Title Page

  • Client / Site

  • Prepared by

  • Conducted on

  • Location
  • NOTE:

    Take photo evidence and assign action to appropriate personnel as needed.

Site Improvements

  • Storm Drain System

  • Parking Pavement, Curbs & Gutters

  • Sidewalks

  • Utilities

  • Landscaping

  • Site Lighting

  • Site & Building Signage

Structural Systems

  • Foundations

  • Structural System Including Floors

  • Exterior Walls, Patch & Paint

  • Windows & Frames

  • Exterior Doors & Frames

  • Stairs (Interior & Exterior)

  • Balconies & Upper Floor Walkways

  • Roof Coverings

  • Roof Drainage

Mechanical, Electrical, & Plumbing

  • HVAC (Heating, ventilation, and air conditioning)

  • Electrical

  • Emergency Generator

  • Hot & Cold Water Distribution System

  • Water Heaters

  • Gas Distribution System

Vertical Transportation Conveying Systems

  • Elevators/Escalators

Fire/Life Safety

  • Fire Suppression Systems

  • Security Alarm Systems

Interior Elements

  • Common Area Finishes

  • Warehouse Area Finishes (Walls, Floors, Ceilings, Etc)

  • Interior Doors & Frames

"Barrier Free" Accessibility

  • Parking, Signage & Ramps

  • Common Area Accessibility Including Restrooms

  • Name and Signature of inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.