Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
-
Adequate and functioning lighting provided in all work areas
-
VRC/Elevator(s) functioning properly
-
Work areas free of tripping hazards (cords/wires, free-standing electrical fixtures, etc.)
-
Warning signs and/or mats provided when floors are wet
-
Furniture (e.g. desks, chairs, filing cabinets) in good and safe condition?
-
Overhead storage utilized properly, so as not to create unsafe work environments
-
Basic First Aid supplies adequate
-
Staff lounge and eating areas clean and sanitary
-
Manual Handling aides are available and used
-
Minimum 18' clearance below sprinkler heads
-
Areas surrounding the electrical panel(s) free of flammable, hazardous, combustible material
-
All employee lounge areas free of any visual evidence of a fire hazard or violation (Please document any specific concerns in the "Comment" section below)
Signature
-
Any other comments?
-
When completed please provide signature here:
