Title Page

  • Conducted on

  • Prepared by

    Housekeeping
  • Floor surfaces clean/dry? Free of Materials (Slip and fall hazardous)

  • Are office work space clean and orderly?

  • Are all aisles/pathways clear?

  • Equipment Access clear of obstructions such as trash, tools, etc?

  • Is the office appliances clean and working?

  • Is the Driver room appliances clean and working?

  • Is the office appliances clean and working?

  • Work areas/platforms/stairs clean?

  • Are all trash bins emptied or not running over with trash?

  • Are all trash bins emptied or not running over with trash?

  • Electrical Items
  • Floor and Pathways clear of drop cords?

  • Wiring / Temporary extension cords in good shape? (No worn insulation)

  • Temporary wiring / flexible cord properly used?

  • Are bin indicator lights and horns working?

  • Junction boxes in good shape?

  • Power panels accessible and labeled ?

  • Conduit or connections are free from exposed wires or damage?

  • All cords have the required ground prong?<br>

  • Are all outlets wired properly? (No loose ground, hot/neutral not reversed)

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.