Kitchen Exhaust Systems Cleaning Report
Property Inspected_________________________________________ Date of Inspection:_______________________
PropertyAddress:_________________________________________________________________________________
Owner:___________________________________________Phone:_________________________________________
Multiple Hoods: |
Yes No |
Name/location of hood: ___________________________________ |
Appliances |
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Main Fuel Type: |
Natural Gas |
Electric |
Solid Fuel |
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Cooking Volume: |
Very High |
High |
Medium |
Low |
Main Cooking Style: |
Deep Fat Frying |
Asian |
Griddle |
Char Broiling |
Other:__________________
Does exhaust hood capture all heat and cooking effluent? |
Yes |
No |
Exhaust System |
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Hood Type: |
Modular Extractor |
Water wash |
Filter |
Other:__________________ |
Fan Type: |
Upblast |
Other:__________________ Fan Termination: Wall Roof |
Duct Type: Type I (grease) Type II (steam, vapor, heat, odors) |
Rooftop grease containment system |
Number of floors of system:_________ |
Feet of Horizontal Duct:__________ |
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Cleaning Required
2000 microns
Critical Depth 3175 microns
Grease build-up on filters
Grease build-up in hood
Grease build-up in ductwork
Grease build-up on fan
Grease build-up of roof
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Yes |
No |
NA |
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Yes |
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No |
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NA |
Entire system interior accessible? |
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Fan tippable or interior accessible? |
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Adequate access panels? |
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Fan is working properly? |
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Filters conforming and in place? |
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Is fan wiring defect free? |
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Water wash hood operational? |
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Roof around fan is free of grease build-up? |
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Hood Damper operates properly? |
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System is liquid tight? |
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Dangerous non-conforming access? |
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Entire system clean to applicable codes? |
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Recommended Cleaning Frequency: _______times per year. |
Next Cleaning Date:_______________________ |
Inaccessible areas exist in this system? |
Yes |
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No (Areas not inspected are listed in comments.) |
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Summary
Name of Cleaning Company:______________________________ Vancouver Endorsement # ____________________
Comments:_______________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Photos or additional information attached? ______________________________________________________________
Technician Name:__________________________________________ Endorsement #___________________________
Signature:________________________________________________ Contact Number: ________________________
Vancouver Municipal Code 16.04 requires all hood cleaning contractors working within the City of Vancouver to submit hood inspection, cleaning and maintenance reports to the Vancouver Fire Marshal’s Office within 30 days of the service. Contractors who fail to submit these documents can be subjected to monetary penalties and their endorsement to work within the City of Vancouver may be revoked.
VMC 16.04 also requires hood cleaning reports to be maintained on site for a minimum of six years.