Information

  • Audit Title

  • Building Name

  • Conducted on

  • Prepared by

BUILDING EXTERIOR

  • Security Green light operational

  • Lighting in place and operational<br>Off/Day On/Night

  • Flag and pole secure and in place

  • Glass windows/doors intact

  • Sidewalks are clean unobstructed <br>

  • Building exterior free from Graffiti <br>

  • Overhead structures are safe and secure<br>

BUILDING LOBBY

  • Access and egress paths are clear and unobstructed<br>

  • Emergency Exit signage is in place and operable

  • Floors are even and no tripping hazards are present

  • Area is clean and free of debris

  • Lighting is adequate and operational

  • Lighting fixtures are secure clean and in good condition

  • Temperature is comfortable

  • Electrical switches/outlets are safe and secure

  • Area is free from odors<br>

  • Area is free from pests or evidence thereof

  • Furniture is clean and undamaged<br>

HALLWAYS

  • Floors are even and no tripping hazards are present

  • Select Floor

  • Location

  • Emergency Exit signage is in place and operable

  • Select Floor

  • Location

  • Access and egress paths are clear and unobstructed<br>

  • Select Floor

  • Location

  • Electrical switches/outlets are safe and secure

  • Select Floor

  • Location

  • Lighting fixtures are secure clean and in good condition

  • Select Floor

  • Location

  • Area is free from odors<br>

  • Select Floor

  • Location

  • Temperature is comfortable

  • Select Floor

  • Location

  • Lighting is adequate and operational

  • Select Floor

  • Location

  • Area is free from pests or evidence thereof

  • Select Floor

  • Location

Walls

  • Walls are clean

  • Select Floor

  • Location

  • Wall paint is in good condition

  • Select Floor

  • Location

  • Cove base is in place and secure

  • Select Floor

  • Location

Ceilings

  • Ceiling is clean

  • Ceilings show no sign of leaks/water damage

  • Ceiling tiles are in place and are stain/damage free

Doors

  • Door signage in place

  • Door hinges operate well and are free from squeaks<br>

  • Door knob/handle is secure and operational

  • Door checks are secure and operational

STAIRWELLS

  • Floors are even and no tripping hazards are present

  • Select Floor

  • Select Stairwell

  • Access and egress paths are clear and unobstructed<br>

  • Select Floor

  • Select Stairwell

  • Emergency Exit signage is in place and operable

  • Select Floor

  • Select Stairwell

  • Lighting is adequate and operational

  • Select Floor

  • Select Stairwell

  • Stair treads are secure and in good condition

  • Select Floor

  • Select Stairwell

  • Handrails are present and secure

  • Select Floor

  • Select Stairwell

  • Walls are clean and free from leaks/damage

  • Select Floor

  • Select Stairwell

  • Photo Luminescent markings present and secure<br>

  • Select Floor

  • Select Stairwell

BATHROOMS

  • Lighting is adequate and operational

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Electrical switches/outlets are safe and secure

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Outlets are GFI protected

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Floors are even no tripping hazard are present

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Wall are clean and free from leaks/damage

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Ceramic tiles are in place and free from damage<br>

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Access and egress paths are clear and unobstructed<br>

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Door signage in place

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Ceilings show no sign of leaks/water damage

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Lighting fixtures are secure clean and in good condition

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Area is clean and free of debris

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Faucets are operational and free from leaks

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Sinks are clean and in good condition

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Soap dispensers are full and operational<br>

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Hand dryers are clean/secure and operational

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Counter tops are clean and clutter free

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Hand towels dispensers are secure and operational

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Toilets are clean and operational

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Toilet seats are clean and tight

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Toilets are leak free above and below (check wall mount for leaking waste gasket)<br>

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Toilet paper dispensers are secure and ready for use

  • Select Foor

  • Men's Room

  • Women's Room<br>

  • Urinals are clean and secure

  • Select Foor

  • Men's Room

  • Urinals are operational and free from leaks

  • Select Foor

  • Men's Room

  • Feminine hygiene dispenser secure and operational<br> <br><br>

  • Select Foor

  • Women's Room<br>

  • Feminine hygiene refuse container secure with bag inside<br>

  • Select Foor

  • Women's Room<br>

CLASSROOMS

  • Door signage in place

  • Door hinges operate well and are free from squeaks<br>

  • Door knob/handle is secure and operational

  • Door checks are secure and operational

  • Floors are even and no tripping hazards are present

  • Access and egress paths are clear and unobstructed<br>

  • Lighting is adequate and operational

  • Lighting fixtures are secure clean and in good condition

  • Electrical switches/outlets are safe and secure

  • Area is free from pests or evidence thereof

  • Temperature is comfortable

  • Thermostat is set to 70-72 degrees<br><br>

  • Wall are clean and free from leaks/damage

  • Ceilings show no sign of leaks/water damage

  • Ceiling tiles are in place and are stain/damage free

  • Furniture is clean and undamaged<br>

  • White/Black boars are clean and operational

  • Chalk and/or dry erase markers/erasers are present and in good condition

  • Carpeting is secure, clean and free of stains

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.