• Document No.

  • Conducted on

  • Prepared by


  • There are adequate signs and directions indicating location of Site Management Office?

  • Did front office reception personnel ask you to sign in?

  • All visitors are required to sign in and out on a visitor log?


  • All recommended actions closed off

  • What do you believe to be the most pressing safety issue for this site?

  • Do you have visits from your Safety Manager?

  • Do you have an Evacuation Plan & Procedure?

  • Do you have records of evacuation drills?

  • There is a detailed floor plan for the entire site?

  • There is an aerial photograph of the site?


  • All external doors are locked and not accessible from outside

  • Fence and gates are all in good standing and secured.

  • Fire suppression system inspection current.

  • All walkways and steps are in good order and free of any trip hazards.

  • Athletic Fields appear to be safe and free of safety hazards

  • All equipment in Playground and Recreation areas is safe and in good repair.

  • Warning barriers/barricades are in place around any campus construction work sites.


  • Each room has an updated evacuation plan posted by the doorway.

  • Personal belongings are stored away and not accessible to students.

  • Classrooms are free of any appliances to include refrigerators or microwaves.

  • Rooms not in use are locked and not accessible to children.

  • All bookshelves are anchored to wall.

  • Any ceiling decorations are hung with fishing line.


  • PPM schedule

  • Hot & Cold water available.

  • Mechanical Rooms are organized and clutter free - not blocking breaker panels or access doors.

  • Proper lifts and changing table is present in each room.

  • All electrical wiring for major appliances are free of exposed wires or electrical hazards.

  • All storage areas areas are organized and free of clutter.


  • All chemicals are properly labeled and organized.

  • All chemical inventories are regularly reviewed and any old chemicals are given proper disposition.

  • Storage cabinets are available and in use.

  • Eye protection available and appropriately used.

  • Appropriate Safety warning signs on display?

  • Are showers and eye wash stations available and in good working order


  • Equipment safe and in good repair

  • Storage rooms are iorderly and free from items on the ground or too close to ceiling.

  • Refrigeration temperature logs are completed daily and accessible.

  • All refrigeration and freezer units are organized and clean.

  • All chemicals are properly stored and labeled and MSDS sheets are available

  • Site is free of any rodent or insect infestation.


  • site is free from safety hazards.

  • Fire extinguishers are available throughout campus and inspections are up to date.

  • Mechanical Rooms are organized and clutter free - not blocking breaker panels or access doors.

  • Lighting is adequate and facility has minimal burned out bulbs.

  • Campus has a minimum of one AED Defibrillator on campus and can produce documentation of staff training on its use.

  • Custodial closets are orderly and chemicals are stored appropriately with MSDS records available.

  • Lighted exit signs are in appropriate areas and working

  • Electrical wiring, chords, wall plates are in good working condition.

  • Personal, Protective Equipment & Safety Equipment observed and in use.

  • Mechanical rooms are all locked, secured and inaccessible without keys.

  • Restroom facilities are clean and in good working order.

  • All exits, hallways and doorways are kept clear and free from obstructions.


  • Mechanical Rooms are organized and clutter free - not blocking breaker panels or access doors.

  • Hot & Cold water available.

  • First Aid supplies are locked and secured when not in use.

  • Licensed Nurse or trained person gives first aid treatment.

  • Adequate ventilation?

  • Proper storage and inventory control of any chemicals?

  • Chemical MSDS sheets are up to date and readily available?

  • Equipment guards in place?

  • Eye protection available and safety warning signs posted?

  • Flame proof cabinets are available and used when appropriate?

  • Lockout Tag Out procedures are being practiced and trained?

  • Adequate number and current extinguishers available in work areas?


  • Excess electrical wiring kept from being strung across traffic areas as possible trip hazard?

  • No overload use of electric surge protectors?

  • Limited or minimal use of electric appliances (coffee pots, microwaves, refrigerators)?

  • Closets and storage areas are clean and organized?

  • There is limited and controlled access by public to office areas?

  • Fire evacuation plans are posted and current?

  • Designated parking area for vehicles is easy to maneuver and park?

  • Department has specific accident reporting form and instructions for completion?


  • Specialty areas

  • Add media


  • Suggestions/Recommendations

  • Critical Issues & Concerns

  • Commendations

  • Summary Comments


  • Auditor Completing Report

  • Add location
  • Select date

  • Add media

  • Add signature

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.