Title Page
-
Site conducted
-
Conducted on
-
Prepared by
Audit Questionnaire
-
Is door 1 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 3 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 5 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 7 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 9 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 11 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 13 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 15 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 17 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 19 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 21 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 23 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 25 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 27 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 29 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door B1 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door B2 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door B3 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door B4 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door B5 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door B6 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door B7 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 28 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 26 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 24 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 22 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 20 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 18 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 16 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 14 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 12 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 10 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel at OCC clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 8 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is electric panel clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door 6 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 4 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door 2 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is main electric panel in maintenance clear of all obstructions, debris, etc. within 36 inches in all directions?
-
Is door A6 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door A5 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door A4 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door A3 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door A2 clear of all obstruction, debris, etc. within 36 inches in all directions?
-
Is door A1 clear of all obstruction, debris, etc. within 36 inches in all directions?
Safety Concerns
-
Where there any other safety concerns discovered during this walk? Water on floor, spill, etc?
Door Security
-
Where any doors discovered to be unsecure (open) during this audit?
Conclusion
-
Anything else to add regarding this audit?