CHAMPION TECHNOLOGY OFFICE SAFETY INSPECTION

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FIRE SAFETY AND EMERGENCY EQUIPMENT

• Are all fire extinguishers visible & accessible?

  Yes

  No

  N/A

• Are fire extinguisher tags in place and less than one year old?

  Yes

  No

  N/A

• Is the fire alarm functioning properly and has been tested within the past year?

  Yes

  No

  N/A

• Are smoke detectors functioning correctly?

  Yes

  No

  N/A

• Are all exits marked with exit signs and illuminated?

  Yes

  No

  N/A

• Are evacuation plans posted near doors?

  Yes

  No

  N/A

• Are doors and hallways leading to an exit free to access with no possibility of being locked in?

  Yes

  No

  N/A

• Are exit routes kept free of obstructions?

  Yes

  No

  N/A

• Do exit doors open outward and close / latch properly?

  Yes

  No

  N/A

• Has a fire/evacuation drill been conducted within the past year?

  Yes

  No

  N/A

• Are emergency contact numbers posted?

  Yes

  No

  N/A

• Are emergency lights functioning properly?

  Yes

  No

  N/A

• Are their 1st Aid kits visible, accessible, stocked and current within expiration dates?

  Yes

  No

  N/A

• Are BBP kits visible and accessible?

  Yes

  No

  N/A

• Are boxes, paper / combustible items stored to prevent accumulation that could present a fire hazard?

  Yes

  No

  N/A

BUILDING AND OFFICE SAFETY

• No observed slip/trip/fall hazards identities inside or outside?

  Yes

  No

  N/A

• Are floor mats or other anti-slip material used in good condition?

  Yes

  No

  N/A

• Is the building well lit, inside and outside?

  Yes

  No

  N/A

• Are floors and stairway/handrails in good condition?

  Yes

  No

  N/A

• Is the building secured? Locks, security devices working properly?

  Yes

  No

  N/A

• Are maintenance and mechanical areas secure?

  Yes

  No

  N/A

• Are window panes free of damage?

  Yes

  No

  N/A

• Is parking lot in good condition?

  Yes

  No

  N/A

• Any water leaks?

  Yes

  No

  N/A

• Plumbing systems working properly?

  Yes

  No

  N/A

• Safety policy posted?

  Yes

  No

  N/A

• Are approved ladders / step stools used?

  Yes

  No

  N/A

ELECTRICAL , HAND POWER TOOLS AND STORAGE SAFETY

• Are breaker boxes labels correctly? Are empty breaker slots covered?

  Yes

  No

  N/A

• Panel boxes free of hot spots?

  Yes

  No

  N/A

• Are extension cords properly grounded and adequate sized for current being drawn?

  Yes

  No

  N/A

• Are extension cords free of damage?

  Yes

  No

  N/A

• Are extension cords free of damage?

  Yes

  No

  N/A

• Are storage areas near? Items properly stacked? Heavy items stored below shoulder height?

  Yes

  No

  N/A

• Top shelves free of overhang?

  Yes

  No

  N/A

• Are custodial areas in good condition? Are all chemicals stored in appropriate containers?

  Yes

  No

  N/A

• Are oxygen and acetylene tanks secured properly?

  Yes

  No

  N/A

• Do all power tools have safety guards attached and in good condition?

  Yes

  No

  N/A

• Are Fork Lift pre-use inspections kept up-to-date?

  Yes

  No

  N/A

LIST ANY CONCERNS

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