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Company Info
General Info
Operations
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Confirmation
Section 3: Operations Part 1
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Rock Climbing Wall
Do you own a Rockwall?
Yes
No
Annual sales:
Height of Wall:
Width of Wall:
Year Constructed:
Manufacturer of Wall:
Serial Number:
Is Rockwall Indoors or Outdoors?
Indoor
Outdoor
How many positions ?
Auto Belay?
Yes
No
Was the climbing wall constructed by a contractor who provided you with a certificate of insurance which included products and completed operations coverage?
Yes
No
Was the wall constructed following Climbing Wall Industry Group (CWIG) or American Society of Testing and Materials (ASTM) design standards?
Yes
No
Is there a minimum of 6 to 12 inches of fall protection beneath the climbing wall out to a distance of 6-8 feet?
Yes
No
What padding do you provide?
What type of material used in landing area?
Is a daily inspection of the wall performed and results documented?
Yes
No
Is wall maintenance conducted by an independent contractor who provides you with a certificate of insurance?
Yes
No
What is the maximum number of people permitted on the wall at any one time?
Do all climbers have belay experience and/or provided with a spotter?
Yes
No
Does all the climbing safety equipment conform to the American Society of testing and Materials (ASTM) and/or the International Association of Alpine Associations (UIAA) standards?
Yes
No
Is all climbing safety equipment inspected daily with inspection results documented?
Yes
No
Are climbers permitted to climb without harness or safety equipment?
Yes
No
Do you rent equipment?
Yes
No
Is rental limited to on premises only?
Yes
No
Do you have a "pro shop?
Yes
No
Are safety rules posted?
Yes
No
Is there a documeted training program for all wall users which includes:
Harness & rope inspection?
Yes
No
Proper belaying techniques?
Yes
No
Emergency takedowns?
Yes
No
Belay device failure/entrapment?
Yes
No
Rules for Climbing Wall?
Yes
No
Setup & takedown procedures?
Yes
No
Procedures for reporting problems?
Yes
No
Do you have the participants sign a release of liability or waiver?
Yes
No
Please attach a copy of waiver
How is the wall secured?
How are guidelines secured? (Bolts, eyebolts, etc.):
Are grasps permanently secured on the wall surface?
Yes
No
Can they be removed and relocated to provide varied climbing strategies?
Yes
No
Have they followed the recommended placement of grips by manufacturer?
Yes
No
Are the climbing routes designed by the applicant?
Yes
No
Are minors permitted to use the rockwall?
Yes
No
If yes under what conditions?
Minimum age of participants?
Any outdoor climbing?
Yes
No
Is the rockwall supervised at all times?
Yes
No
Is there a formal maintenance checklist program?
Yes
No
Is there a formal employee safety training program?
Yes
No
Is the tool loop cut off from the safety harness?
Yes
No
When the rockwall is not in use, how and where do you store it?
Is the rockwall manual or auto belay?
Manual
Auto
How often are the cables replaced?
Is a full-time staff member positioned to have a clear view of the climbing wall and participants?
Yes
No
Minimum age of employees:
Is this full-time staff member certified to belay on the wall and understand the safety rules?
Yes
No
Drop Off Services
Do you have Drop Off Services?
Yes
No
Annual sales:
$
Please describe the programs for which you allow minor children to be dropped off without a parent or guardian present on the premises at all times.
What is the range of ages permitted for children dropped off?
Are the children who are dropped off further divided into age groups?
Yes
No
Please elaborate:
What is the maximum daily capacity for children dropped off and left in your care?
What is the average daily attendance of children dropped off and left in your care?
How many days annually do you offer programs where children are dropped off and left in your care?
Approximately what percent of your annual revenue is generated from children being dropped off and left in your care?
What is the ratio of counselors to children who are left in your care?
What is the maximum number of hours per day that a child may be in your care?
Do you perform background checks on all counselors and staff who are onsite with children who are dropped off and left in your care?
Yes
No
What other training or certifications are required of counselors or staff who are responsible for children dropped off and left in your care?
Do you comply with all state and local requirements for having minor children in your care?
Yes
No
Pick up procedures: how do you confirm that the person arriving to pick up a child is authorized to do so?
Trackless Trains
Do you have a Trackless Train?
Yes
No
Annual sales:
Year:
Manufacturer:
Serial Number:
Number of Drivers:
Do you have participants sign waivers?
Yes
No
If No, do you have signage that includes hold harmless wording?
Yes
No
Please provide us with a copy of your signage
Inflatables
Do you have inflatables?
Yes
No
Annual sales:
$
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