Date and time

Centers are required to conduct and document weekly/monthly inspections. Results of the inspection are recorded below. In the event a deficiency is identified that cannot be corrected, the safety officer will submit a maintenance work order. Completed checklist must be returned to the Center Safety Officer, based on Center policies. The general safety and health check list applies and should be attached to this checklist.

Person or persons completing the Inspection
General Requirements

Grinders and other tools have proper guards and safety systems in place.

Ladders are free of damage, defects, and properly stored when not in use.

Stationary tools are properly secured to prevent overturning.

Fall protection harnesses and equipment is free of visible damage, deterioration, or any defect which would render the equipment unsafe for use.

Proper personal protective equipment has been issued and is being utilized.

The work area is properly lit for the work being performed.

Shops are:
(A) Clean
(B) Free of known hazards
(C) Storing materials properly and safely
(D) Maintaining clear travel paths

Eyewash stations are:
(A) Properly installed
(B) Inspected regularly to ensure proper flow
(B) Equipped with proper protective caps
(C) Free of debris or obstructions

Fluorescent and mercury containing bulbs are properly stored to prevent accidental breakages.

All entrance/exit doors or any door leading to an egress hallway is fully operational and bears the appropriate fire rating. Frame and door should be properly labeled

All students door or doors on an egress corridor must close and positive latch on its own. No hold open devices are utilized unless released automatically when alarm is activated.

All panic bars are in good condition and operational.

All exterior light fixtures are operational.

All ceiling tile are present and do not have a hole or crack greater than 1/8th inch.

Area is free of missing floor tiles.

Area is free of tripping hazards such as flooring tears, electrical cords, sags in carpet, or other tripping hazards.

Area is free of broken/cracked glass in doors or windows.

Protective lens covers are in place on ceiling/overhead lighting fixtures.

Area sidewalks are free of cracks in excess of 1/4".

Area is free of spilled water/liquids on floors.

S.D.S./M.S.D.S. are openly available to all staff and students.

All flammable or hazardous materials are properly stored.

Area is free of evidence of vermin.

Life Safety

Emergency lighting is:
(A) Functioning properly
(B) Properly installed
(C) Adequate

Exit signage is:
(A) Properly installed
(B) indicating proper egress route
(C) functioning properly

Fire alarm system is:
(A) Properly installed
(B) Functioning properly
(C) Properly inspected
(D) Adequate

Area is free of know fire hazards

Egress lighting is:
(A) Properly installed
(B) Functioning properly
(C) adequate

Materials are safely stacked and not within 18" vertically or 36" horizontally of a sprinkler head.

Area is free of known fire hazards.

Sprinkler systems is:
(A) Installed properly
(B) Escutcheons are properly installed
(C) Properly inspected
(D) Properly spaced


Power distribution boxes are properly labeled and 36" clearance is maintained.

All G.F.C.I. receptacles are operational.

Extension cords are:
(A) Free of damage
(B) Missing prongs
(C) Not utilized in lieu of permanent wiring
(D) Properly stored when not in use

Signature of Inspector
Signature of Center Director
Safety Committee Member
Safety Committee Member
Safety Committee Member
Safety Committee Member
Safety Committee Members
Safety Committee Member
Safety Committee Member
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.