Basement Inspection Quarterly Checklist

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Area

• Security (functioning lockable doors, gates)

  Safe

  At Risk

  N/A

• Lighting adequate and operational

  Yes

  No

  N/A

• Temperature is comfortable

  Yes

  No

  N/A

• Area is free from odors adequate ventilation

  Yes

  No

  N/A

• Noise level is acceptable/adequately controlled

  Yes

  No

  N/A

• Way finding signage adequate

  Yes

  No

  N/A

• Electrical equipment tested, tagged and safe

  Yes

  No

  N/A

• Electrical switches/sockets in good condition

  Yes

  No

  N/A

Emergency

• Safety mirrors in place

  Yes

  No

  N/A

• Emergency & Exit lights functioning

  Yes

  No

  N/A

• WIP phone functioning

  Yes

  No

  N/A

• Fire doors & or frames in working order

  Yes

  No

  N/A

• Access and egress paths clear

  Yes

  No

  N/A

• Fire fighting equipment easily accessible

  Yes

  No

  N/A

• Emergency plans up to date & legible

  Yes

  No

  N/A

Work Area

• Drains (floor and sink) clear and free flowing

  Yes

  No

  N/A

• Taps free from drips

  Yes

  No

  N/A

• Machines safety features (guards, emergency stop button, lights & audible warnings)

  Safe

  At Risk

  N/A

• Machines function correctly (as designed)

  Safe

  At Risk

  N/A

• Area free from pests or evidence thereof

  Yes

  No

  N/A

Basement Cooridoors

• Floor surfaces free of damage (No pot holes or trip hazards)

  Yes

  No

  N/A

• Wall surfaces free of damage (no cracks, damaged paintwork)

  Yes

  No

  N/A

• Clean & free of rubbish

  Yes

  No

  N/A

• Clear of waste furniture

  Yes

  No

  N/A

• Over head services safe (leaking pipes, secure services)

  Yes

  No

  N/A

• Overhead structures safe and secure

  Yes

  No

  N/A

More

• Other comments

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• On site representative

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• Auditor's signature

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