Information

  • Audit Title

  • Unit ID

  • Conducted on

  • Prepared by

  • Location

AED Inspection

  • Is the AED unit located in its designated area? Identify serial number of unit below.

  • Is the AED unit clean, undamaged and if applicable in its carry case or cabinet?

  • Is the AED rescue kit present and either stored on the carry case or cabinet or attached to the AED unit?

  • Does the AED rescue kit include: gloves, prep razor, scissors, towel, moist towelettes, CPR mask?

  • Are all electrode packages sealed and within the expiration date?

  • Is the Status Indicator Blinking Green Light?

  • Are the electrodes attached to the unit?

  • Are the batteries within the expiration date?

  • Are you re-installing new electrodes or batteries?

  • If re-installing new electrodes or batteries, did you turn unit on to allow it to complete a full self-test to confirm a visible green check mark?

Fire Extinguisher Inspection

  • Mounted in an easily accessible place, no debris or material stacked in front of it.

  • Safety pin is in place and intact. Nothing else should be used in place of the pin.

  • Label is clear and extinguisher type and instructions can be read easily

  • California Fire Marshal Tag Present and Current

  • Handle is intact and not bent or broken

  • Pressure gauge is in the green and is not damaged or showing “recharge”

  • Discharge hoses/nozzle is in good shape and not clogged, cracked, or broken

  • Extinguisher was turned upside down at least three times (shaken)

  • It is not rusty, or has any type of corrosion build up.

  • Photos

Power Tools / Extension Cords

  • All Outlets are GFCI

  • All extension cords used are three-pronged.

  • All extension cords will be in good working order

  • Each extension cord ground will be tested for continuity on at least a quarterly basis and marked to indicate when the inspection occurred. <br>Jan, Feb, March = White <br>April, May, June = Green<br>July, August, September = Red<br>October, November, December = Orange

  • All power tools will have three-pronged plugs unless double insulated.

  • Power tools have all Necessary Accessories, Handles, Guards

First Aid Kits

  • Fist aid Kit Easily accessable

  • Kit within Expatriation Date

  • Kit contains all necessary contents

Additional Photos

  • Add media

Signature

  • Add signature

Review

  • Safety Manager Review

  • Select date

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.