Title Page

  • Conducted on

  • Prepared by

  • Location
  • When is this inspection being conducted?

  • Location:

General Housekeeping

  • Are rooms clean and well kept?

  • Are the floors in good condition?

  • Are the walls in good condition?

  • Is the ceiling in good condition?

  • Are windows in good condition?

  • Are the restrooms in good condition?

  • Are doors easy to open and unblocked?

  • Are tools kept where they belong and returned after use?

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  • Notes:

Electrical Safety

  • Are light switch and outlet faceplates present and undamaged?

  • Do all fluorescent lights have covers or sleeves?

  • Are electrical cords intact and being safely used?

  • Do electrical panels have a 3 foot clearance?

  • Are all wires properly insulated and shielded?

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  • Notes:

Machine Safety

  • Do machines have their guards equipped?

  • Are machine parts in good condition?

  • Are damaged machines locked and tagged out?

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Fire Safety

  • Are fire extinguishers unblocked and in good condition?

  • Are the manual alarm pulls accessible?

  • Are flammable liquids and chemicals stored properly?

  • Do flammable material cabinets have decent clearance?

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  • Notes:

Emergency Items

  • Are evacuation routes posted?

  • Are evacuation routes clear and unblocked?

  • Are first aid kits available and stocked?

  • Are eyewash stations available?

  • Are exit signs present and functional?

  • Is emergency lighting present and functional?

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  • Notes:

  • Center Safety Officer:

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.