Title Page
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Site conducted
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Conducted on
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Prepared by
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Office Area Inspected
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Location
Emergency & Fire
Emergency & Fire
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Are emergency phone numbers posted?
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Is the Emergency Evacuation route posted?
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Employees know where to gather in case of evacuation?
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Are EXIT signs illuminated and visible?
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All exits and paths are free of obstacles?
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Employees know how and where to get care for injury/illness?
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First Aid kits are stocked (bandages, antibiotic ointment, burn cream)?
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Signs are present for fire extinguishers?
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Fire extinguishers are mounted, readily accessible and not blocked?
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Fire extinguishers inspected monthly?
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Proper clearance of 18" is maintained below sprinkler heads?
General Work Environment
General Work Environment
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Are all work areas clean and orderly?
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Are work surfaces kept dry and appropriate means take to assure surfaces are slip resistant?
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Are all work areas and walkways adequately illuminated?
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Is the ventilation system adequate?
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Is the ambien temperature adequate? Not too hot or cold.
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Are restrooms kept clean and sanitary?
Walking Working Surfaces
Walking Working Surfaces
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Is carpet or tile flooring secured, will not cause a trip hazard?
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Are aisles and passageways kept clear and marked as appropriate?
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Are wet surfaces covered with non-slip materials?
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Are holes in the floor, sidewalk, or other walking surface repaired properly, covered or otherwise made safe?
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Are floor openings guarded by a cover, a guardrail or equivalent on all sides (except stairways or ladder entrances)?
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Are materials or equipment stored in such a way that sharp projections will not interfere with the walkway?
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Are standard guardrails provided wherever aisle or walkway surfaces are elevated 4 feet or more above any adjacent floor or the ground?
Stairs/Stairways
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Do all stairways with at least four risers have standard stair rails or handrails?
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Are all stairways at least 22 inches wide?
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Are step risers uniform from top to bottom?
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Are steps slip resistant?
Electrical
Electrical
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Are all plugs, cords free from splices and insulation, in good condition?
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Do all extension cords have grounding conductors?
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Are extension cords or power strips used only temporarily? No daisy chaining?
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Are cords secured so they do not run across pathways, under doors or walls?
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Is the breaker panel accessible with 3 feet of clearance in front?
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Are breaker panels labeled, identifying the function of each switch?
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Are all unused openings, including conduit knockouts in electrical enclosures and fittings closed with appropriate covers, plugs, or plates?
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Are electrical enclosures, such as switches, receptacles, junction boxes, etc. provided with tight-fitting covers or plates?
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Are GFCIs available for use in wet areas?
Copiers, Equipment
Shared Copiers, Printers, & Equipment
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Are shared equipment such as copiers or printers in good condition?
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Are tools, such as cutting board blades in good working order? Stored in the down/closed position when not in use?
Material Handling & Storage
Material Handling & Storage
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Are materials stored to prevent falls and spills?
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Are storage containers labeled with contents?
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Are racking/shelving systems in good working order and not damaged in any way that could affect the structural integrity?
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Are storage racks secure from movement/shifting?
Covid-19 Response
Covid-19 Response
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Do shared spaces (conference rooms, meeting rooms, break rooms, etc.) have clean supplies available for use?
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Are these areas cleaned after use by the employees who used the shared space?
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Do shared spaces have chairs spaced 6ft. apart to maintain physical distancing or barriers in place to separate each person?
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Does everyone wear proper face coverings when 6 feet of separation cannot be maintained?
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Is hand sanitizer, disinfecting wipes, cleaning spray, etc. available in common spaces?
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Do restrooms have physical distancing measures in place such as utilizing every other sink or urinal, etc.?
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Are shared tools adequately cleaned between uses?