Title Page

  • Conducted on

  • Prepared by

  • Location
  • When is this inspection being conducted?

  • Location:

  • All offices should be clean. Wires should be secured and in good condition (do not daisy chain). Exit routes should be clear and doors easily opened.

Housekeeping

  • Is the main office area clean?

  • Does this office have a bathroom?

  • Is the bathroom Clean?

  • Are vent fans working?

  • Does the water work?

  • Is all furniture stable?

  • Are the walls in good condition?

  • Is the carpet/tile on the floor in good condition?

  • Is the ceiling in good condition?

  • Are windows in good condition?

  • Notes:

Electrical Safety

  • Are electric cords in good condition and secured?

  • Do outlets have face-plates?

  • Do light switches have face-plates?

  • Are all extension cords grounded?

  • Are extension cords and power strips used safely?

  • Are lights covered and functional?

  • Notes:

Miscellaneous Items

  • Are evacuation plans present?

  • Are exits unblocked and easy to open?

  • 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.