EOC - Environmental Services Staff

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Monday

• Surge protectors are plugged directly into an outlet. (no surge protectors can be plugged into another surge protector. No "daisy chaining")

  Yes

  No

  N/A

• Notified manager or lead to enter ticket to Facilities.

• All cords under desks are tied up neatly and free of tangles. (No wire "nests" under desks that feet could be tangled in.)

  Yes

  No

  N/A

• Notified manager or lead to enter ticket to ITS

• Extension cords are being used temporarily and not creating a tripping hazard during use.

  Yes

  No

  N/A

• Fixed situation immediately, and notified manager or lead of situation.

• Ceiling vents are clean and free of dust and debris.

  Yes

  No

  N/A

• Cleaned vents

• Ceiling tiles are not missing, broken or stained.<br>

  Yes

  No

  N/A

• Notified manager or lead to enter ticket to Facilities.

• Paint/Drywall or laminate not marred or scraped.

  Yes

  No

  N/A

• Notified manager or lead to enter ticket to Facilities.

• All exit signs are illuminated.

  Yes

  No

  N/A

• Notified manager or lead to enter ticket to Facilities.

Tuesday

• Yes

  No

  N/A