Cleveland Monthly Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Area of Inspection

  Select A - Administration A - Wellness B - Hard Trades C - Food Service D - Warehouse E - Recreation F - Dorm G - Dorm H - Dorm J - Education

  • A - Administration
  • A - Wellness
  • B - Hard Trades
  • C - Food Service
  • D - Warehouse
  • E - Recreation
  • F - Dorm
  • G - Dorm
  • H - Dorm
  • J - Education

• Person or persons completing the safety inspection.

  Select Safety Officer Safety and Security Manager

  • Safety Officer
  • Safety and Security Manager

• 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 policy.

General Requirements

• All students doors or any door leading to an egress corridor must positive latch on its own. No door can can be held open by any device that will not release the door when the fire alarm is activated.

  Yes

  No

  N/A

• All entrance/exit doors to egress hallways are fully operational and bear then appropriate fire ratings. Frame and door should have a fire rating tag. Doors are free from holes and breakage.

  Yes

  No

  N/A

• All fire egress maps include;<br>(A) Primary and secondary escape routes.<br>(B) "You are here" marking<br>(C) Location of alarm pull stations and fire extinguishers along primary and secondary escape routes.<br>

  Yes

  No

  N/A

• All panic bars are in good working condition and operational.

  Yes

  No

  N/A

• All Emergency Lights are in good condition and operational.

  Yes

  No

  N/A

• All Exit Lights are in good condition, operational, and indicate the proper direction of egress when appropriate.

  Yes

  No

  N/A

• All ceiling tile are in place and there are no holes or gaps in excess of 1/8th".

  Yes

  No

  N/A

• All electrical panels have a 3 foot entry way to panel. Panels doors close and lock.

  Yes

  No

  N/A

• Permanent electrical circuits are utilized rather than extension cords.

  Yes

  No

  N/A

• Area is free of missing tiles both floor and wall.

  Yes

  No

  N/A

• Walking surfaces are free of of slip/trip hazards such as flooring tears, bumps, carpet sags, or other trip hazards.

  Yes

  No

  N/A

• Broken/cracked glass in windows.

  Yes

  No

  N/A

• All sprinkler heads are in place, clean, and no paint. There is at least 18" vertical and 36" horizontal clearance around all sprinkler heads. All risers/stand pipes are operating normally, free of leaks, and at normal pressure.

  Yes

  No

  N/A

• Light fixtures are free of missing lens covers.

  Yes

  No

  N/A

• Sidewalks and other walking surfaces are free of cracks in excess of 1/4".

  Yes

  No

  N/A

• Dryer vents are clean and properly attached.

  Yes

  No

  N/A

• Walking surfaces are free of spilled liquids or water.

  Yes

  No

  N/A

• All egress light fixtures are operational.

  Yes

  No

  N/A

• All exterior light fixtures are operational (Security).

  Yes

  No

  N/A

• Cleaning materials and chemicals are properly stored, not in students rooms, or left unattended.

  Yes

  No

  N/A

• All flammable or hazardous chemicals are properly stored when not in use. Flammable storage cabinets are closed at all times.

  Yes

  No

  N/A

• Flammable storage cabinets are properly vented to the outside.

  Yes

  No

  N/A

• All janitorial closets and mechanical rooms are closed and locked.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Fire alarm panel(s) indicate normal operation with no trouble alarms or lights. All pull stations are operational.

  Yes

  No

  N/A

• CO2 detectors are present, properly located, and operational.

  Yes

  No

  N/A

• All electrical panels are labeled appropriately.

  Yes

  No

  N/A

• Electrical panel knockouts are in place.

  Yes

  No

  N/A

• M.S.D.S./S.D.S. information is openly available to all staff and students.

  Yes

  No

  N/A

• Area is free of evidence of vermin.

  Yes

  No

  N/A

• Miscellaneous items.

  Yes

  No

  N/A

• Safety Officer

  Sign

• Center Director

  Sign

• Deputy Center Director

  Sign

• F&A Director

  Sign

• Maintenance Manager

  Sign

• Safety and Security Manager

  Sign

• Student Personnel Officer

  Sign

• SGA

  Sign

• SGA

  Sign

• Safety Committee Member

  Sign

• Safety Committee Member

  Sign

• Safety Committee Member

  Sign

• Safety Committee Member

  Sign

• Safety Committee Member

  Sign

• Safety Committee Member

  Sign

• Safety Committee Member

  Sign

• Safety Committee Member

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• Safety Committee Member

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• Safety Committee Member

  Sign

• Safety Committee Member

  Sign