Title Page
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Facility Location
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Inspection Date
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Inspector Name
General Checks and Safety Inspection
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Check for damage to surfaces, such as floors, walls, ceilings, doors, and windows.
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Make sure there are no obstructions.
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No trash lying around.
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Bins are emptied.
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Toilets are clean.
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Floors are swept or polished.
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Lighting in all areas are working.
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Fire extinguishers are sufficient and working.
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The facility is well-ventilated.
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Emergency exits are accessible and unobstructed.
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Safety signs and guide posters (e.g., in event of an emergency) are available.
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Other comments and observations
Reception Area
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Reception supplies are enough. (Pens, pencils, paper, staplers with staples, business cards, etc.)
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The water cooler or dispenser is working.
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Other comments and observations
Offices
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Office supplies are enough. (Pens, pencils, paper, staplers with staples, business cards, etc.)
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The water cooler or dispenser is working.
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Inspect computers and other electronic devices.
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Other comments and observations
Bathrooms
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Toiletry supplies are enough. (Paper towels, soaps, etc.)
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All equipment and installations are working. (Hand dryers, bidets, toilet flush, soap dispensers, mirrors, etc.)
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Other comments and observations
Kitchen
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Kitchen supplies are enough. (Pens, pencils, paper, staplers with staples, business cards, etc.)
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All equipment and installations are working. (Sink, faucet, kettle, microwave, refrigerator, etc.)
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Other comments and observations
Storage
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Storage racks have no damage.
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Items are stacked safely and stored properly.
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Other comments and observations
Building Exterior
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Doors close tightly
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Windows seal tightly; screens (if used) are in good condition
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Walls and foundation areas clear of vegetation
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Utility service entrances sealed or screened
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Walls/roof line free of holes and cracks
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Roof in good condition and draining properly
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Vents (supply & exhaust) screened and unobstructed
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Parking area and walkway areas are free of debris.
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Lights are in good working order.
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Other comments and observations
Completion
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Summary of actions to take
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Recommendations or next steps
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Inspector name and signature
