UTAH STATE ARCHIVES RECORDS STORAGE FACILITY EVALUATION FORM
For Regional Repositories
General Site Information:
Affiliated Agency if Any _____________________
Repository Building Age ________________________
Current use _________________________________________________________________
Floors used __________________________ Distance from main building ________________
Date of Evaluation ___________________
Dimensions of records storage area:
Length ________ Width ________ Height ________ Sq. Ft. ________ Cubic Ft. ________
Yes__ No__ Does building have loading dock suitable for use in bringing and taking out records?
Yes__ No__ Is the building used solely for records storage?
Yes__ No__ Is there adequate parking space available?
Yes__ No__ Does the facility have area suitable for offices if needed?
Yes__ No__ Are drinking water and restroom facilities available in close proximity to the records storage area?
Yes__ No__ Is there adequate area for records processing, record staging and records disposal?
Yes__ No__ Does the facility have an area suitable for microfilming and film processing.
Yes__ No__ Are there permanent records?
Percent of total records ____ Rate of Access ___________________
Yes__ No__ Are the records vital records? Types___________________________________
Yes__ No__ Are records stored in record series order? Otherwise_____________________
Yes__ No__ Is access to the records satisfactory?
Yes__ No__ Does building have security alarm connected to local police station?
Yes__ No__ Does building have fire alarm connected to local fire department?
Yes__ No__ Does building have sprinkler system?
Yes__ No__ Are there water pipes (other than sprinkler system) in records storage area?
Yes__ No__ Do doors to the records storage area have dead bolt locks or security alarms?
Yes__ No__ Does records storage area have smoke or heat detectors?
Yes__ No__ Are there windows in records storage area?
Yes__ No__ Are windows in records storage area protected against unauthorized entry?
Yes__ No__ Is records storage area heated?
Yes__ No__ Is records storage area air conditioned?
Yes__ No__ Does records storage area have air circulation system?
Yes__ No__ Does records storage area have humidity control system?
Damage noted: Mold _____ Water _____ Light _____ Humidity _____ Heat _____
What materials are used in the construction?
Walls ___________ floors _____________________ roof ____________________
Yes__ No__ Can the floor support a minimum load of 300 pounds per square foot?
Yes__ No__ Are the walls surrounding the records storage area four-hour fire resistant?
Yes__ No__ Is the roof noncombustible construction and leak proof?
Yes__ No__ Are furnaces, boilers, transformers, or any combustible materials located within the records storage area?
Yes__ No__ Is the sprinkler system, if any, equipped with independently dischargeable sprinkler heads?
Yes__ No__ If the storage area is susceptible to flooding, is sump pump connected to ancillary power supply?
Yes__ No__ If storage is below ground, is there evidence of moisture seepage or a danger that seepage could occur?
Yes__ No__ Is the surrounding terrain or environment such that the building, driveway, loading dock, or other features could be susceptible to flooding or other problems.
Yes__ No__ Is there any evidence of rodent or insect activity in the storage area or surrounding areas?
Yes__ No__ Do Ceiling clearances meet standards: Top of stored boxes of records maximum 14’ 1”, Low point of stack light fixture 15’1”, Low point of sprinkler director heads15’7”.
Page Last Updated August 11, 2008.