Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Previous Inspection
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Has the last inspection been reviewed?
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Are there no outstanding actions?
Fire Inspection
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Evacuation Plan displayed and understood by all employees?
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Evacuation procedures discussed regularly? (3 to 4 times a year)
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Extinguishers in place, clearly marked for type of fire?
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Extinguishers recently serviced? (Check 6 monthly punch mark on tabs.)
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Extinguishers clear of obstructions?
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Adequate direction notices for fire exits?
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Exit doors easily opened from inside?
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Exits clear of obstructions?
General Lighting
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Good natural lighting?
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Reflected light from walls & ceilings not causing glare to employees?
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Light fittings clean and in good condition?
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Emergency exit lighting operable?
Building Safety
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Floor surfaces even and uncluttered?
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Entry and Walkways kept clear?
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Intersections kept clear of boxes etc?
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Furniture in sound condition?
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Are doors and cabinets locked? (Kitchen knives, cleaning storage, staff room)
Restrooms
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Restroom safety is supported by building design, organizational policies and operational procedures.
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There is an established "adults only" restroom or policies and procedures to ensure adults and children are not using restrooms at the same time.
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Organization implements a restroom inspection and monitoring schedule?
Electrical Safety
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No broken plugs, sockets or switches?
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No power leads across walkways?
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No frayed or damaged leads
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Are electrical outlets covered?
First Aid
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Are contents regularly checked?
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Are all first aid contents available?
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Is there easy access to first aid supplies?
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Employees aware of location of first aid supplies?
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Is there access to an A.E.D?
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Employees aware of location of the A.E.D?
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Are emergency numbers displayed?
Office Hazards
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Condition of filing cabinets?
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Condition of chairs?
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Desks in good condition? (No damage.)
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Phone system working?
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TV's properly anchored?
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All cabinets above 3ft anchored properly?
Emergency Documents
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Are all employees aware of the Employee/ Volunteer accident procedures?
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Do all employees know where to find Employee/ Volunteer incident reports?
Dress Code
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Are ALL Staff dressed appropriately as defined by the organization's dress code? (badge, Club shirt, etc?)
General Security
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Control and Tracking is utilized over Club entries and exits during hours of operation by adult Club professionals
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Club professionals, volunteers, and visitors are clearly identifiable throughout the Club?
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Potential hiding places in and around the facility have been eliminated and or are well monitored (i.e stairwells, closets, utility rooms, sides and backs of building)
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Unsupervised program areas, storage closets, utility closets, etc. are securable and locked during operational hours.
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Is there a documented emergency preparedness plan in place, including schedule for emergency drills?
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There is a visible code of conduct for Club members, including anti-bullying policy?
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There is an enforced staff-to-youth ration for each program area, activity and for field trips.
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Adult Club professionals are actively engaged with members in program areas and positioned to adequately supervise the entire area?
Sign Off
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On site representative
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Auditor's Signature (Safety Committee Chair, Board Chair, CEO, etc)