CM office Safety Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Eye Wash Station operational and clean? (station #9)

  Yes

  No

  N/A

• First Aid Kit (lab) present and stocked?

  Yes

  No

  N/A

• Date last inspected

  Date

• Emergency Response Manual in Reference Library

  Yes

  No

  N/A

• Check that all Firedooors are Operative (open man doors 90 deg to wall and let go. The door should close)

  Yes

  No

  N/A

• Fire Extinguishers in Place (check min 4 extinguishers)

  Yes

  No

  N/A

• Are materials stored neatly and safely?

  Yes

  No

  N/A

• Furniture safe and in good repair?

  Yes

  No

  N/A

• AED light green (in lab)

  Yes

  No

  N/A

AED check

• 1. Open the AED lid<br>2. Wait for the AED to indicate status: observie the change of the STATUS INDICATOR from Green to Red.<br>3. After approximately 5 seconds verify that the STATUS INDICATOR returns to Green

  Yes

  No

  N/A

• expiration date of electrodes

  Date

• listen for voice prompts

  Yes

  No

  N/A

• 4. Close the lid and observe the change of the STATUS INDICATOR to Red after approximately 5 seconds.<br>5. Verify that the status indicator returns to Green

  Yes

  No

  N/A