by whom], exhaust duct cleaning was last reported [date/vendor], and visible exhaust/water controls were [observations]. The estimated BPP value is [amount/source] and gross annual receipts are [amount/source]. Reported/observed security and fire protection include [systems and service evidence]. Premises observations include [egress, floor conditions, electrical and parking]. Reported losses over five years were [details]. The following areas or records could not be verified: [limitations].

Recommendations / Follow-Up

Document only visible or otherwise supported concerns. Cite the condition, location and action needed. Use “unable to confirm” where appropriate.