Title Page

  • Site conducted

  • Conducted on

  • Prepared by:

Audit Questionnaire

  • Is electrical panel clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD12 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door 101-105 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is electrical panel clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD11 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD11 work properly?

  • Is door 106-111 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is door MD10 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD10 work properly?

  • Is door 112-116 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is Door MD9(Receiving Office) clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is Door MD6 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD6 work properly?

  • Is door 117-122 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD5 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD5 work properly?

  • Is door 123-128 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is electrical panel clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD4 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD4 work properly?

  • Is door 129-134 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD3 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door 135-140 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is door MD2 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD2 work properly?

  • Is door 141 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD1 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD1 work properly?

  • Is door MD36 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD36 work properly?

  • Is door MD35 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD35 work properly?

  • Is door MD34 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD34 work properly?

  • Is door MD33 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD33 work properly?

  • Is door MD32 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD32 work properly?

  • Is door MD31 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD31 work properly?

  • Is door MD30 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD30 work properly?

  • Is door MD29 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD29 work properly?

  • Is door MD28(Shipping Office) clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door 252-249 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is door MD27 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD27 work properly?

  • Is door 248-243 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD26 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD26 work properly?

  • Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is door 242-237 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD25 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD25 work properly?

  • Is door 236-231 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD24 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD24 work properly?

  • Is door 230-228 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is door MD23 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD23 work properly?

  • Is door 224-219 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is door MD22 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD22 work properly?

  • Is door 218-213 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Is door MD21 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD21 work properly?

  • Is electrical panel clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door 212-207 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD20 clear of all obstructions, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD20 work properly?

  • Is door 206-201 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD19-MD16 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD19-MD16 work properly?

  • Is electrical panel clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD15 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD15 work properly?

  • Is door MD14(Maintenance Cage) clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Is door MD13 clear of all obstruction, debris, etc. within 36 inches in all directions?

  • Do the panic bar, speaker, and strobe at MD13 work properly?

  • Is electrical panel clear of all obstructions, debris, etc. within 36 inches in all directions?

Safety Concerns

  • Is the warehouse free of hazards and safety concerns during this audit?

Door Security

  • Were all the exit doors secure?

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