Demp- Safety Inspection - duplicate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Walk through inspection of first and second floors

• Air quality is acceptable?<br>

  Yes

  No

  N/A

• Trip hazards observed?

  Yes

  No

  N/A

• Trip Hazard.

  Media

• Exit doors have overhead signage

  Yes

  No

  N/A

• Fire Extinguishers inspected per Local Ontario regulations?

  Yes

  No

  N/A

• All doors can be opened from inside to outside without delay in an emergency.

  Yes

  No

  N/A

• Emergency Lighting Inspection. All indicator lights are ON?

  Yes

  No

  N/A

• Health & Safety Policy is posted?

  Yes

  No

  N/A

• AED Difribulator - AED battery light is flashing, cabinet is in good standing. Reception logbook shows evidence that weekly AED inspections are performed.

  Safe

  At Risk

  N/A

• Verify 2 blow horns are at staged locations per floor plan.

  Yes

  No

  N/A

• House keeping - floors, rugs, washrooms clean

  Yes

  No

  N/A

• Soap and paper products stocked in washrooms?

  Yes

  No

  N/A

• Confirmation that staff are signed In/Out in logbook.

  Yes

  No

  N/A

• Sign in log

  Media

• Confirmation that all doors to the outside are closed and locked.

  Yes

  No

  N/A

• First Aid kit inspection - key supplies in place per kit's checklist

  Safe

  At Risk

  N/A

• Photo of Emergency Kit

  Media

Tasks requiring immediate attention

• Enter any corrective actions that will be undertaken

  Yes

  No

  N/A

• Add any additional notes here:

• Select date

  Date

• Add signature

  Sign

• misc information

• Misc. Image

  Media

• Misc. information

• Misc.Image

  Media