Reviewed Department

  • Which department are you reviewing?

Housekeeping

  • Are exit doors blocked?

  • Are fire extinguishers available and charged?

  • Are fire extinguishers blocked?

  • Has the monthly fire extinguisher inspection been performed?

  • Is the eyewash station clean?

  • Is the eyewash station blocked?

  • Do aisles allow clear access to exit doors?

  • Is the emergency evacuation and shelter-in-place map posted in department?

  • Do team members know what to do during an evacuation?

  • Do team members know what to do during shelter-in-place?

Signature

  • Supervisor's Signature

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