Title Page
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Conducted on
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Prepared by
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Location
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When is this inspection being conducted?
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Location:
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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
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Is the main office area clean?
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Does this office have a bathroom?
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Is the bathroom Clean?
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Are vent fans working?
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Does the water work?
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Is all furniture stable?
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Are the walls in good condition?
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Is the carpet/tile on the floor in good condition?
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Is the ceiling in good condition?
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Are windows in good condition?
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Notes:
Electrical Safety
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Are electric cords in good condition and secured?
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Do outlets have face-plates?
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Do light switches have face-plates?
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Are all extension cords grounded?
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Are extension cords and power strips used safely?
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Are lights covered and functional?
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Notes:
Miscellaneous Items
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Are evacuation plans present?
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Are exits unblocked and easy to open?
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Notes:
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Center Safety Officer: