Form FDACS-03425 "Owners' Daily Inspection Report (Water Park)" - Florida

What Is Form FDACS-03425?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form FDACS-03425 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form FDACS-03425 "Owners' Daily Inspection Report (Water Park)" - Florida

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Florida Department of Agriculture and Consumer Services
Division of Consumer Services/Bureau of Fair Rides Inspection
OWNER'S DAILY INSPECTION REPORT (WATER PARK)
Section 616.242(15), Florida Statutes, Rule 5J-18.0012, Florida Administrative Code
ADAM H. PUTNAM
COMMISSIONER
Phone: 1-800-435-7352; Fax: (850) 410-3797
FairRides@FreshFromFlorida.com
COMPANY____________________________________
RIDE NAME _________________________________________
USAID & SERIAL # _____________
INSTRUCTIONS: Use this form for daily inspections of each amusement ride as required by Section 616.242(15), Florida Statutes. Inspection requirements are listed on the left side of the table below. Each
day the ride is inspected, enter the month, date and year in the space provided across the top of the table. When completing an inspection requirement, place a check mark “√” in the space provided to
indicate the inspection has taken place and there are no deficiencies. If a deficiency is found, place “X” in the space provided. On the back of this form, record the date the deficiency was found, the
deficiency, corrective action and signature and date of person taking corrective action. If an inspection item is not applicable to this ride, put “N” in the space provided. The inspection requirements in the
table are the minimum requirements for inspection. Note that the administrative information on this form: company name, ride name, USAID/SN and inspectors signature must be completed. The last 14
days of inspections must be kept on site and made available immediately to the department inspector upon request. This table was constructed to record 14 days of inspection on one report. The person
inspecting the ride must sign across the bottom of this form after each daily inspection and thereby certifies that the ride complies with all requirements of Section 616.242, Florida Statutes.
Enter inspection dates
across the top →
Insp. Requirements:
Walkways/Stairs
Fencing/Guarding
Braces/Supports
Signs
Electrical
Structure Integrity
Surface of slide
Pool Condition
Water markings
Wave Pool:
Buoy line
Emergency stop
Grates
Inspector Signature →
FDACS-03425 Rev. 02/17
Page 1 of 2
Florida Department of Agriculture and Consumer Services
Division of Consumer Services/Bureau of Fair Rides Inspection
OWNER'S DAILY INSPECTION REPORT (WATER PARK)
Section 616.242(15), Florida Statutes, Rule 5J-18.0012, Florida Administrative Code
ADAM H. PUTNAM
COMMISSIONER
Phone: 1-800-435-7352; Fax: (850) 410-3797
FairRides@FreshFromFlorida.com
COMPANY____________________________________
RIDE NAME _________________________________________
USAID & SERIAL # _____________
INSTRUCTIONS: Use this form for daily inspections of each amusement ride as required by Section 616.242(15), Florida Statutes. Inspection requirements are listed on the left side of the table below. Each
day the ride is inspected, enter the month, date and year in the space provided across the top of the table. When completing an inspection requirement, place a check mark “√” in the space provided to
indicate the inspection has taken place and there are no deficiencies. If a deficiency is found, place “X” in the space provided. On the back of this form, record the date the deficiency was found, the
deficiency, corrective action and signature and date of person taking corrective action. If an inspection item is not applicable to this ride, put “N” in the space provided. The inspection requirements in the
table are the minimum requirements for inspection. Note that the administrative information on this form: company name, ride name, USAID/SN and inspectors signature must be completed. The last 14
days of inspections must be kept on site and made available immediately to the department inspector upon request. This table was constructed to record 14 days of inspection on one report. The person
inspecting the ride must sign across the bottom of this form after each daily inspection and thereby certifies that the ride complies with all requirements of Section 616.242, Florida Statutes.
Enter inspection dates
across the top →
Insp. Requirements:
Walkways/Stairs
Fencing/Guarding
Braces/Supports
Signs
Electrical
Structure Integrity
Surface of slide
Pool Condition
Water markings
Wave Pool:
Buoy line
Emergency stop
Grates
Inspector Signature →
FDACS-03425 Rev. 02/17
Page 1 of 2
DEFICIENCY LOG *
Document deficiency noted with "X" on front in this table
Date deficiency noted
Deficiency
Corrective Action
Signature and date
* Draw horizontal lines to separate entries. Make copies of this form as required.
FDACS-03425 Rev. 02/17
Page 2 of 2
Page of 2